Ins icd gen exist sgl lead at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$33,496.14
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.
$78,262.00
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.
$440.46 with Partnership Health Plan vs $77,479.38 with United — 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 | $440.46 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $440.46 | ↓ -99% |
| Health Net | Medicaid|> 21 | $541.77 | ↓ -98% |
| Health Net | Medicaid|< 21 | $541.77 | ↓ -98% |
| CenCal | Medicaid|< 21 | $694.32 | ↓ -98% |
| CenCal | Medicaid|> 21 | $694.32 | ↓ -98% |
| BCBS - Anthem | Commercial|Non-MCS | $16,028.00 | ↓ -52% |
| Aetna | Commercial|HMO | $16,554.00 | ↓ -51% |
| Aetna | Commercial|All Other Plans | $16,554.00 | ↓ -51% |
| Aetna | Commercial|PPO | $16,554.00 | ↓ -51% |
| Blue Shield CA | Commercial|Exchange | $18,024.00 | ↓ -46% |
| BCBS - Anthem | Commercial|MCS | $21,478.00 | ↓ -36% |
| Blue Shield CA | Commercial|FFS | $26,177.00 | ↓ -22% |
| Humana | Medicare|All Plans | $28,520.13 | ↓ -15% |
| Aetna | Medicare|All Plans | $28,520.13 | ↓ -15% |
| United | Medicare|All Plans | $28,520.13 | ↓ -15% |
| Kaiser | Medicare|All Plans | $28,520.13 | ↓ -15% |
| BCBS - Anthem | Medicare|All Plans | $28,520.13 | ↓ -15% |
| Alignment | Medicare|All Plans | $28,520.13 | ↓ -15% |
| Scan Health Plan | Medicare|All Plans | $28,520.13 | ↓ -15% |
| Health Net | Commercial|Care Product | $35,173.00 | ↑ +5% |
| Western Growers | Commercial|All Plans | $39,131.00 | ↑ +17% |
| Health Net | Commercial|FFS | $39,829.00 | ↑ +19% |
| Kaiser | Commercial|All Plans | $49,305.06 | ↑ +47% |
| First Health | Commercial|All Plans | $65,740.08 | ↑ +96% |
| United | Commercial|Non-Options PPO | $68,870.56 | ↑ +106% |
| United | Commercial|All Other Plans | $69,653.18 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $72,001.04 | ↑ +115% |
| United | Commercial|Options PPO | $72,783.66 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $76,696.76 | ↑ +129% |
| United | Commercial|HMO | $77,479.38 | ↑ +131% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $33,490.80 | $541.77 – $59,641.14 |
| French Hospital | San Luis Obispo | $31,215.75 | $440.46 – $78,039.36 |
| Bakersfield Memorial Hospital | Bakersfield | $36,150.61 | $440.46 – $77,817.37 |
| Queen of The Valley Medical Center | Napa | $40,281.84 | $12,563.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $27,814.17 | $440.46 – $79,469.04 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,689.92 | $11,790.00 – $52,926.57 |
| Mercy Medical Center Merced | Merced | $49,389.53 | $440.46 – $94,942.98 |
| Northridge Hospital Medical Center | Northridge | $24,238.41 | $440.46 – $86,876.00 |