Hrdtry cardmypy gene panel at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$757.56
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.
$1,770.00
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.
$467.92 with CenCal vs $1,770.00 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 | $467.92 | ↓ -38% |
| CenCal | Medicaid|< 21 | $467.92 | ↓ -38% |
| Partnership Health Plan | Medicaid|< 21 | $519.91 | ↓ -31% |
| Partnership Health Plan | Medicaid|> 21 | $519.91 | ↓ -31% |
| MHS Hospice | Commercial|All Plans | $584.90 | ↓ -23% |
| United | Medicare|All Plans | $584.90 | ↓ -23% |
| BCBS - Anthem | Medicare|All Plans | $584.90 | ↓ -23% |
| Humana | Medicare|All Plans | $584.90 | ↓ -23% |
| Scan Health Plan | Medicare|All Plans | $584.90 | ↓ -23% |
| Aetna | Medicare|All Plans | $584.90 | ↓ -23% |
| Alignment | Medicare|All Plans | $584.90 | ↓ -23% |
| Kaiser | Medicare|All Plans | $584.90 | ↓ -23% |
| United | Commercial|Non-Options PPO | $701.88 | ↓ -7% |
| United | Commercial|All Other Plans | $701.88 | ↓ -7% |
| United | Commercial|HMO | $701.88 | ↓ -7% |
| United | Commercial|Options PPO | $701.88 | ↓ -7% |
| Health Net | Medicaid|< 21 | $786.57 | ↑ +4% |
| Health Net | Medicaid|> 21 | $786.57 | ↑ +4% |
| Western Growers | Commercial|All Plans | $885.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $1,115.10 | ↑ +47% |
| First Health | Commercial|All Plans | $1,486.80 | ↑ +96% |
| Cigna | Commercial|PPO | $1,507.07 | ↑ +99% |
| Cigna | Commercial|All Other Plans | $1,507.07 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $1,628.40 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $1,716.90 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $1,734.60 | ↑ +129% |
| Aetna | Commercial|HMO | $1,770.00 | ↑ +134% |
| Aetna | Commercial|PPO | $1,770.00 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $1,770.00 | ↑ +134% |
| BCBS - Anthem | Commercial|MCS | $1,770.00 | ↑ +134% |
Visitor-reported prices
Comments
Hrdtry cardmypy gene panel at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $693.84 | $467.92 – $1,771.69 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,377.06 | $519.91 – $1,734.60 |
| Mercy Medical Center Redding | Redding | $897.39 | $519.91 – $1,734.60 |
| St. Elizabeth Community Hospital | Red Bluff | $1,033.68 | $519.91 – $1,734.60 |
| Petaluma Valley Hospital | Petaluma | not published | $573.20 – $3,827.32 |
| Queen of The Valley Medical Center | Napa | not published | $584.90 – $4,836.78 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $584.90 – $9,141.56 |
| Healdsburg Hospital | Healdsburg | not published | $584.90 – $2,284.14 |