Eeg monitor/record/awake/drowsy 95816 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$695.50
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.
$1,625.00
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.
$86.73 with Partnership Health Plan vs $7,044.00 with United — 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 | $86.73 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $86.73 | ↓ -88% |
| Health Net | Medicaid|< 21 | $106.68 | ↓ -85% |
| Health Net | Medicaid|> 21 | $106.68 | ↓ -85% |
| CenCal | Medicaid|> 21 | $137.50 | ↓ -80% |
| CenCal | Medicaid|< 21 | $137.50 | ↓ -80% |
| MHS Hospice | Commercial|All Plans | $308.77 | ↓ -56% |
| Kaiser | Medicare|All Plans | $395.66 | ↓ -43% |
| Humana | Medicare|All Plans | $395.66 | ↓ -43% |
| Scan Health Plan | Medicare|All Plans | $395.66 | ↓ -43% |
| Aetna | Medicare|All Plans | $395.66 | ↓ -43% |
| United | Medicare|All Plans | $395.66 | ↓ -43% |
| Alignment | Medicare|All Plans | $395.66 | ↓ -43% |
| BCBS - Anthem | Medicare|All Plans | $395.66 | ↓ -43% |
| Western Growers | Commercial|All Plans | $739.00 | ↑ +6% |
| BCBS - Anthem | Commercial|Non-MCS | $878.23 | ↑ +26% |
| Kaiser | Commercial|All Plans | $931.14 | ↑ +34% |
| BCBS - Anthem | Commercial|MCS | $1,177.03 | ↑ +69% |
| First Health | Commercial|All Plans | $1,241.52 | ↑ +79% |
| United | Commercial|Non-Options PPO | $1,300.64 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $1,359.76 | ↑ +96% |
| MultiPlan | Commercial|All Plans | $1,448.44 | ↑ +108% |
| United | Commercial|HMO | $6,732.00 | ↑ +868% |
| United | Commercial|All Other Plans | $6,840.00 | ↑ +883% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +913% |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $904.47 | $106.68 – $1,610.70 |
| Banner Lassen Medical Center | Susanville | $455.09 | $62.28 – $762.42 |
| Petaluma Valley Hospital | Petaluma | $2,460.75 | $290.98 – $489.34 |
| Mark Twain Medical Center | San Andreas | $616.05 | $86.73 – $906.50 |
| French Hospital | San Luis Obispo | $637.00 | $86.73 – $1,592.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $323.52 | $86.73 – $697.60 |
| Bakersfield Memorial Hospital | Bakersfield | $320.03 | $86.73 – $462.15 |
| Queen of The Valley Medical Center | Napa | $2,835.09 | $306.58 – $618.40 |