Chylomicron screen, bf - sendout at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$42.42
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.
$99.11
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.
$15.03 with Western Growers vs $158.48 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $15.03 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $18.94 | ↓ -55% |
| Kaiser | Commercial|All Plans | $18.94 | ↓ -55% |
| First Health | Commercial|All Plans | $25.25 | ↓ -40% |
| Blue Shield CA | Commercial|FFS | $26.45 | ↓ -38% |
| Healthsmart | Commercial|All Plans | $27.65 | ↓ -35% |
| BCBS - Anthem | Commercial|Non-MCS | $29.15 | ↓ -31% |
| MultiPlan | Commercial|All Plans | $29.45 | ↓ -31% |
| United | Commercial|Non-Options PPO | $30.05 | ↓ -29% |
| Humana | Medicare|All Plans | $30.05 | ↓ -29% |
| Aetna | Commercial|All Other Plans | $30.05 | ↓ -29% |
| Aetna | Commercial|PPO | $30.05 | ↓ -29% |
| Aetna | Medicare|All Plans | $30.05 | ↓ -29% |
| Aetna | Commercial|HMO | $30.05 | ↓ -29% |
| United | Commercial|All Other Plans | $30.05 | ↓ -29% |
| United | Medicare|All Plans | $30.05 | ↓ -29% |
| United | Commercial|Options PPO | $30.05 | ↓ -29% |
| CenCal | Medicaid|> 21 | $30.05 | ↓ -29% |
| MHS Hospice | Commercial|All Plans | $30.05 | ↓ -29% |
| Partnership Health Plan | Medicaid|< 21 | $30.05 | ↓ -29% |
| Partnership Health Plan | Medicaid|> 21 | $30.05 | ↓ -29% |
| Scan Health Plan | Medicare|All Plans | $30.05 | ↓ -29% |
| Kaiser | Medicare|All Plans | $30.05 | ↓ -29% |
| BCBS - Anthem | Medicare|All Plans | $30.05 | ↓ -29% |
| BCBS - Anthem | Commercial|MCS | $30.05 | ↓ -29% |
| Alignment | Medicare|All Plans | $30.05 | ↓ -29% |
| CenCal | Medicaid|< 21 | $30.05 | ↓ -29% |
| Health Net | Medicaid|> 21 | $36.97 | ↓ -13% |
| Health Net | Medicaid|< 21 | $36.97 | ↓ -13% |
| United | Commercial|HMO | $73.80 | ↑ +74% |
| Cigna | Commercial|PPO | $158.48 | ↑ +274% |
| Cigna | Commercial|All Other Plans | $158.48 | ↑ +274% |
Visitor-reported prices
Comments
Chylomicron screen, bf - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $109.94 | $52.10 – $195.78 |
| Banner Lassen Medical Center | Susanville | $23.16 | $12.30 – $39.62 |
| French Hospital | San Luis Obispo | $38.86 | $8.12 – $186.31 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11.15 | $6.00 – $176.75 |
| Bakersfield Memorial Hospital | Bakersfield | $11.03 | $6.00 – $176.75 |
| St. Joseph's Behavioral Health Center | Stockton | $17.16 | $1.20 – $9.60 |
| St. Joseph's Medical Center Stockton | Stockton | $8.84 | $2.52 – $12.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $77.11 | $24.01 – $97.13 |