Closure paravalvlr leak pq at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,511.70
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.
$3,532.00
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.
$769.20 with MHS Hospice vs $14,472.00 with Aetna — 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 |
|---|---|---|---|
| MHS Hospice | Commercial|All Plans | $769.20 | ↓ -49% |
| Humana | Medicare|All Plans | $785.56 | ↓ -48% |
| Scan Health Plan | Medicare|All Plans | $785.56 | ↓ -48% |
| Alignment | Medicare|All Plans | $785.56 | ↓ -48% |
| Aetna | Medicare|All Plans | $785.56 | ↓ -48% |
| BCBS - Anthem | Medicare|All Plans | $785.56 | ↓ -48% |
| United | Medicare|All Plans | $785.56 | ↓ -48% |
| Kaiser | Medicare|All Plans | $785.56 | ↓ -48% |
| Western Growers | Commercial|All Plans | $1,147.50 | ↓ -24% |
| Kaiser | Commercial|All Plans | $1,377.18 | ↓ -9% |
| First Health | Commercial|All Plans | $1,836.24 | ↑ +21% |
| United | Commercial|Non-Options PPO | $1,923.68 | ↑ +27% |
| United | Commercial|All Other Plans | $1,945.54 | ↑ +29% |
| Healthsmart | Commercial|All Plans | $2,011.12 | ↑ +33% |
| United | Commercial|Options PPO | $2,032.98 | ↑ +34% |
| MultiPlan | Commercial|All Plans | $2,142.28 | ↑ +42% |
| United | Commercial|HMO | $2,164.14 | ↑ +43% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +197% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +216% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +258% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +331% |
| Aetna | Commercial|PPO | $14,472.00 | ↑ +857% |
| Aetna | Commercial|All Other Plans | $14,472.00 | ↑ +857% |
| Aetna | Commercial|HMO | $14,472.00 | ↑ +857% |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,812.31 | $785.56 – $2,754.96 |
| French Hospital | San Luis Obispo | $856.92 | $584.01 – $2,119.74 |
| Bakersfield Memorial Hospital | Bakersfield | $50,658.85 | $785.56 – $37,269.45 |
| St. Joseph's Medical Center Stockton | Stockton | $11,588.01 | $745.61 – $31,414.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $24,176.55 | $872.87 – $2,741.00 |
| Mercy Medical Center Merced | Merced | $20,223.54 | $785.56 – $33,967.89 |
| Dominican Hospital | Santa Cruz | $22,815.00 | $849.40 – $43,095.00 |
| Providence Saint Joseph Medical Center | Burbank | $16,786.00 | $806.82 – $4,751.00 |