Injection(s) trigger point(s) single/multiple >= 3 muscle(s) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$481.50
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.
$1,125.00
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.
$56.22 with CenCal 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 |
|---|---|---|---|
| CenCal | Medicaid|< 21 | $56.22 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $56.22 | ↓ -88% |
| CenCal | Medicaid|> 21 | $56.22 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $56.22 | ↓ -88% |
| Health Net | Medicaid|< 21 | $85.05 | ↓ -82% |
| Health Net | Medicaid|> 21 | $85.05 | ↓ -82% |
| MHS Hospice | Commercial|All Plans | $319.35 | ↓ -34% |
| Humana | Medicare|All Plans | $375.07 | ↓ -22% |
| Aetna | Medicare|All Plans | $375.07 | ↓ -22% |
| United | Medicare|All Plans | $375.07 | ↓ -22% |
| Kaiser | Medicare|All Plans | $375.07 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $375.07 | ↓ -22% |
| Alignment | Medicare|All Plans | $375.07 | ↓ -22% |
| Scan Health Plan | Medicare|All Plans | $375.07 | ↓ -22% |
| Western Growers | Commercial|All Plans | $562.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $687.33 | ↑ +43% |
| First Health | Commercial|All Plans | $916.44 | ↑ +90% |
| United | Commercial|Non-Options PPO | $960.08 | ↑ +99% |
| United | Commercial|All Other Plans | $970.99 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $1,003.72 | ↑ +108% |
| United | Commercial|Options PPO | $1,014.63 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $1,069.18 | ↑ +122% |
| United | Commercial|HMO | $1,080.09 | ↑ +124% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↑ +188% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +318% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +696% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +801% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +1010% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1086% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1086% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1086% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +1387% |
Visitor-reported prices
Comments
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $515.53 | $85.05 – $918.06 |
| Petaluma Valley Hospital | Petaluma | $1,256.13 | $413.65 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $492.84 | $27.94 – $105.84 |
| French Hospital | San Luis Obispo | $427.68 | $56.22 – $1,069.18 |
| Queen of The Valley Medical Center | Napa | $1,826.82 | $435.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,499.51 | $394.79 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $918.51 | $413.57 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,507.67 | $1,333.00 – $20,799.00 |