Drainage of kidney lesion at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,095.06
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.
$4,895.00
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.
$81.18 with Partnership Health Plan vs $7,160.00 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 | $81.18 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $81.18 | ↓ -96% |
| Health Net | Medicaid|< 21 | $99.85 | ↓ -95% |
| Health Net | Medicaid|> 21 | $99.85 | ↓ -95% |
| CenCal | Medicaid|< 21 | $127.96 | ↓ -94% |
| CenCal | Medicaid|> 21 | $127.96 | ↓ -94% |
| MHS Hospice | Commercial|All Plans | $744.19 | ↓ -64% |
| Humana | Medicare|All Plans | $893.98 | ↓ -57% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -57% |
| United | Medicare|All Plans | $893.98 | ↓ -57% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -57% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -57% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -57% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -57% |
| Western Growers | Commercial|All Plans | $1,675.85 | ↓ -20% |
| Kaiser | Commercial|All Plans | $1,919.61 | ↓ -8% |
| First Health | Commercial|All Plans | $2,559.48 | ↑ +22% |
| United | Commercial|Non-Options PPO | $2,681.36 | ↑ +28% |
| United | Commercial|All Other Plans | $2,711.83 | ↑ +29% |
| Healthsmart | Commercial|All Plans | $2,803.24 | ↑ +34% |
| United | Commercial|Options PPO | $2,833.71 | ↑ +35% |
| MultiPlan | Commercial|All Plans | $2,986.06 | ↑ +43% |
| United | Commercial|HMO | $3,016.53 | ↑ +44% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +114% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +155% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +159% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +173% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +173% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +173% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +211% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +242% |
Visitor-reported prices
Comments
Drainage of kidney lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $754.68 | $99.85 – $1,628.92 |
| Banner Lassen Medical Center | Susanville | $1,440.20 | $116.72 – $1,783.83 |
| Mark Twain Medical Center | San Andreas | $3,136.86 | $81.18 – $1,466.08 |
| French Hospital | San Luis Obispo | $1,918.84 | $81.18 – $1,940.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,576.38 | $81.18 – $1,044.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,559.39 | $81.18 – $1,031.74 |
| Queen of The Valley Medical Center | Napa | $2,637.72 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $910.78 – $8,018.00 |