Inj, tyenne, 1 mg at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$10,058.43
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.
$23,501.00
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.
$10,575.45 with Cigna vs $23,501.00 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 |
|---|---|---|---|
| Cigna | Commercial|All Other Plans | $10,575.45 | ↑ +5% |
| Cigna | Commercial|PPO | $10,575.45 | ↑ +5% |
| Western Growers | Commercial|All Plans | $11,750.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $14,805.63 | ↑ +47% |
| First Health | Commercial|All Plans | $19,740.84 | ↑ +96% |
| United | Commercial|Non-Options PPO | $20,680.88 | ↑ +106% |
| United | Commercial|All Other Plans | $20,915.89 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $21,620.92 | ↑ +115% |
| United | Commercial|Options PPO | $21,855.93 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $22,325.95 | ↑ +122% |
| MultiPlan | Commercial|All Plans | $23,030.98 | ↑ +129% |
| United | Commercial|HMO | $23,265.99 | ↑ +131% |
| BCBS - Anthem | Commercial|MCS | $23,501.00 | ↑ +134% |
Visitor-reported prices
Comments
Inj, tyenne, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $4,606.40 | $3,172.77 – $11,515.98 |
| Bakersfield Memorial Hospital | Bakersfield | $3,432.92 | $100.00 – $1,852.29 |
| Sequoia Hospital | Redwood City | $2,366.00 | $827.42 – $3,272.07 |
| California Hospital Medical Center | Los Angeles | $2,657.80 | $644.00 – $2,035.04 |
| St. Elizabeth Community Hospital | Red Bluff | $3,358.00 | $3,220.00 – $5,635.00 |
| Providence Holy Cross Medical Center | Mission Hills | $1,379.21 | $4.44 – $8.75 |
| Petaluma Valley Hospital | Petaluma | not published | $4.35 – $8.75 |
| Queen of The Valley Medical Center | Napa | not published | $4.44 – $8.75 |