Conversion ext bil drg cath at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,524.35
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.
$5,898.00
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.
$1,014.52 with Partnership Health Plan vs $9,965.00 with Blue Shield CA — 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 | $1,014.52 | ↓ -60% |
| Partnership Health Plan | Medicaid|< 21 | $1,014.52 | ↓ -60% |
| CenCal | Medicaid|> 21 | $1,014.52 | ↓ -60% |
| CenCal | Medicaid|< 21 | $1,014.52 | ↓ -60% |
| Health Net | Medicaid|< 21 | $1,534.87 | ↓ -39% |
| Health Net | Medicaid|> 21 | $1,534.87 | ↓ -39% |
| Western Growers | Commercial|All Plans | $3,243.90 | ↑ +29% |
| Kaiser | Commercial|All Plans | $3,715.74 | ↑ +47% |
| Humana | Medicare|All Plans | $4,484.02 | ↑ +78% |
| United | Medicare|All Plans | $4,484.02 | ↑ +78% |
| Scan Health Plan | Medicare|All Plans | $4,484.02 | ↑ +78% |
| Alignment | Medicare|All Plans | $4,484.02 | ↑ +78% |
| BCBS - Anthem | Medicare|All Plans | $4,484.02 | ↑ +78% |
| Kaiser | Medicare|All Plans | $4,484.02 | ↑ +78% |
| Aetna | Medicare|All Plans | $4,484.02 | ↑ +78% |
| First Health | Commercial|All Plans | $4,954.32 | ↑ +96% |
| United | Commercial|Non-Options PPO | $5,190.24 | ↑ +106% |
| United | Commercial|All Other Plans | $5,249.22 | ↑ +108% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +112% |
| Healthsmart | Commercial|All Plans | $5,426.16 | ↑ +115% |
| United | Commercial|Options PPO | $5,485.14 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $5,780.04 | ↑ +129% |
| United | Commercial|HMO | $5,839.02 | ↑ +131% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +172% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +172% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +172% |
| Blue Shield CA | Commercial|Exchange | $6,861.00 | ↑ +172% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +184% |
| Blue Shield CA | Commercial|FFS | $9,965.00 | ↑ +295% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,534.87 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | $7,210.38 | $2,937.00 – $11,185.00 |
| French Hospital | San Luis Obispo | $2,312.02 | $1,014.52 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,054.60 | $1,014.52 – $4,484.02 |
| Bakersfield Memorial Hospital | Bakersfield | $1,693.71 | $1,014.52 – $4,484.02 |
| Queen of The Valley Medical Center | Napa | $7,805.04 | $5,083.67 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,970.68 | $4,604.99 – $17,611.00 |
| Healdsburg Hospital | Healdsburg | $3,612.84 | $3,572.00 – $5,198.77 |