Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,667.49
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.
$3,896.00
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.
$259.49 with CenCal vs $7,160.00 with BCBS - Anthem — 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 | $259.49 | ↓ -84% |
| Partnership Health Plan | Medicaid|< 21 | $259.49 | ↓ -84% |
| CenCal | Medicaid|> 21 | $259.49 | ↓ -84% |
| Partnership Health Plan | Medicaid|> 21 | $259.49 | ↓ -84% |
| Health Net | Medicaid|< 21 | $392.58 | ↓ -76% |
| Health Net | Medicaid|> 21 | $392.58 | ↓ -76% |
| MHS Hospice | Commercial|All Plans | $744.19 | ↓ -55% |
| Humana | Medicare|All Plans | $893.98 | ↓ -46% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -46% |
| United | Medicare|All Plans | $893.98 | ↓ -46% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -46% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -46% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -46% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -46% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -17% |
| Western Growers | Commercial|All Plans | $1,423.95 | ↓ -15% |
| Kaiser | Commercial|All Plans | $1,631.07 | ↓ -2% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +21% |
| First Health | Commercial|All Plans | $2,174.76 | ↑ +30% |
| United | Commercial|Non-Options PPO | $2,278.32 | ↑ +37% |
| United | Commercial|All Other Plans | $2,304.21 | ↑ +38% |
| Healthsmart | Commercial|All Plans | $2,381.88 | ↑ +43% |
| United | Commercial|Options PPO | $2,407.77 | ↑ +44% |
| MultiPlan | Commercial|All Plans | $2,537.22 | ↑ +52% |
| United | Commercial|HMO | $2,563.11 | ↑ +54% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +187% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +220% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +225% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +242% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +242% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +242% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +329% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $392.58 – $1,726.14 |
| French Hospital | San Luis Obispo | $1,527.24 | $259.49 – $2,537.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $259.49 – $1,994.40 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $259.49 – $1,969.47 |
| St. Joseph's Medical Center Stockton | Stockton | $1,039.88 | $259.49 – $1,485.12 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,314.08 | $774.16 – $1,894.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $406.90 | $125.52 – $523.00 |
| Mercy Medical Center Merced | Merced | $1,361.66 | $259.49 – $1,125.63 |