Ghs bladder cath - complex-foley at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$207.58
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.
$485.00
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.
$124.06 with Partnership Health Plan vs $7,160.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $124.06 | ↓ -40% |
| Partnership Health Plan | Medicaid|> 21 | $124.06 | ↓ -40% |
| CenCal | Medicaid|< 21 | $136.16 | ↓ -34% |
| CenCal | Medicaid|> 21 | $136.16 | ↓ -34% |
| Health Net | Medicaid|< 21 | $152.59 | ↓ -26% |
| Health Net | Medicaid|> 21 | $152.59 | ↓ -26% |
| MHS Hospice | Commercial|All Plans | $168.78 | ↓ -19% |
| Humana | Medicare|All Plans | $198.80 | ↓ -4% |
| Aetna | Medicare|All Plans | $198.80 | ↓ -4% |
| United | Medicare|All Plans | $198.80 | ↓ -4% |
| Kaiser | Medicare|All Plans | $198.80 | ↓ -4% |
| BCBS - Anthem | Medicare|All Plans | $198.80 | ↓ -4% |
| Alignment | Medicare|All Plans | $198.80 | ↓ -4% |
| Scan Health Plan | Medicare|All Plans | $198.80 | ↓ -4% |
| Western Growers | Commercial|All Plans | $266.75 | ↑ +29% |
| Kaiser | Commercial|All Plans | $305.55 | ↑ +47% |
| First Health | Commercial|All Plans | $407.40 | ↑ +96% |
| United | Commercial|Non-Options PPO | $426.80 | ↑ +106% |
| United | Commercial|All Other Plans | $431.65 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $446.20 | ↑ +115% |
| United | Commercial|Options PPO | $451.05 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $475.30 | ↑ +129% |
| United | Commercial|HMO | $480.15 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↑ +567% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +869% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +1746% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +1990% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +2474% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +2651% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +2651% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +2651% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +3349% |
Visitor-reported prices
Comments
Ghs bladder cath - complex-foley at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $263.68 | $152.59 – $469.56 |
| Banner Lassen Medical Center | Susanville | $178.52 | $31.29 – $331.74 |
| Petaluma Valley Hospital | Petaluma | $1,384.14 | $173.40 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $145.86 | $54.07 – $204.82 |
| French Hospital | San Luis Obispo | $190.12 | $124.06 – $475.30 |
| Queen of The Valley Medical Center | Napa | $1,461.66 | $182.70 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,192.89 | $165.49 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $958.29 | $173.37 – $3,982.87 |