Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Arroyo Grande Hospital

1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$4,624.54

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$10,805.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$134.06 with Partnership Health Plan vs $10,588.90 with MultiPlan — 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 →

Payer
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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
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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 $134.06 ↓ -97%
Partnership Health Plan Medicaid|< 21 $134.06 ↓ -97%
CenCal Medicaid|< 21 $139.04 ↓ -97%
CenCal Medicaid|> 21 $139.04 ↓ -97%
Health Net Medicaid|< 21 $202.81 ↓ -96%
Health Net Medicaid|> 21 $202.81 ↓ -96%
United Commercial|Non-Options PPO $221.20 ↓ -95%
United Commercial|Options PPO $224.93 ↓ -95%
United Commercial|All Other Plans $228.94 ↓ -95%
United Commercial|HMO $228.94 ↓ -95%
BCBS - Anthem Commercial|Non-MCS $346.74 ↓ -93%
BCBS - Anthem Commercial|MCS $465.37 ↓ -90%
Western Growers Commercial|All Plans $5,402.50 ↑ +17%
Health Net Commercial|Care Product $6,266.90 ↑ +36%
Kaiser Commercial|All Plans $6,807.15 ↑ +47%
Health Net Commercial|FFS $7,131.30 ↑ +54%
Cigna Commercial|All Other Plans $8,319.85 ↑ +80%
Cigna Commercial|PPO $8,319.85 ↑ +80%
Blue Shield CA Commercial|Exchange $9,076.20 ↑ +96%
First Health Commercial|All Plans $9,076.20 ↑ +96%
Aetna Commercial|HMO $9,940.60 ↑ +115%
Aetna Commercial|PPO $9,940.60 ↑ +115%
Aetna Commercial|All Other Plans $9,940.60 ↑ +115%
Healthsmart Commercial|All Plans $9,940.60 ↑ +115%
Blue Shield CA Commercial|FFS $10,156.70 ↑ +120%
MultiPlan Commercial|All Plans $10,588.90 ↑ +129%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
French Hospital San Luis Obispo $4,235.56 $134.06 – $10,588.90
Providence St Joseph Hospital Eureka Eureka $10,924.20 $160.06 – $293.20
Redwood Memorial Hospital Fortuna $10,924.20 $253.32 – $272.35
St. Joseph's Medical Center Stockton Stockton $8,559.23 $134.06 – $1,048.00
Mercy Medical Center Mt. Shasta Mt Shasta $10,345.85 $134.06 – $1,590.54
Dominican Hospital Santa Cruz $5,380.65 $131.79 – $4,184.00
Northridge Hospital Medical Center Northridge $4,240.53 $134.06 – $8,988.00
Sequoia Hospital Redwood City $4,631.18 $27.50 – $5,264.35

All California hospitals for this procedure →