Inj proc myelogram lumbar at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$353.53
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.
$826.00
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.
$101.68 with Partnership Health Plan vs $9,715.00 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 | $101.68 | ↓ -71% |
| Partnership Health Plan | Medicaid|< 21 | $101.68 | ↓ -71% |
| Health Net | Medicaid|< 21 | $125.07 | ↓ -65% |
| Health Net | Medicaid|> 21 | $125.07 | ↓ -65% |
| CenCal | Medicaid|> 21 | $160.28 | ↓ -55% |
| CenCal | Medicaid|< 21 | $160.28 | ↓ -55% |
| Western Growers | Commercial|All Plans | $422.95 | ↑ +20% |
| Kaiser | Commercial|All Plans | $484.47 | ↑ +37% |
| First Health | Commercial|All Plans | $645.96 | ↑ +83% |
| United | Commercial|Non-Options PPO | $676.72 | ↑ +91% |
| United | Commercial|All Other Plans | $684.41 | ↑ +94% |
| Healthsmart | Commercial|All Plans | $707.48 | ↑ +100% |
| United | Commercial|Options PPO | $715.17 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $753.62 | ↑ +113% |
| United | Commercial|HMO | $761.31 | ↑ +115% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1515% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1515% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1515% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +1951% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +2648% |
Visitor-reported prices
Comments
Inj proc myelogram lumbar at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $162.50 | $100.17 – $289.38 |
| Banner Lassen Medical Center | Susanville | $373.23 | $146.21 – $693.55 |
| Petaluma Valley Hospital | Petaluma | $1,088.34 | $464.59 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $2,349.65 | $101.68 – $1,360.24 |
| French Hospital | San Luis Obispo | $330.46 | $101.68 – $785.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $201.83 | $101.68 – $484.16 |
| Bakersfield Memorial Hospital | Bakersfield | $199.65 | $101.68 – $538.56 |
| Queen of The Valley Medical Center | Napa | $698.19 | $655.25 – $6,200.00 |