Coronary angio/cath placement bypass graft/lv gram/lt heart at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$9,329.12
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.
$21,797.00
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.
$1,203.26 with Partnership Health Plan vs $31,887.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $1,203.26 | ↓ -87% |
| Partnership Health Plan | Medicaid|> 21 | $1,203.26 | ↓ -87% |
| CenCal | Medicaid|> 21 | $1,329.89 | ↓ -86% |
| CenCal | Medicaid|< 21 | $1,329.89 | ↓ -86% |
| Health Net | Medicaid|> 21 | $1,480.01 | ↓ -84% |
| Health Net | Medicaid|< 21 | $1,480.01 | ↓ -84% |
| Humana | Medicare|All Plans | $4,086.77 | ↓ -56% |
| Aetna | Medicare|All Plans | $4,086.77 | ↓ -56% |
| United | Medicare|All Plans | $4,086.77 | ↓ -56% |
| Kaiser | Medicare|All Plans | $4,086.77 | ↓ -56% |
| BCBS - Anthem | Medicare|All Plans | $4,086.77 | ↓ -56% |
| Alignment | Medicare|All Plans | $4,086.77 | ↓ -56% |
| Scan Health Plan | Medicare|All Plans | $4,086.77 | ↓ -56% |
| Health Net | Commercial|Care Product | $9,300.00 | ↓ -0% |
| Health Net | Commercial|FFS | $10,531.00 | ↑ +13% |
| Western Growers | Commercial|All Plans | $10,898.50 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $13,393.00 | ↑ +44% |
| Kaiser | Commercial|All Plans | $13,732.11 | ↑ +47% |
| Aetna | Commercial|HMO | $16,569.00 | ↑ +78% |
| Aetna | Commercial|PPO | $16,569.00 | ↑ +78% |
| Aetna | Commercial|All Other Plans | $16,569.00 | ↑ +78% |
| First Health | Commercial|All Plans | $18,309.48 | ↑ +96% |
| United | Commercial|Non-Options PPO | $19,181.36 | ↑ +106% |
| United | Commercial|All Other Plans | $19,399.33 | ↑ +108% |
| Blue Shield CA | Commercial|FFS | $19,451.00 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $20,053.24 | ↑ +115% |
| United | Commercial|Options PPO | $20,271.21 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $21,361.06 | ↑ +129% |
| United | Commercial|HMO | $21,579.03 | ↑ +131% |
| BCBS - Anthem | Commercial|Non-MCS | $23,796.00 | ↑ +155% |
| BCBS - Anthem | Commercial|MCS | $31,887.00 | ↑ +242% |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,624.18 | $1,480.01 – $17,138.94 |
| French Hospital | San Luis Obispo | $8,288.06 | $1,203.26 – $20,720.14 |
| Bakersfield Memorial Hospital | Bakersfield | $5,637.86 | $1,203.26 – $12,135.98 |
| Queen of The Valley Medical Center | Napa | $23,269.26 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,521.30 | $4,169.67 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $14,675.01 | $1,048.57 – $41,928.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,996.19 | $4,511.03 – $12,568.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $9,619.20 | $3,544.22 – $15,436.00 |