Inj proc elbow arthro at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$434.00
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.
$1,014.00
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.
$234.54 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 | $234.54 | ↓ -46% |
| Partnership Health Plan | Medicaid|< 21 | $234.54 | ↓ -46% |
| Health Net | Medicaid|< 21 | $288.48 | ↓ -34% |
| Health Net | Medicaid|> 21 | $288.48 | ↓ -34% |
| CenCal | Medicaid|> 21 | $369.73 | ↓ -15% |
| CenCal | Medicaid|< 21 | $369.73 | ↓ -15% |
| Western Growers | Commercial|All Plans | $557.70 | ↑ +29% |
| Kaiser | Commercial|All Plans | $638.82 | ↑ +47% |
| First Health | Commercial|All Plans | $851.76 | ↑ +96% |
| United | Commercial|Non-Options PPO | $892.32 | ↑ +106% |
| United | Commercial|All Other Plans | $902.46 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $932.88 | ↑ +115% |
| United | Commercial|Options PPO | $943.02 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $993.72 | ↑ +129% |
| United | Commercial|HMO | $1,003.86 | ↑ +131% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +1131% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1216% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1216% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1216% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +1550% |
Visitor-reported prices
Comments
Inj proc elbow arthro at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $85.41 | $52.65 – $195.00 |
| Banner Lassen Medical Center | Susanville | $247.43 | $129.56 – $337.24 |
| Petaluma Valley Hospital | Petaluma | $610.98 | $357.90 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $1,597.74 | $234.54 – $1,028.02 |
| French Hospital | San Luis Obispo | $308.90 | $212.76 – $772.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $195.15 | $234.54 – $526.00 |
| Bakersfield Memorial Hospital | Bakersfield | $193.05 | $234.54 – $526.00 |
| Queen of The Valley Medical Center | Napa | $608.94 | $513.84 – $6,200.00 |