Electrophysiology evaluation at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$439.13
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.
$1,026.00
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.
$513.00 with Western Growers vs $18,030.00 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $513.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $646.38 | ↑ +47% |
| Partnership Health Plan | Medicaid|> 21 | $802.51 | ↑ +83% |
| Partnership Health Plan | Medicaid|< 21 | $802.51 | ↑ +83% |
| First Health | Commercial|All Plans | $861.84 | ↑ +96% |
| United | Commercial|Non-Options PPO | $902.88 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $943.92 | ↑ +115% |
| Health Net | Medicaid|< 21 | $987.09 | ↑ +125% |
| Health Net | Medicaid|> 21 | $987.09 | ↑ +125% |
| MultiPlan | Commercial|All Plans | $1,005.48 | ↑ +129% |
| CenCal | Medicaid|< 21 | $1,026.00 | ↑ +134% |
| CenCal | Medicaid|> 21 | $1,026.00 | ↑ +134% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +1504% |
| United | Commercial|All Other Plans | $7,169.00 | ↑ +1533% |
| United | Commercial|HMO | $7,391.00 | ↑ +1583% |
| BCBS - Anthem | Commercial|Non-MCS | $13,455.00 | ↑ +2964% |
| Aetna | Commercial|PPO | $16,554.00 | ↑ +3670% |
| Aetna | Commercial|All Other Plans | $16,554.00 | ↑ +3670% |
| Aetna | Commercial|HMO | $16,554.00 | ↑ +3670% |
| BCBS - Anthem | Commercial|MCS | $18,030.00 | ↑ +4006% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,882.74 | $987.09 – $12,256.92 |
| French Hospital | San Luis Obispo | $402.20 | $277.02 – $1,026.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,171.47 | $802.51 – $3,192.00 |
| Queen of The Valley Medical Center | Napa | $4,485.45 | $2,747.00 – $19,158.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,279.20 | $802.51 – $3,567.82 |
| Santa Rosa Memorial Hospital | Santa Rosa | $13,014.18 | $1,716.00 – $25,815.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,682.08 | $1,200.00 – $13,634.00 |
| Mercy Medical Center Merced | Merced | $1,391.02 | $802.51 – $2,701.00 |