Endo cath bile duct s&i at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,157.32
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.
$2,704.00
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.
$165.14 with Partnership Health Plan vs $2,570.04 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 | $165.14 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $165.14 | ↓ -86% |
| CenCal | Medicaid|< 21 | $165.14 | ↓ -86% |
| CenCal | Medicaid|> 21 | $165.14 | ↓ -86% |
| Health Net | Medicaid|> 21 | $249.84 | ↓ -78% |
| Health Net | Medicaid|< 21 | $249.84 | ↓ -78% |
| Aetna | Commercial|PPO | $503.39 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $503.39 | ↓ -57% |
| Aetna | Commercial|HMO | $503.39 | ↓ -57% |
| BCBS - Anthem | Commercial|Non-MCS | $1,287.27 | ↑ +11% |
| Western Growers | Commercial|All Plans | $1,298.00 | ↑ +12% |
| Kaiser | Commercial|All Plans | $1,635.48 | ↑ +41% |
| BCBS - Anthem | Commercial|MCS | $1,725.24 | ↑ +49% |
| First Health | Commercial|All Plans | $2,180.64 | ↑ +88% |
| United | Commercial|Non-Options PPO | $2,284.48 | ↑ +97% |
| United | Commercial|All Other Plans | $2,310.44 | ↑ +100% |
| Healthsmart | Commercial|All Plans | $2,388.32 | ↑ +106% |
| United | Commercial|Options PPO | $2,414.28 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $2,544.08 | ↑ +120% |
| United | Commercial|HMO | $2,570.04 | ↑ +122% |
Visitor-reported prices
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Endo cath bile duct s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,124.35 | $249.84 – $2,002.26 |
| Mark Twain Medical Center | San Andreas | $2,319.68 | $165.14 – $2,825.34 |
| French Hospital | San Luis Obispo | $1,017.64 | $165.14 – $1,192.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $676.71 | $165.14 – $1,459.20 |
| Bakersfield Memorial Hospital | Bakersfield | $669.41 | $165.14 – $1,805.76 |
| Queen of The Valley Medical Center | Napa | $1,359.15 | $658.77 – $924.55 |
| St. Joseph's Medical Center Stockton | Stockton | $578.01 | $165.14 – $801.36 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,398.93 | $574.34 – $786.57 |