Debr inf skin add-on 11001 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.
$11.96 with Partnership Health Plan 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $11.96 | — |
| Partnership Health Plan | Medicaid|> 21 | $11.96 | — |
| Health Net | Medicaid|< 21 | $14.71 | — |
| Health Net | Medicaid|> 21 | $14.71 | — |
| CenCal | Medicaid|< 21 | $18.86 | — |
| CenCal | Medicaid|> 21 | $18.86 | — |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | — |
| Blue Shield CA | Commercial|FFS | $2,012.00 | — |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | — |
| Aetna | Commercial|HMO | $5,710.00 | — |
| Aetna | Commercial|All Other Plans | $5,710.00 | — |
| Aetna | Commercial|PPO | $5,710.00 | — |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Debr inf skin add-on 11001 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $274.89 | $593.00 – $10,997.00 |
| Queen of The Valley Medical Center | Napa | $289.68 | $1,727.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $370.77 | $1,802.00 – $21,319.00 |
| Redwood Memorial Hospital | Fortuna | $655.35 | $1,847.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $278.97 | $691.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $248.64 | $1,200.00 – $5,357.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $109.55 | $353.00 – $4,776.00 |
| Providence Saint Joseph Medical Center | Burbank | $177.10 | $353.00 – $4,751.00 |