Established Patient Office Visit (level 4) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,129.07
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.
$2,638.00
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.
$53.79 with CenCal vs $381.00 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $53.79 | ↓ -95% |
| CenCal | Medicaid|< 21 | $53.79 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $66.81 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $66.81 | ↓ -94% |
| Health Net | Medicaid|> 21 | $101.08 | ↓ -91% |
| Health Net | Medicaid|< 21 | $101.08 | ↓ -91% |
| Blue Shield CA | Commercial|Exchange | $141.00 | ↓ -88% |
| Western Growers | Commercial|All Plans | $190.50 | ↓ -83% |
| Blue Shield CA | Commercial|FFS | $215.00 | ↓ -81% |
| Cigna | Commercial|PPO | $232.00 | ↓ -79% |
| Cigna | Commercial|All Other Plans | $232.00 | ↓ -79% |
| Kaiser | Commercial|All Plans | $240.03 | ↓ -79% |
| First Health | Commercial|All Plans | $320.04 | ↓ -72% |
| United | Commercial|Non-Options PPO | $335.28 | ↓ -70% |
| United | Commercial|All Other Plans | $339.09 | ↓ -70% |
| Healthsmart | Commercial|All Plans | $350.52 | ↓ -69% |
| United | Commercial|Options PPO | $354.33 | ↓ -69% |
| MultiPlan | Commercial|All Plans | $373.38 | ↓ -67% |
| United | Commercial|HMO | $377.19 | ↓ -67% |
| BCBS - Anthem | Commercial|Non-MCS | $381.00 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $381.00 | ↓ -66% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |
| Healdsburg Hospital | Healdsburg | $461.04 | not published |