Devel tst phys/qhp 1st hr at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$227.27
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.
$531.00
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.
$116.57 with Partnership Health Plan vs $7,391.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $116.57 | ↓ -49% |
| CenCal | Medicaid|< 21 | $116.57 | ↓ -49% |
| CenCal | Medicaid|> 21 | $116.57 | ↓ -49% |
| Partnership Health Plan | Medicaid|< 21 | $116.57 | ↓ -49% |
| MHS Hospice | Commercial|All Plans | $168.78 | ↓ -26% |
| Health Net | Medicaid|> 21 | $176.36 | ↓ -22% |
| Health Net | Medicaid|< 21 | $176.36 | ↓ -22% |
| Humana | Medicare|All Plans | $198.80 | ↓ -13% |
| Aetna | Medicare|All Plans | $198.80 | ↓ -13% |
| United | Medicare|All Plans | $198.80 | ↓ -13% |
| Kaiser | Medicare|All Plans | $198.80 | ↓ -13% |
| BCBS - Anthem | Medicare|All Plans | $198.80 | ↓ -13% |
| Alignment | Medicare|All Plans | $198.80 | ↓ -13% |
| Scan Health Plan | Medicare|All Plans | $198.80 | ↓ -13% |
| Western Growers | Commercial|All Plans | $265.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $334.53 | ↑ +47% |
| First Health | Commercial|All Plans | $446.04 | ↑ +96% |
| United | Commercial|Non-Options PPO | $467.28 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $488.52 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $520.38 | ↑ +129% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +2999% |
| United | Commercial|All Other Plans | $7,169.00 | ↑ +3054% |
| United | Commercial|HMO | $7,391.00 | ↑ +3152% |
Visitor-reported prices
Comments
Devel tst phys/qhp 1st hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $182.21 | $112.32 – $416.00 |
| Bakersfield Memorial Hospital | Bakersfield | $88.45 | $116.57 – $241.00 |
| St. Joseph's Medical Center Stockton | Stockton | $127.31 | $90.93 – $355.06 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $463.05 | $86.68 – $306.17 |
| Providence Holy Cross Medical Center | Mission Hills | $488.60 | $86.68 – $306.17 |
| Petaluma Valley Hospital | Petaluma | not published | $173.40 – $176.94 |
| Queen of The Valley Medical Center | Napa | not published | $182.70 – $182.70 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $165.49 – $165.49 |