Inj proc for lymphang at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$327.42
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.
?
What you pay up front if you don't use insurance.
$765.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$420.75 with Western Growers vs $7,160.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $420.75 | ↑ +29% |
| Kaiser | Commercial|All Plans | $481.95 | ↑ +47% |
| Partnership Health Plan | Medicaid|> 21 | $519.07 | ↑ +59% |
| Partnership Health Plan | Medicaid|< 21 | $519.07 | ↑ +59% |
| Health Net | Medicaid|< 21 | $638.46 | ↑ +95% |
| Health Net | Medicaid|> 21 | $638.46 | ↑ +95% |
| First Health | Commercial|All Plans | $642.60 | ↑ +96% |
| United | Commercial|Non-Options PPO | $673.20 | ↑ +106% |
| United | Commercial|All Other Plans | $680.85 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $703.80 | ↑ +115% |
| United | Commercial|Options PPO | $711.45 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $749.70 | ↑ +129% |
| United | Commercial|HMO | $757.35 | ↑ +131% |
| CenCal | Medicaid|> 21 | $765.00 | ↑ +134% |
| CenCal | Medicaid|< 21 | $765.00 | ↑ +134% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +1532% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1644% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1644% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1644% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +2087% |
Visitor-reported prices
Comments
Inj proc for lymphang at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $231.27 | $142.56 – $528.00 |
| French Hospital | San Luis Obispo | $299.88 | $206.55 – $765.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,153.07 | $519.07 – $2,766.12 |
| Bakersfield Memorial Hospital | Bakersfield | $1,140.64 | $519.07 – $3,076.92 |
| St. Joseph's Medical Center Stockton | Stockton | $869.36 | $301.35 – $1,435.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,363.74 | $557.81 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $354.72 | $1,200.00 – $5,357.00 |
| Mercy Medical Center Merced | Merced | $1,623.80 | $519.07 – $1,359.00 |