Debr musc/fascia 20sq cm/< 11043 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$870.98
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.
$2,035.00
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.
$179.86 with Partnership Health Plan vs $9,715.00 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 | $179.86 | ↓ -79% |
| Partnership Health Plan | Medicaid|> 21 | $179.86 | ↓ -79% |
| Health Net | Medicaid|< 21 | $221.23 | ↓ -75% |
| Health Net | Medicaid|> 21 | $221.23 | ↓ -75% |
| CenCal | Medicaid|< 21 | $283.52 | ↓ -67% |
| CenCal | Medicaid|> 21 | $283.52 | ↓ -67% |
| MHS Hospice | Commercial|All Plans | $606.34 | ↓ -30% |
| Humana | Medicare|All Plans | $777.77 | ↓ -11% |
| Aetna | Medicare|All Plans | $777.77 | ↓ -11% |
| United | Medicare|All Plans | $777.77 | ↓ -11% |
| Kaiser | Medicare|All Plans | $777.77 | ↓ -11% |
| BCBS - Anthem | Medicare|All Plans | $777.77 | ↓ -11% |
| Alignment | Medicare|All Plans | $777.77 | ↓ -11% |
| Scan Health Plan | Medicare|All Plans | $777.77 | ↓ -11% |
| Western Growers | Commercial|All Plans | $1,119.25 | ↑ +29% |
| Kaiser | Commercial|All Plans | $1,282.05 | ↑ +47% |
| First Health | Commercial|All Plans | $1,709.40 | ↑ +96% |
| United | Commercial|Non-Options PPO | $1,790.80 | ↑ +106% |
| United | Commercial|All Other Plans | $1,811.15 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $1,872.20 | ↑ +115% |
| United | Commercial|Options PPO | $1,892.55 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $1,994.30 | ↑ +129% |
| United | Commercial|HMO | $2,014.65 | ↑ +131% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +449% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +522% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +589% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +687% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +687% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +687% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +732% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +901% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +1015% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |
| Queen of The Valley Medical Center | Napa | $910.35 | $1,049.38 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $989.91 | $950.57 – $8,018.00 |