Ghs i and d pilonidal cyst complex at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,727.84
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.
$4,037.00
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.
$165.72 with CenCal vs $9,715.00 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 | $165.72 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $165.72 | ↓ -90% |
| CenCal | Medicaid|> 21 | $165.72 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $165.72 | ↓ -90% |
| Health Net | Medicaid|< 21 | $250.72 | ↓ -85% |
| Health Net | Medicaid|> 21 | $250.72 | ↓ -85% |
| MHS Hospice | Commercial|All Plans | $744.19 | ↓ -57% |
| Humana | Medicare|All Plans | $893.98 | ↓ -48% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -48% |
| United | Medicare|All Plans | $893.98 | ↓ -48% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -48% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -48% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -48% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -48% |
| Western Growers | Commercial|All Plans | $2,018.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $2,543.31 | ↑ +47% |
| First Health | Commercial|All Plans | $3,391.08 | ↑ +96% |
| United | Commercial|Non-Options PPO | $3,552.56 | ↑ +106% |
| United | Commercial|All Other Plans | $3,592.93 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $3,714.04 | ↑ +115% |
| United | Commercial|Options PPO | $3,754.41 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $3,956.26 | ↑ +129% |
| United | Commercial|HMO | $3,996.63 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +160% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +177% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +213% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +230% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +230% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +230% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +277% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +320% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +462% |
Visitor-reported prices
Comments
Ghs i and d pilonidal cyst complex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,789.19 | $954.29 – $2,695.00 |
| French Hospital | San Luis Obispo | $1,629.94 | $165.72 – $4,074.84 |
| Queen of The Valley Medical Center | Napa | $6,609.60 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,923.32 | $910.78 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $813.96 | $954.10 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,665.26 | $3,331.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,021.24 | $985.34 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,103.84 | $774.16 – $5,171.00 |