Drvvt confirm - quest at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$44.80
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.
$104.65
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.
$17.98 with BCBS - Anthem vs $91.11 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Plans | $17.98 | ↓ -60% |
| Humana | Medicare|All Plans | $17.98 | ↓ -60% |
| Scan Health Plan | Medicare|All Plans | $17.98 | ↓ -60% |
| Aetna | Medicare|All Plans | $17.98 | ↓ -60% |
| MHS Hospice | Commercial|All Plans | $17.98 | ↓ -60% |
| United | Medicare|All Plans | $17.98 | ↓ -60% |
| Alignment | Medicare|All Plans | $17.98 | ↓ -60% |
| Kaiser | Medicare|All Plans | $17.98 | ↓ -60% |
| CenCal | Medicaid|< 21 | $20.63 | ↓ -54% |
| CenCal | Medicaid|> 21 | $20.63 | ↓ -54% |
| United | Commercial|Options PPO | $21.58 | ↓ -52% |
| United | Commercial|Non-Options PPO | $21.58 | ↓ -52% |
| United | Commercial|All Other Plans | $21.58 | ↓ -52% |
| United | Commercial|HMO | $21.58 | ↓ -52% |
| Partnership Health Plan | Medicaid|< 21 | $22.92 | ↓ -49% |
| Partnership Health Plan | Medicaid|> 21 | $22.92 | ↓ -49% |
| Health Net | Medicaid|< 21 | $34.67 | ↓ -23% |
| Health Net | Medicaid|> 21 | $34.67 | ↓ -23% |
| Western Growers | Commercial|All Plans | $45.56 | ↑ +2% |
| Cigna | Commercial|PPO | $46.34 | ↑ +3% |
| Cigna | Commercial|All Other Plans | $46.34 | ↑ +3% |
| Kaiser | Commercial|All Plans | $57.40 | ↑ +28% |
| Blue Shield CA | Commercial|Exchange | $57.40 | ↑ +28% |
| First Health | Commercial|All Plans | $76.54 | ↑ +71% |
| Blue Shield CA | Commercial|FFS | $80.18 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $83.83 | ↑ +87% |
| BCBS - Anthem | Commercial|Non-MCS | $88.38 | ↑ +97% |
| MultiPlan | Commercial|All Plans | $89.29 | ↑ +99% |
| Aetna | Commercial|HMO | $91.11 | ↑ +103% |
| Aetna | Commercial|PPO | $91.11 | ↑ +103% |
| Aetna | Commercial|All Other Plans | $91.11 | ↑ +103% |
| BCBS - Anthem | Commercial|MCS | $91.11 | ↑ +103% |
Visitor-reported prices
Comments
Drvvt confirm - quest at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $71.52 | $3.60 – $116.40 |
| French Hospital | San Luis Obispo | $41.03 | $17.98 – $89.29 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $83.40 | $15.98 – $105.05 |
| Sierra Nevada Memorial Hospital | Grass Valley | $10.67 | $13.12 – $19.57 |
| Mercy San Juan Medical Center | Carmichael | $5.37 | $2.16 – $39.83 |
| Mercy Medical Center Redding | Redding | $54.35 | $15.98 – $105.05 |
| Mercy Hospital of Folsom | Folsom | $7.62 | $2.16 – $39.83 |
| Woodland Memorial Hospital | Woodland | $5.37 | $2.16 – $19.57 |