Felbamate (felbatol(r)) - sendout at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$7.29
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.
$17.03
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.
$8.52 with Western Growers vs $48.04 with Cigna — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $8.52 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $10.73 | ↑ +47% |
| Kaiser | Commercial|All Plans | $10.73 | ↑ +47% |
| First Health | Commercial|All Plans | $14.31 | ↑ +96% |
| Partnership Health Plan | Medicaid|< 21 | $14.91 | ↑ +105% |
| Partnership Health Plan | Medicaid|> 21 | $14.91 | ↑ +105% |
| Blue Shield CA | Commercial|FFS | $14.99 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $15.67 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $16.52 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $16.69 | ↑ +129% |
| BCBS - Anthem | Medicare|All Plans | $17.03 | ↑ +134% |
| BCBS - Anthem | Commercial|MCS | $17.03 | ↑ +134% |
| Alignment | Medicare|All Plans | $17.03 | ↑ +134% |
| Humana | Medicare|All Plans | $17.03 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $17.03 | ↑ +134% |
| Aetna | Commercial|PPO | $17.03 | ↑ +134% |
| Aetna | Medicare|All Plans | $17.03 | ↑ +134% |
| Aetna | Commercial|HMO | $17.03 | ↑ +134% |
| United | Commercial|All Other Plans | $17.03 | ↑ +134% |
| United | Medicare|All Plans | $17.03 | ↑ +134% |
| United | Commercial|Options PPO | $17.03 | ↑ +134% |
| United | Commercial|Non-Options PPO | $17.03 | ↑ +134% |
| Kaiser | Medicare|All Plans | $17.03 | ↑ +134% |
| Scan Health Plan | Medicare|All Plans | $17.03 | ↑ +134% |
| Health Net | Medicaid|> 21 | $20.95 | ↑ +187% |
| Health Net | Medicaid|< 21 | $20.95 | ↑ +187% |
| United | Commercial|HMO | $22.37 | ↑ +207% |
| Cigna | Commercial|All Other Plans | $48.04 | ↑ +559% |
| Cigna | Commercial|PPO | $48.04 | ↑ +559% |
Visitor-reported prices
Comments
Felbamate (felbatol(r)) - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $15.02 | $3.73 – $24.60 |
| Petaluma Valley Hospital | Petaluma | $39.45 | $18.27 – $51.60 |
| French Hospital | San Luis Obispo | $6.68 | $4.60 – $56.48 |
| Queen of The Valley Medical Center | Napa | $39.45 | $18.64 – $65.22 |
| Providence St Joseph Hospital Eureka | Eureka | $39.45 | $18.64 – $123.26 |
| Redwood Memorial Hospital | Fortuna | $39.45 | $123.55 – $123.55 |
| Santa Rosa Memorial Hospital | Santa Rosa | $39.45 | $18.27 – $55.48 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $37.13 | $15.84 – $37.28 |