Hrdtry brst ca-rlatd do 5+ at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,091.40
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.
$2,550.00
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.
$543.24 with CenCal vs $1,749.63 with Cigna — 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 | $543.24 | ↓ -50% |
| CenCal | Medicaid|< 21 | $543.24 | ↓ -50% |
| Partnership Health Plan | Medicaid|> 21 | $543.24 | ↓ -50% |
| Partnership Health Plan | Medicaid|< 21 | $543.24 | ↓ -50% |
| MHS Hospice | Commercial|All Plans | $679.05 | ↓ -38% |
| Western Growers | Commercial|All Plans | $750.00 | ↓ -31% |
| United | Commercial|HMO | $814.86 | ↓ -25% |
| United | Commercial|Options PPO | $814.86 | ↓ -25% |
| United | Commercial|All Other Plans | $814.86 | ↓ -25% |
| United | Commercial|Non-Options PPO | $814.86 | ↓ -25% |
| Health Net | Medicaid|> 21 | $821.87 | ↓ -25% |
| Health Net | Medicaid|< 21 | $821.87 | ↓ -25% |
| Kaiser | Commercial|All Plans | $945.00 | ↓ -13% |
| First Health | Commercial|All Plans | $1,260.00 | ↑ +15% |
| Humana | Medicare|All Plans | $1,303.95 | ↑ +19% |
| Aetna | Medicare|All Plans | $1,303.95 | ↑ +19% |
| United | Medicare|All Plans | $1,303.95 | ↑ +19% |
| Kaiser | Medicare|All Plans | $1,303.95 | ↑ +19% |
| BCBS - Anthem | Medicare|All Plans | $1,303.95 | ↑ +19% |
| Alignment | Medicare|All Plans | $1,303.95 | ↑ +19% |
| Scan Health Plan | Medicare|All Plans | $1,303.95 | ↑ +19% |
| Healthsmart | Commercial|All Plans | $1,380.00 | ↑ +26% |
| BCBS - Anthem | Commercial|Non-MCS | $1,455.00 | ↑ +33% |
| MultiPlan | Commercial|All Plans | $1,470.00 | ↑ +35% |
| Aetna | Commercial|All Other Plans | $1,500.00 | ↑ +37% |
| BCBS - Anthem | Commercial|MCS | $1,500.00 | ↑ +37% |
| Aetna | Commercial|HMO | $1,500.00 | ↑ +37% |
| Aetna | Commercial|PPO | $1,500.00 | ↑ +37% |
| Cigna | Commercial|PPO | $1,749.63 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $1,749.63 | ↑ +60% |
Visitor-reported prices
Comments
Hrdtry brst ca-rlatd do 5+ at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $999.60 | $405.00 – $2,056.83 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,983.90 | $543.24 – $1,470.00 |
| Northridge Hospital Medical Center | Northridge | $625.66 | $375.00 – $1,500.00 |
| Mercy Medical Center Redding | Redding | $1,292.85 | $543.24 – $1,470.00 |
| St. Elizabeth Community Hospital | Red Bluff | $1,489.20 | $543.24 – $1,470.00 |
| Petaluma Valley Hospital | Petaluma | not published | $1,277.87 – $3,351.22 |
| Queen of The Valley Medical Center | Napa | not published | $1,303.95 – $4,235.11 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1,303.95 – $8,004.36 |