Efgartigimod alfa-fcab 20 mg/ml intravenous solution at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$16,050.00
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.
$37,500.00
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.
$16,875.00 with Cigna vs $37,500.00 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 |
|---|---|---|---|
| Cigna | Commercial|All Other Plans | $16,875.00 | ↑ +5% |
| Cigna | Commercial|PPO | $16,875.00 | ↑ +5% |
| Western Growers | Commercial|All Plans | $18,750.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $23,625.00 | ↑ +47% |
| First Health | Commercial|All Plans | $31,500.00 | ↑ +96% |
| United | Commercial|Non-Options PPO | $33,000.00 | ↑ +106% |
| United | Commercial|All Other Plans | $33,375.00 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $34,500.00 | ↑ +115% |
| United | Commercial|Options PPO | $34,875.00 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $35,625.00 | ↑ +122% |
| MultiPlan | Commercial|All Plans | $36,750.00 | ↑ +129% |
| United | Commercial|HMO | $37,125.00 | ↑ +131% |
| BCBS - Anthem | Commercial|MCS | $37,500.00 | ↑ +134% |
Visitor-reported prices
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Efgartigimod alfa-fcab 20 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $50.09 | $30.88 – $89.21 |
| St. Joseph's Medical Center Stockton | Stockton | $6,822.27 | $100.00 – $19,492.20 |
| Mercy Medical Center Merced | Merced | $7,354.20 | $3,570.00 – $14,137.20 |
| Mercy Medical Center Redding | Redding | $5,429.97 | $8,139.60 – $10,495.80 |
| Petaluma Valley Hospital | Petaluma | not published | $31.96 – $69.62 |
| Healdsburg Hospital | Healdsburg | not published | $31.57 – $100.95 |
| Redwood Memorial Hospital | Fortuna | not published | $51.24 – $64.79 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $31.96 – $69.62 |