Convert nephrostomy catheter at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,616.99
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.
$3,778.00
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.
$826.13 with Partnership Health Plan vs $8,439.00 with Health Net — 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 | $826.13 | ↓ -49% |
| Partnership Health Plan | Medicaid|< 21 | $826.13 | ↓ -49% |
| CenCal | Medicaid|> 21 | $826.13 | ↓ -49% |
| CenCal | Medicaid|< 21 | $826.13 | ↓ -49% |
| Western Growers | Commercial|All Plans | $975.15 | ↓ -40% |
| Kaiser | Commercial|All Plans | $1,116.99 | ↓ -31% |
| Health Net | Medicaid|< 21 | $1,249.85 | ↓ -23% |
| Health Net | Medicaid|> 21 | $1,249.85 | ↓ -23% |
| First Health | Commercial|All Plans | $1,489.32 | ↓ -8% |
| United | Commercial|Non-Options PPO | $1,560.24 | ↓ -4% |
| United | Commercial|All Other Plans | $1,577.97 | ↓ -2% |
| Healthsmart | Commercial|All Plans | $1,631.16 | ↑ +1% |
| United | Commercial|Options PPO | $1,648.89 | ↑ +2% |
| MultiPlan | Commercial|All Plans | $1,737.54 | ↑ +7% |
| United | Commercial|HMO | $1,755.27 | ↑ +9% |
| BCBS - Anthem | Medicare|All Plans | $1,773.00 | ↑ +10% |
| Alignment | Medicare|All Plans | $1,773.00 | ↑ +10% |
| Aetna | Medicare|All Plans | $1,773.00 | ↑ +10% |
| Scan Health Plan | Medicare|All Plans | $1,773.00 | ↑ +10% |
| Humana | Medicare|All Plans | $1,773.00 | ↑ +10% |
| Kaiser | Medicare|All Plans | $1,773.00 | ↑ +10% |
| United | Medicare|All Plans | $2,602.84 | ↑ +61% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +177% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +230% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +253% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +253% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +253% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +303% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +343% |
| Health Net | Commercial|Care Product | $7,451.00 | ↑ +361% |
| Health Net | Commercial|FFS | $8,439.00 | ↑ +422% |
Visitor-reported prices
Comments
Convert nephrostomy catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,049.45 | $646.92 – $4,655.74 |
| French Hospital | San Luis Obispo | $1,540.96 | $478.71 – $1,773.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,187.42 | $826.13 – $1,845.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,114.29 | $826.13 – $4,302.34 |
| St. Joseph's Medical Center Stockton | Stockton | $2,025.66 | $826.13 – $3,858.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,572.95 | $2,238.00 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,072.16 | $1,894.00 – $5,171.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $5,653.73 | $1,123.54 – $7,121.66 |