Inj for mammo ductogram at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$536.72
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.
$1,254.00
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.
$222.16 with Partnership Health Plan vs $7,160.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $222.16 | ↓ -59% |
| Partnership Health Plan | Medicaid|< 21 | $222.16 | ↓ -59% |
| Health Net | Medicaid|< 21 | $273.26 | ↓ -49% |
| Health Net | Medicaid|> 21 | $273.26 | ↓ -49% |
| CenCal | Medicaid|> 21 | $350.19 | ↓ -35% |
| CenCal | Medicaid|< 21 | $350.19 | ↓ -35% |
| Western Growers | Commercial|All Plans | $662.75 | ↑ +23% |
| Kaiser | Commercial|All Plans | $759.15 | ↑ +41% |
| First Health | Commercial|All Plans | $1,012.20 | ↑ +89% |
| United | Commercial|Non-Options PPO | $1,060.40 | ↑ +98% |
| United | Commercial|All Other Plans | $1,072.45 | ↑ +100% |
| Healthsmart | Commercial|All Plans | $1,108.60 | ↑ +107% |
| United | Commercial|Options PPO | $1,120.65 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $1,180.90 | ↑ +120% |
| United | Commercial|HMO | $1,192.95 | ↑ +122% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +895% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +964% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +964% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +964% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +1234% |
Visitor-reported prices
Comments
Inj for mammo ductogram at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $183.53 | $113.13 – $419.00 |
| French Hospital | San Luis Obispo | $491.57 | $222.16 – $936.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $205.54 | $222.16 – $490.00 |
| Bakersfield Memorial Hospital | Bakersfield | $203.32 | $222.16 – $490.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,157.48 | $64.26 – $306.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $854.25 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $919.68 | $1,200.00 – $5,357.00 |
| Mercy Medical Center Merced | Merced | $291.49 | $121.50 – $243.00 |