Human epididymis protein 4 (he4) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$21.40
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.
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What you pay up front if you don't use insurance.
$50.00
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.
$16.64 with CenCal vs $53.63 with Cigna — 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 | $16.64 | ↓ -22% |
| CenCal | Medicaid|> 21 | $16.64 | ↓ -22% |
| Partnership Health Plan | Medicaid|> 21 | $18.50 | ↓ -14% |
| Partnership Health Plan | Medicaid|< 21 | $18.50 | ↓ -14% |
| MHS Hospice | Commercial|All Plans | $20.81 | ↓ -3% |
| United | Medicare|All Plans | $20.81 | ↓ -3% |
| Alignment | Medicare|All Plans | $20.81 | ↓ -3% |
| Kaiser | Medicare|All Plans | $20.81 | ↓ -3% |
| BCBS - Anthem | Medicare|All Plans | $20.81 | ↓ -3% |
| Humana | Medicare|All Plans | $20.81 | ↓ -3% |
| Scan Health Plan | Medicare|All Plans | $20.81 | ↓ -3% |
| Aetna | Medicare|All Plans | $20.81 | ↓ -3% |
| Western Growers | Commercial|All Plans | $21.30 | ↓ -0% |
| United | Commercial|Options PPO | $24.97 | ↑ +17% |
| United | Commercial|HMO | $24.97 | ↑ +17% |
| United | Commercial|All Other Plans | $24.97 | ↑ +17% |
| United | Commercial|Non-Options PPO | $24.97 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $26.84 | ↑ +25% |
| Kaiser | Commercial|All Plans | $26.84 | ↑ +25% |
| Health Net | Medicaid|< 21 | $27.99 | ↑ +31% |
| Health Net | Medicaid|> 21 | $27.99 | ↑ +31% |
| First Health | Commercial|All Plans | $35.79 | ↑ +67% |
| Blue Shield CA | Commercial|FFS | $37.49 | ↑ +75% |
| Healthsmart | Commercial|All Plans | $39.20 | ↑ +83% |
| BCBS - Anthem | Commercial|Non-MCS | $41.33 | ↑ +93% |
| MultiPlan | Commercial|All Plans | $41.75 | ↑ +95% |
| Aetna | Commercial|HMO | $42.60 | ↑ +99% |
| Aetna | Commercial|All Other Plans | $42.60 | ↑ +99% |
| Aetna | Commercial|PPO | $42.60 | ↑ +99% |
| BCBS - Anthem | Commercial|MCS | $42.60 | ↑ +99% |
| Cigna | Commercial|PPO | $53.63 | ↑ +151% |
| Cigna | Commercial|All Other Plans | $53.63 | ↑ +151% |
Visitor-reported prices
Comments
Human epididymis protein 4 (he4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21.90 | $6.48 – $55.23 |
| Banner Lassen Medical Center | Susanville | $29.30 | $4.16 – $44.62 |
| Petaluma Valley Hospital | Petaluma | $130.56 | $20.39 – $207.57 |
| French Hospital | San Luis Obispo | $19.60 | $11.51 – $63.05 |
| Mercy Hospitals – Bakersfield | Bakersfield | $94.98 | $18.50 – $59.82 |
| Bakersfield Memorial Hospital | Bakersfield | $93.96 | $18.50 – $59.82 |
| Queen of The Valley Medical Center | Napa | $130.56 | $20.81 – $262.32 |
| Providence St Joseph Hospital Eureka | Eureka | $130.56 | $20.81 – $495.87 |