Inj prohance multipack at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$8.56
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.
$20.00
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.
$1.42 with Partnership Health Plan vs $19.60 with MultiPlan — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $1.42 | ↓ -83% |
| Partnership Health Plan | Medicaid|> 21 | $1.42 | ↓ -83% |
| Health Net | Medicaid|> 21 | $2.15 | ↓ -75% |
| Health Net | Medicaid|< 21 | $2.15 | ↓ -75% |
| United | Commercial|Non-Options PPO | $2.39 | ↓ -72% |
| United | Commercial|HMO | $2.41 | ↓ -72% |
| United | Commercial|All Other Plans | $2.41 | ↓ -72% |
| United | Commercial|Options PPO | $2.52 | ↓ -71% |
| Cigna | Commercial|All Other Plans | $9.00 | ↑ +5% |
| Cigna | Commercial|PPO | $9.00 | ↑ +5% |
| Western Growers | Commercial|All Plans | $10.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $12.60 | ↑ +47% |
| BCBS - Anthem | Commercial|Non-MCS | $13.58 | ↑ +59% |
| First Health | Commercial|All Plans | $16.80 | ↑ +96% |
| BCBS - Anthem | Commercial|MCS | $18.22 | ↑ +113% |
| Healthsmart | Commercial|All Plans | $18.40 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $19.60 | ↑ +129% |
Visitor-reported prices
Comments
Inj prohance multipack at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $7.84 | $1.42 – $19.60 |
| Sierra Nevada Memorial Hospital | Grass Valley | $35.43 | $1.42 – $63.70 |
| Mercy San Juan Medical Center | Carmichael | $2.74 | $1.10 – $8.30 |
| Mercy General Hospital | Sacramento | $10.90 | $1.41 – $8.00 |
| Mercy Hospital of Folsom | Folsom | $19.45 | $1.10 – $8.20 |
| Woodland Memorial Hospital | Woodland | $13.70 | $1.10 – $10.00 |
| Methodist Hospital of Sacramento | Sacramento | $2.88 | $1.41 – $8.30 |
| Petaluma Valley Hospital | Petaluma | not published | $3.07 – $7.66 |