Established Patient Office Visit (level 1) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$145.10
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.
?
What you pay up front if you don't use insurance.
$339.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.21 with CenCal vs $232.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $17.21 | ↓ -88% |
| CenCal | Medicaid|< 21 | $17.21 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $21.37 | ↓ -85% |
| Partnership Health Plan | Medicaid|< 21 | $21.37 | ↓ -85% |
| Health Net | Medicaid|< 21 | $32.34 | ↓ -78% |
| Health Net | Medicaid|> 21 | $32.34 | ↓ -78% |
| Western Growers | Commercial|All Plans | $105.00 | ↓ -28% |
| Kaiser | Commercial|All Plans | $132.30 | ↓ -9% |
| Blue Shield CA | Commercial|Exchange | $141.00 | ↓ -3% |
| First Health | Commercial|All Plans | $176.40 | ↑ +22% |
| United | Commercial|Non-Options PPO | $184.80 | ↑ +27% |
| United | Commercial|All Other Plans | $186.90 | ↑ +29% |
| Healthsmart | Commercial|All Plans | $193.20 | ↑ +33% |
| United | Commercial|Options PPO | $195.30 | ↑ +35% |
| MultiPlan | Commercial|All Plans | $205.80 | ↑ +42% |
| United | Commercial|HMO | $207.90 | ↑ +43% |
| BCBS - Anthem | Commercial|Non-MCS | $210.00 | ↑ +45% |
| BCBS - Anthem | Commercial|MCS | $210.00 | ↑ +45% |
| Blue Shield CA | Commercial|FFS | $210.00 | ↑ +45% |
| Cigna | Commercial|All Other Plans | $232.00 | ↑ +60% |
| Cigna | Commercial|PPO | $232.00 | ↑ +60% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $500.91 | $12.38 – $204.18 |
| Banner Lassen Medical Center | Susanville | $290.87 | $19.80 – $150.35 |
| Mark Twain Medical Center | San Andreas | $51.95 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $112.90 | $17.21 – $234.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $21.37 – $232.00 |
| Bakersfield Memorial Hospital | Bakersfield | $93.59 | $21.37 – $232.00 |
| Healdsburg Hospital | Healdsburg | $155.55 | not published |
| Redwood Memorial Hospital | Fortuna | $297.84 | not published |