Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$412.60
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.
$964.00
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.
$83.73 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 | $83.73 | ↓ -80% |
| Partnership Health Plan | Medicaid|< 21 | $83.73 | ↓ -80% |
| CenCal | Medicaid|> 21 | $92.02 | ↓ -78% |
| CenCal | Medicaid|< 21 | $92.02 | ↓ -78% |
| Health Net | Medicaid|< 21 | $102.99 | ↓ -75% |
| Health Net | Medicaid|> 21 | $102.99 | ↓ -75% |
| Western Growers | Commercial|All Plans | $503.80 | ↑ +22% |
| Kaiser | Commercial|All Plans | $577.08 | ↑ +40% |
| First Health | Commercial|All Plans | $769.44 | ↑ +86% |
| United | Commercial|Non-Options PPO | $806.08 | ↑ +95% |
| United | Commercial|All Other Plans | $815.24 | ↑ +98% |
| Healthsmart | Commercial|All Plans | $842.72 | ↑ +104% |
| United | Commercial|Options PPO | $851.88 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $897.68 | ↑ +118% |
| United | Commercial|HMO | $906.84 | ↑ +120% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +987% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +1195% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1284% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1284% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1284% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +1479% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +1635% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $290.84 | $102.99 – $517.92 |
| Banner Lassen Medical Center | Susanville | $901.82 | $97.17 – $229.89 |
| Petaluma Valley Hospital | Petaluma | $3,615.90 | $1,687.00 – $10,997.00 |
| Mark Twain Medical Center | San Andreas | $1,833.50 | $40.36 – $152.88 |
| French Hospital | San Luis Obispo | $368.48 | $83.73 – $759.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,710.16 | $83.73 – $1,457.82 |
| Bakersfield Memorial Hospital | Bakersfield | $902.09 | $83.73 – $1,621.62 |
| Queen of The Valley Medical Center | Napa | $2,469.42 | $2,747.00 – $8,621.00 |