Endo abl/incom vein/ext/rad fre/#1 36475 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$3,298.17
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.
$7,706.00
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.
$2,282.45 with Partnership Health Plan vs $14,008.00 with Blue Shield CA — 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 | $2,282.45 | ↓ -31% |
| Partnership Health Plan | Medicaid|> 21 | $2,282.45 | ↓ -31% |
| CenCal | Medicaid|> 21 | $2,508.54 | ↓ -24% |
| CenCal | Medicaid|< 21 | $2,508.54 | ↓ -24% |
| Health Net | Medicaid|> 21 | $2,807.41 | ↓ -15% |
| Health Net | Medicaid|< 21 | $2,807.41 | ↓ -15% |
| Humana | Medicare|All Plans | $3,999.21 | ↑ +21% |
| Aetna | Medicare|All Plans | $3,999.21 | ↑ +21% |
| United | Medicare|All Plans | $3,999.21 | ↑ +21% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↑ +21% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↑ +21% |
| Alignment | Medicare|All Plans | $3,999.21 | ↑ +21% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↑ +21% |
| Western Growers | Commercial|All Plans | $4,238.30 | ↑ +29% |
| Kaiser | Commercial|All Plans | $4,854.78 | ↑ +47% |
| First Health | Commercial|All Plans | $6,473.04 | ↑ +96% |
| United | Commercial|Non-Options PPO | $6,781.28 | ↑ +106% |
| United | Commercial|All Other Plans | $6,858.34 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $7,089.52 | ↑ +115% |
| United | Commercial|Options PPO | $7,166.58 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $7,551.88 | ↑ +129% |
| United | Commercial|HMO | $7,628.94 | ↑ +131% |
| Aetna | Commercial|HMO | $8,743.00 | ↑ +165% |
| Aetna | Commercial|PPO | $8,743.00 | ↑ +165% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↑ +165% |
| BCBS - Anthem | Commercial|Non-MCS | $9,303.00 | ↑ +182% |
| Blue Shield CA | Commercial|Exchange | $9,646.00 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $12,466.00 | ↑ +278% |
| Blue Shield CA | Commercial|FFS | $14,008.00 | ↑ +325% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/rad fre/#1 36475 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $3,020.76 | $2,080.62 – $7,551.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,068.17 | $2,282.45 – $6,164.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,035.09 | $2,282.45 – $6,087.74 |
| St. Joseph's Medical Center Stockton | Stockton | $5,646.57 | $0.80 – $6,196.09 |
| Mercy Medical Center Merced | Merced | $4,015.46 | $2,282.45 – $7,719.03 |
| Mercy San Juan Medical Center | Carmichael | $1,953.90 | $262.04 – $6,857.00 |
| Mercy General Hospital | Sacramento | $1,554.56 | $262.04 – $6,857.00 |
| Mercy Hospital of Folsom | Folsom | $2,773.96 | $262.04 – $6,857.00 |