Dornhoffer fixed part w/window at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$7,817.85
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.
$18,266.00
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.
$28.06 with CenCal vs $119.56 with MultiPlan — 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $28.06 | ↓ -100% |
| CenCal | Medicaid|< 21 | $28.06 | ↓ -100% |
| Western Growers | Commercial|All Plans | $61.00 | ↓ -99% |
| Health Net | Commercial|Care Product | $70.76 | ↓ -99% |
| United | Commercial|Options PPO | $74.42 | ↓ -99% |
| United | Commercial|Non-Options PPO | $75.64 | ↓ -99% |
| United | Commercial|All Other Plans | $76.86 | ↓ -99% |
| Kaiser | Commercial|All Plans | $76.86 | ↓ -99% |
| United | Commercial|HMO | $79.30 | ↓ -99% |
| Health Net | Commercial|FFS | $80.52 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $93.94 | ↓ -99% |
| Cigna | Commercial|PPO | $93.94 | ↓ -99% |
| First Health | Commercial|All Plans | $102.48 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $102.48 | ↓ -99% |
| Aetna | Commercial|PPO | $112.24 | ↓ -99% |
| Aetna | Commercial|All Other Plans | $112.24 | ↓ -99% |
| Aetna | Commercial|HMO | $112.24 | ↓ -99% |
| Healthsmart | Commercial|All Plans | $112.24 | ↓ -99% |
| Blue Shield CA | Commercial|FFS | $114.68 | ↓ -99% |
| BCBS - Anthem | Commercial|Non-MCS | $118.34 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $118.34 | ↓ -98% |
| MultiPlan | Commercial|All Plans | $119.56 | ↓ -98% |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $44,725.06 | $1,533.12 – $4,982.64 |
| Banner Lassen Medical Center | Susanville | $132,935.43 | $39,509.24 – $93,473.08 |
| Petaluma Valley Hospital | Petaluma | $43,731.99 | not published |
| French Hospital | San Luis Obispo | $7,160.28 | $23.18 – $119.56 |
| Queen of The Valley Medical Center | Napa | $43,731.99 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $17,175.27 | not published |
| Healdsburg Hospital | Healdsburg | $20,206.20 | not published |
| Redwood Memorial Hospital | Fortuna | $17,175.27 | not published |