Chemo adm cns w/lmbr punct at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,228.79
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,871.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$149.91 with Partnership Health Plan vs $11,311.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $149.91 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $149.91 | ↓ -88% |
| Health Net | Medicaid|> 21 | $184.39 | ↓ -85% |
| Health Net | Medicaid|< 21 | $184.39 | ↓ -85% |
| CenCal | Medicaid|< 21 | $237.67 | ↓ -81% |
| CenCal | Medicaid|> 21 | $237.67 | ↓ -81% |
| MHS Hospice | Commercial|All Plans | $377.70 | ↓ -69% |
| Western Growers | Commercial|All Plans | $393.00 | ↓ -68% |
| Humana | Medicare|All Plans | $421.45 | ↓ -66% |
| Aetna | Medicare|All Plans | $421.45 | ↓ -66% |
| United | Medicare|All Plans | $421.45 | ↓ -66% |
| Kaiser | Medicare|All Plans | $421.45 | ↓ -66% |
| BCBS - Anthem | Medicare|All Plans | $421.45 | ↓ -66% |
| Alignment | Medicare|All Plans | $421.45 | ↓ -66% |
| Scan Health Plan | Medicare|All Plans | $421.45 | ↓ -66% |
| Kaiser | Commercial|All Plans | $495.18 | ↓ -60% |
| Aetna | Commercial|HMO | $534.37 | ↓ -57% |
| Aetna | Commercial|PPO | $534.37 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $534.37 | ↓ -57% |
| First Health | Commercial|All Plans | $660.24 | ↓ -46% |
| United | Commercial|Non-Options PPO | $691.68 | ↓ -44% |
| Healthsmart | Commercial|All Plans | $723.12 | ↓ -41% |
| United | Commercial|Options PPO | $730.98 | ↓ -41% |
| MultiPlan | Commercial|All Plans | $770.28 | ↓ -37% |
| United | Commercial|HMO | $786.00 | ↓ -36% |
| United | Commercial|All Other Plans | $786.00 | ↓ -36% |
| BCBS - Anthem | Commercial|MCS | $786.00 | ↓ -36% |
| Blue Shield CA | Commercial|Exchange | $999.00 | ↓ -19% |
| BCBS - Anthem | Commercial|Non-MCS | $1,208.00 | ↓ -2% |
| Blue Shield CA | Commercial|FFS | $1,453.00 | ↑ +18% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +212% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +253% |
| Cigna | Commercial|PPO | $11,311.00 | ↑ +820% |
| Cigna | Commercial|All Other Plans | $11,311.00 | ↑ +820% |
Visitor-reported prices
Comments
Chemo adm cns w/lmbr punct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $425.74 | $108.73 – $834.88 |
| Mark Twain Medical Center | San Andreas | $453.55 | $149.91 – $667.38 |
| French Hospital | San Luis Obispo | $984.32 | $149.91 – $9,050.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $322.77 | $149.91 – $843.90 |
| Bakersfield Memorial Hospital | Bakersfield | $310.12 | $149.91 – $796.37 |
| Providence St Joseph Hospital Eureka | Eureka | $428.91 | $424.83 – $1,333.00 |
| St. Joseph's Medical Center Stockton | Stockton | $271.07 | $97.02 – $1,266.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $355.47 | $390.55 – $459.61 |