ER Visit (level 3) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$828.61
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.
$1,936.00
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.
$63.97 with Partnership Health Plan vs $20,457.00 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 | $63.97 | ↓ -92% |
| CenCal | Medicaid|< 21 | $63.97 | ↓ -92% |
| CenCal | Medicaid|> 21 | $63.97 | ↓ -92% |
| Partnership Health Plan | Medicaid|> 21 | $63.97 | ↓ -92% |
| Health Net | Medicaid|> 21 | $96.78 | ↓ -88% |
| Health Net | Medicaid|< 21 | $96.78 | ↓ -88% |
| MHS Hospice | Commercial|All Plans | $272.47 | ↓ -67% |
| Scan Health Plan | Medicare|All Plans | $351.82 | ↓ -58% |
| Humana | Medicare|All Plans | $351.82 | ↓ -58% |
| United | Medicare|All Plans | $351.82 | ↓ -58% |
| Alignment | Medicare|All Plans | $351.82 | ↓ -58% |
| BCBS - Anthem | Medicare|All Plans | $351.82 | ↓ -58% |
| Kaiser | Medicare|All Plans | $351.82 | ↓ -58% |
| Aetna | Medicare|All Plans | $351.82 | ↓ -58% |
| Western Growers | Commercial|All Plans | $974.60 | ↑ +18% |
| Kaiser | Commercial|All Plans | $1,027.76 | ↑ +24% |
| Blue Shield CA | Commercial|Exchange | $1,151.80 | ↑ +39% |
| Aetna | Commercial|All Other Plans | $1,204.96 | ↑ +45% |
| Aetna | Commercial|HMO | $1,204.96 | ↑ +45% |
| Aetna | Commercial|PPO | $1,204.96 | ↑ +45% |
| First Health | Commercial|All Plans | $1,488.48 | ↑ +80% |
| Cigna | Commercial|PPO | $1,489.00 | ↑ +80% |
| Cigna | Commercial|All Other Plans | $1,489.00 | ↑ +80% |
| Blue Shield CA | Commercial|FFS | $1,594.80 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $1,630.24 | ↑ +97% |
| MultiPlan | Commercial|All Plans | $1,736.56 | ↑ +110% |
| BCBS - Anthem | Commercial|Non-MCS | $3,442.00 | ↑ +315% |
| Health Net | Commercial|Care Product | $4,017.00 | ↑ +385% |
| Health Net | Commercial|FFS | $4,550.00 | ↑ +449% |
| BCBS - Anthem | Commercial|MCS | $4,612.00 | ↑ +457% |
| United | Commercial|Non-Options PPO | $10,091.00 | ↑ +1118% |
| United | Commercial|Options PPO | $10,561.00 | ↑ +1175% |
| United | Commercial|All Other Plans | $11,731.00 | ↑ +1316% |
| United | Commercial|HMO | $20,457.00 | ↑ +2369% |
Visitor-reported prices
Comments
ER Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $762.56 | $81.27 – $1,196.38 |
| Banner Lassen Medical Center | Susanville | $1,059.08 | $55.38 – $1,065.06 |
| Petaluma Valley Hospital | Petaluma | $1,925.25 | $367.87 – $375.37 |
| Mark Twain Medical Center | San Andreas | $746.59 | $46.83 – $177.38 |
| French Hospital | San Luis Obispo | $758.92 | $63.97 – $1,897.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $731.25 | $63.97 – $1,616.22 |
| Bakersfield Memorial Hospital | Bakersfield | $723.36 | $63.97 – $1,616.22 |
| Queen of The Valley Medical Center | Napa | $1,697.79 | $387.59 – $387.59 |