Dstrj nulyt agt gnclr nrv at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,012.89
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.
$4,703.00
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.
$374.91 with Partnership Health Plan vs $13,146.00 with Health Net — 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 | $374.91 | ↓ -81% |
| Partnership Health Plan | Medicaid|< 21 | $374.91 | ↓ -81% |
| CenCal | Medicaid|< 21 | $375.00 | ↓ -81% |
| CenCal | Medicaid|> 21 | $375.00 | ↓ -81% |
| Health Net | Medicaid|> 21 | $567.20 | ↓ -72% |
| Health Net | Medicaid|< 21 | $567.20 | ↓ -72% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -31% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↓ -0% |
| Humana | Medicare|All Plans | $2,481.19 | ↑ +23% |
| Aetna | Medicare|All Plans | $2,481.19 | ↑ +23% |
| United | Medicare|All Plans | $2,481.19 | ↑ +23% |
| Kaiser | Medicare|All Plans | $2,481.19 | ↑ +23% |
| BCBS - Anthem | Medicare|All Plans | $2,481.19 | ↑ +23% |
| Alignment | Medicare|All Plans | $2,481.19 | ↑ +23% |
| Scan Health Plan | Medicare|All Plans | $2,481.19 | ↑ +23% |
| Western Growers | Commercial|All Plans | $2,586.65 | ↑ +29% |
| Kaiser | Commercial|All Plans | $2,962.89 | ↑ +47% |
| First Health | Commercial|All Plans | $3,950.52 | ↑ +96% |
| United | Commercial|Non-Options PPO | $4,138.64 | ↑ +106% |
| United | Commercial|All Other Plans | $4,185.67 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $4,326.76 | ↑ +115% |
| United | Commercial|Options PPO | $4,373.79 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $4,608.94 | ↑ +129% |
| United | Commercial|HMO | $4,655.97 | ↑ +131% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +165% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +184% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +184% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +184% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +256% |
| Health Net | Commercial|Care Product | $11,609.00 | ↑ +477% |
| Health Net | Commercial|FFS | $13,146.00 | ↑ +553% |
Visitor-reported prices
Comments
Dstrj nulyt agt gnclr nrv at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $492.84 | $99.60 – $377.30 |
| French Hospital | San Luis Obispo | $1,843.58 | $374.91 – $4,608.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,872.44 | $374.91 – $4,037.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,852.25 | $374.91 – $3,987.13 |
| Providence St Joseph Hospital Eureka | Eureka | $8,592.48 | $1,333.00 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $544.17 | $721.00 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $1,421.20 | $374.91 – $2,346.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,979.74 | $510.00 – $3,753.40 |