Critical care 30-74 minutes at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$3,180.04
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.
$7,430.00
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.
$190.30 with CenCal vs $20,457.00 with United — 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 | $190.30 | ↓ -94% |
| CenCal | Medicaid|> 21 | $190.30 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $216.64 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $216.64 | ↓ -93% |
| Health Net | Medicaid|< 21 | $327.76 | ↓ -90% |
| Health Net | Medicaid|> 21 | $327.76 | ↓ -90% |
| MHS Hospice | Commercial|All Plans | $813.30 | ↓ -74% |
| Scan Health Plan | Medicare|All Plans | $1,070.62 | ↓ -66% |
| Humana | Medicare|All Plans | $1,070.62 | ↓ -66% |
| United | Medicare|All Plans | $1,070.62 | ↓ -66% |
| Alignment | Medicare|All Plans | $1,070.62 | ↓ -66% |
| BCBS - Anthem | Medicare|All Plans | $1,070.62 | ↓ -66% |
| Kaiser | Medicare|All Plans | $1,070.62 | ↓ -66% |
| Aetna | Medicare|All Plans | $1,070.62 | ↓ -66% |
| Western Growers | Commercial|All Plans | $3,714.70 | ↑ +17% |
| Kaiser | Commercial|All Plans | $3,917.32 | ↑ +23% |
| Blue Shield CA | Commercial|Exchange | $4,390.10 | ↑ +38% |
| Aetna | Commercial|All Other Plans | $4,592.72 | ↑ +44% |
| Aetna | Commercial|PPO | $4,592.72 | ↑ +44% |
| Aetna | Commercial|HMO | $4,592.72 | ↑ +44% |
| First Health | Commercial|All Plans | $5,673.36 | ↑ +78% |
| Blue Shield CA | Commercial|FFS | $6,078.60 | ↑ +91% |
| Healthsmart | Commercial|All Plans | $6,213.68 | ↑ +95% |
| MultiPlan | Commercial|All Plans | $6,618.92 | ↑ +108% |
| BCBS - Anthem | Commercial|Non-MCS | $8,949.00 | ↑ +181% |
| United | Commercial|Options PPO | $10,561.00 | ↑ +232% |
| United | Commercial|Non-Options PPO | $10,901.00 | ↑ +243% |
| United | Commercial|All Other Plans | $11,731.00 | ↑ +269% |
| BCBS - Anthem | Commercial|MCS | $11,992.00 | ↑ +277% |
| United | Commercial|HMO | $20,457.00 | ↑ +543% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,379.17 | $295.99 – $6,326.30 |
| Banner Lassen Medical Center | Susanville | $1,663.58 | $168.52 – $3,320.31 |
| Petaluma Valley Hospital | Petaluma | $11,252.64 | $1,113.16 – $1,135.88 |
| Mark Twain Medical Center | San Andreas | $3,850.15 | $216.64 – $5,665.38 |
| French Hospital | San Luis Obispo | $3,130.12 | $190.30 – $6,736.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,037.75 | $216.64 – $6,714.16 |
| Bakersfield Memorial Hospital | Bakersfield | $3,005.00 | $216.64 – $6,714.16 |
| Queen of The Valley Medical Center | Napa | $12,871.38 | $1,172.85 – $1,172.85 |