In-111 pentetate dtpa / 0.5 mci 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

$1,623.41

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.

$3,793.00

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.

$205.20 with CenCal vs $3,717.14 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
CenCal Medicaid|> 21 $205.20 ↓ -87%
CenCal Medicaid|< 21 $205.20 ↓ -87%
United Commercial|Options PPO $296.08 ↓ -82%
United Commercial|Non-Options PPO $312.91 ↓ -81%
BCBS - Anthem Commercial|Non-MCS $594.26 ↓ -63%
Partnership Health Plan Medicaid|< 21 $780.87 ↓ -52%
Partnership Health Plan Medicaid|> 21 $780.87 ↓ -52%
BCBS - Anthem Commercial|MCS $797.58 ↓ -51%
Scan Health Plan Medicare|All Plans $908.85 ↓ -44%
Aetna Medicare|All Plans $908.85 ↓ -44%
United Medicare|All Plans $908.85 ↓ -44%
Kaiser Medicare|All Plans $908.85 ↓ -44%
BCBS - Anthem Medicare|All Plans $908.85 ↓ -44%
Alignment Medicare|All Plans $908.85 ↓ -44%
Humana Medicare|All Plans $908.85 ↓ -44%
United Commercial|HMO $1,180.23 ↓ -27%
United Commercial|All Other Plans $1,180.23 ↓ -27%
Health Net Medicaid|> 21 $1,181.38 ↓ -27%
Health Net Medicaid|< 21 $1,181.38 ↓ -27%
Western Growers Commercial|All Plans $1,896.50 ↑ +17%
Kaiser Commercial|All Plans $2,389.59 ↑ +47%
First Health Commercial|All Plans $3,186.12 ↑ +96%
Healthsmart Commercial|All Plans $3,489.56 ↑ +115%
MultiPlan Commercial|All Plans $3,717.14 ↑ +129%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,712.15 $312.91 – $3,049.02
Mark Twain Medical Center San Andreas $1,665.00 $551.55 – $2,089.36
French Hospital San Luis Obispo $1,500.97 $205.20 – $3,752.42
Mercy Hospitals – Bakersfield Bakersfield $2,565.10 $312.91 – $5,531.20
Bakersfield Memorial Hospital Bakersfield $2,537.44 $312.91 – $5,462.06
St. Joseph's Medical Center Stockton Stockton $793.80 $312.91 – $2,214.00
Mercy Medical Center Merced Merced $2,487.97 $312.91 – $4,541.14
Northridge Hospital Medical Center Northridge $263.66 $236.25 – $3,584.19

All California hospitals for this procedure →