Colposcopy w/biopsy of cervix 57455 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
not published by hospital
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.
not published by hospital
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.
$63.64 with CenCal vs $7,160.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| CenCal | Medicaid|< 21 | $63.64 | — |
| Partnership Health Plan | Medicaid|< 21 | $63.64 | — |
| CenCal | Medicaid|> 21 | $63.64 | — |
| Partnership Health Plan | Medicaid|> 21 | $63.64 | — |
| Health Net | Medicaid|< 21 | $96.28 | — |
| Health Net | Medicaid|> 21 | $96.28 | — |
| MHS Hospice | Commercial|All Plans | $330.27 | — |
| Humana | Medicare|All Plans | $386.50 | — |
| Aetna | Medicare|All Plans | $386.50 | — |
| United | Medicare|All Plans | $386.50 | — |
| Kaiser | Medicare|All Plans | $386.50 | — |
| BCBS - Anthem | Medicare|All Plans | $386.50 | — |
| Alignment | Medicare|All Plans | $386.50 | — |
| Scan Health Plan | Medicare|All Plans | $386.50 | — |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | — |
| Blue Shield CA | Commercial|FFS | $2,012.00 | — |
| Health Net | Commercial|Care Product | $3,832.00 | — |
| Health Net | Commercial|FFS | $4,339.00 | — |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | — |
| Aetna | Commercial|PPO | $5,710.00 | — |
| Aetna | Commercial|All Other Plans | $5,710.00 | — |
| Aetna | Commercial|HMO | $5,710.00 | — |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Colposcopy w/biopsy of cervix 57455 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $800.19 | $410.58 – $3,982.87 |
| California Hospital Medical Center | Los Angeles | $387.03 | $57.28 – $630.42 |
| St Jude Medical Center | Fullerton | $433.44 | $333.14 – $1,293.00 |
| Providence St Joseph Hospital Orange | Orange | $442.56 | $333.14 – $1,535.00 |
| Providence Saint John's Health Center | Santa Monica | $520.80 | $352.70 – $5,977.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $96.28 – $732.82 |
| Petaluma Valley Hospital | Petaluma | not published | $410.66 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | not published | $63.64 – $63.64 |