Deep muscle biopsy 20205 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,874.45
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.
$6,716.00
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.
$125.17 with Partnership Health Plan vs $12,466.00 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 | $125.17 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $125.17 | ↓ -96% |
| Health Net | Medicaid|> 21 | $153.96 | ↓ -95% |
| Health Net | Medicaid|< 21 | $153.96 | ↓ -95% |
| CenCal | Medicaid|> 21 | $197.32 | ↓ -93% |
| CenCal | Medicaid|< 21 | $197.32 | ↓ -93% |
| Humana | Medicare|All Plans | $3,636.52 | ↑ +27% |
| Aetna | Medicare|All Plans | $3,636.52 | ↑ +27% |
| United | Medicare|All Plans | $3,636.52 | ↑ +27% |
| Kaiser | Medicare|All Plans | $3,636.52 | ↑ +27% |
| BCBS - Anthem | Medicare|All Plans | $3,636.52 | ↑ +27% |
| Alignment | Medicare|All Plans | $3,636.52 | ↑ +27% |
| Scan Health Plan | Medicare|All Plans | $3,636.52 | ↑ +27% |
| Western Growers | Commercial|All Plans | $3,693.80 | ↑ +29% |
| Kaiser | Commercial|All Plans | $4,231.08 | ↑ +47% |
| First Health | Commercial|All Plans | $5,641.44 | ↑ +96% |
| United | Commercial|Non-Options PPO | $5,910.08 | ↑ +106% |
| United | Commercial|All Other Plans | $5,977.24 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $6,178.72 | ↑ +115% |
| United | Commercial|Options PPO | $6,245.88 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $6,581.68 | ↑ +129% |
| United | Commercial|HMO | $6,648.84 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $6,861.00 | ↑ +139% |
| Aetna | Commercial|HMO | $8,743.00 | ↑ +204% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↑ +204% |
| Aetna | Commercial|PPO | $8,743.00 | ↑ +204% |
| Health Net | Commercial|Care Product | $9,300.00 | ↑ +224% |
| BCBS - Anthem | Commercial|Non-MCS | $9,303.00 | ↑ +224% |
| Blue Shield CA | Commercial|FFS | $9,965.00 | ↑ +247% |
| Health Net | Commercial|FFS | $10,531.00 | ↑ +266% |
| BCBS - Anthem | Commercial|MCS | $12,466.00 | ↑ +334% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $273.73 | $106.33 – $402.78 |
| French Hospital | San Luis Obispo | $3,186.96 | $125.17 – $7,735.14 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,093.44 | $3,175.56 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,276.05 | $1,747.00 – $6,911.51 |
| St Jude Medical Center | Fullerton | $2,547.84 | $3,175.56 – $6,911.51 |
| Providence St Joseph Hospital Orange | Orange | $5,081.76 | $3,175.56 – $7,602.00 |
| Providence Saint John's Health Center | Santa Monica | $7,548.80 | $1,746.72 – $10,103.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $153.96 – $6,483.96 |