Established Patient Office Visit (level 5) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$254.66
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.
$595.00
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.
$82.05 with CenCal vs $480.00 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 | $82.05 | ↓ -68% |
| CenCal | Medicaid|< 21 | $82.05 | ↓ -68% |
| Partnership Health Plan | Medicaid|> 21 | $101.90 | ↓ -60% |
| Partnership Health Plan | Medicaid|< 21 | $101.90 | ↓ -60% |
| Blue Shield CA | Commercial|Exchange | $141.00 | ↓ -45% |
| Health Net | Medicaid|< 21 | $154.17 | ↓ -39% |
| Health Net | Medicaid|> 21 | $154.17 | ↓ -39% |
| Blue Shield CA | Commercial|FFS | $215.00 | ↓ -16% |
| Cigna | Commercial|All Other Plans | $232.00 | ↓ -9% |
| Cigna | Commercial|PPO | $232.00 | ↓ -9% |
| Western Growers | Commercial|All Plans | $240.00 | ↓ -6% |
| Kaiser | Commercial|All Plans | $302.40 | ↑ +19% |
| First Health | Commercial|All Plans | $403.20 | ↑ +58% |
| United | Commercial|Non-Options PPO | $422.40 | ↑ +66% |
| United | Commercial|All Other Plans | $427.20 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $441.60 | ↑ +73% |
| United | Commercial|Options PPO | $446.40 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $470.40 | ↑ +85% |
| United | Commercial|HMO | $475.20 | ↑ +87% |
| BCBS - Anthem | Commercial|Non-MCS | $480.00 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $480.00 | ↑ +88% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $822.12 | $102.00 – $313.56 |
| Mark Twain Medical Center | San Andreas | $317.69 | $71.92 – $272.44 |
| French Hospital | San Luis Obispo | $233.24 | $82.05 – $470.40 |
| Bakersfield Memorial Hospital | Bakersfield | $148.27 | $101.90 – $232.00 |
| Healdsburg Hospital | Healdsburg | $538.56 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $143.18 | $82.05 – $399.34 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $210.06 | $64.80 – $270.00 |