Inj w/fluor eval cv device at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$520.45
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.
$1,216.00
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.
$126.88 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 | $126.88 | ↓ -76% |
| Partnership Health Plan | Medicaid|> 21 | $126.88 | ↓ -76% |
| CenCal | Medicaid|< 21 | $139.44 | ↓ -73% |
| CenCal | Medicaid|> 21 | $139.44 | ↓ -73% |
| Health Net | Medicaid|< 21 | $156.06 | ↓ -70% |
| Health Net | Medicaid|> 21 | $156.06 | ↓ -70% |
| MHS Hospice | Commercial|All Plans | $224.16 | ↓ -57% |
| Humana | Medicare|All Plans | $267.70 | ↓ -49% |
| Aetna | Medicare|All Plans | $267.70 | ↓ -49% |
| United | Medicare|All Plans | $267.70 | ↓ -49% |
| Kaiser | Medicare|All Plans | $267.70 | ↓ -49% |
| BCBS - Anthem | Medicare|All Plans | $267.70 | ↓ -49% |
| Alignment | Medicare|All Plans | $267.70 | ↓ -49% |
| Scan Health Plan | Medicare|All Plans | $267.70 | ↓ -49% |
| Western Growers | Commercial|All Plans | $575.30 | ↑ +11% |
| Kaiser | Commercial|All Plans | $658.98 | ↑ +27% |
| First Health | Commercial|All Plans | $878.64 | ↑ +69% |
| United | Commercial|Non-Options PPO | $920.48 | ↑ +77% |
| United | Commercial|All Other Plans | $930.94 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $962.32 | ↑ +85% |
| United | Commercial|Options PPO | $972.78 | ↑ +87% |
| MultiPlan | Commercial|All Plans | $1,025.08 | ↑ +97% |
| United | Commercial|HMO | $1,035.54 | ↑ +99% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↑ +166% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +287% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +636% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +734% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +927% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +1218% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +1218% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +1218% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +1276% |
Visitor-reported prices
Comments
Inj w/fluor eval cv device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $270.25 | $156.06 – $518.50 |
| French Hospital | San Luis Obispo | $476.68 | $126.88 – $666.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $303.11 | $126.88 – $628.80 |
| Bakersfield Memorial Hospital | Bakersfield | $299.84 | $126.88 – $620.94 |
| Queen of The Valley Medical Center | Napa | $643.11 | $302.01 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,560.09 | $273.57 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $430.42 | $110.57 – $614.88 |
| Santa Rosa Memorial Hospital | Santa Rosa | $232.05 | $295.97 – $4,042.00 |