Dilate biliary duct/ampulla at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$751.14
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.
$1,755.00
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.
$469.47 with Partnership Health Plan vs $9,965.00 with Blue Shield CA — 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 | $469.47 | ↓ -37% |
| Partnership Health Plan | Medicaid|< 21 | $469.47 | ↓ -37% |
| CenCal | Medicaid|> 21 | $469.47 | ↓ -37% |
| CenCal | Medicaid|< 21 | $469.47 | ↓ -37% |
| Health Net | Medicaid|< 21 | $710.26 | ↓ -5% |
| Health Net | Medicaid|> 21 | $710.26 | ↓ -5% |
| Western Growers | Commercial|All Plans | $965.25 | ↑ +29% |
| Kaiser | Commercial|All Plans | $1,105.65 | ↑ +47% |
| First Health | Commercial|All Plans | $1,474.20 | ↑ +96% |
| United | Commercial|Non-Options PPO | $1,544.40 | ↑ +106% |
| United | Commercial|All Other Plans | $1,561.95 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $1,614.60 | ↑ +115% |
| United | Commercial|Options PPO | $1,632.15 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $1,719.90 | ↑ +129% |
| United | Commercial|HMO | $1,737.45 | ↑ +131% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +611% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +660% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +660% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +660% |
| Blue Shield CA | Commercial|Exchange | $6,861.00 | ↑ +813% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +853% |
| Blue Shield CA | Commercial|FFS | $9,965.00 | ↑ +1227% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $731.90 | $451.17 – $1,303.38 |
| French Hospital | San Luis Obispo | $687.96 | $469.47 – $1,719.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $856.27 | $469.47 – $2,054.12 |
| Bakersfield Memorial Hospital | Bakersfield | $847.04 | $469.47 – $2,284.92 |
| St. Joseph's Medical Center Stockton | Stockton | $645.33 | $460.95 – $1,843.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,304.96 | $1,200.00 – $7,908.00 |
| Mercy Medical Center Merced | Merced | $1,156.69 | $469.47 – $2,223.54 |
| Dominican Hospital | Santa Cruz | $3,503.25 | $469.47 – $7,006.50 |