Ghs abscess postoperative iandd complex at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$3,376.50
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.
$7,889.00
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.
$135.01 with Partnership Health Plan vs $10,531.00 with Health Net — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $135.01 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $135.01 | ↓ -96% |
| Health Net | Medicaid|> 21 | $166.06 | ↓ -95% |
| Health Net | Medicaid|< 21 | $166.06 | ↓ -95% |
| CenCal | Medicaid|> 21 | $212.81 | ↓ -94% |
| CenCal | Medicaid|< 21 | $212.81 | ↓ -94% |
| Humana | Medicare|All Plans | $3,636.52 | ↑ +8% |
| Aetna | Medicare|All Plans | $3,636.52 | ↑ +8% |
| United | Medicare|All Plans | $3,636.52 | ↑ +8% |
| Kaiser | Medicare|All Plans | $3,636.52 | ↑ +8% |
| BCBS - Anthem | Medicare|All Plans | $3,636.52 | ↑ +8% |
| Alignment | Medicare|All Plans | $3,636.52 | ↑ +8% |
| Scan Health Plan | Medicare|All Plans | $3,636.52 | ↑ +8% |
| Western Growers | Commercial|All Plans | $3,944.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $4,970.07 | ↑ +47% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +78% |
| First Health | Commercial|All Plans | $6,626.76 | ↑ +96% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +103% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +103% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +103% |
| United | Commercial|Non-Options PPO | $6,942.32 | ↑ +106% |
| United | Commercial|All Other Plans | $7,021.21 | ↑ +108% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +115% |
| Healthsmart | Commercial|All Plans | $7,257.88 | ↑ +115% |
| United | Commercial|Options PPO | $7,336.77 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $7,731.22 | ↑ +129% |
| United | Commercial|HMO | $7,810.11 | ↑ +131% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +158% |
| Health Net | Commercial|Care Product | $9,300.00 | ↑ +175% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +188% |
| Health Net | Commercial|FFS | $10,531.00 | ↑ +212% |
Visitor-reported prices
Comments
Ghs abscess postoperative iandd complex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,438.79 | $166.06 – $6,483.96 |
| Petaluma Valley Hospital | Petaluma | $5,230.05 | $2,570.00 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $339.66 | $128.06 – $485.10 |
| French Hospital | San Luis Obispo | $3,092.49 | $135.01 – $7,731.22 |
| Bakersfield Memorial Hospital | Bakersfield | $2,019.24 | $135.01 – $4,346.58 |
| Queen of The Valley Medical Center | Napa | $5,815.02 | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,972.90 | $3,735.95 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $3,174.75 | $3,125.00 – $5,198.77 |