Insert hepatic shunt (tips) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$7,354.33
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.
$17,183.00
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.
$544.88 with CenCal vs $22,491.00 with Aetna — 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 | $544.88 | ↓ -93% |
| CenCal | Medicaid|< 21 | $544.88 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $545.05 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $545.05 | ↓ -93% |
| Health Net | Medicaid|< 21 | $824.60 | ↓ -89% |
| Health Net | Medicaid|> 21 | $824.60 | ↓ -89% |
| Western Growers | Commercial|All Plans | $3,162.50 | ↓ -57% |
| Kaiser | Commercial|All Plans | $3,984.75 | ↓ -46% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↓ -39% |
| First Health | Commercial|All Plans | $5,313.00 | ↓ -28% |
| United | Commercial|Non-Options PPO | $5,566.00 | ↓ -24% |
| United | Commercial|All Other Plans | $5,629.25 | ↓ -23% |
| Healthsmart | Commercial|All Plans | $5,819.00 | ↓ -21% |
| United | Commercial|Options PPO | $5,882.25 | ↓ -20% |
| MultiPlan | Commercial|All Plans | $6,198.50 | ↓ -16% |
| United | Commercial|HMO | $6,261.75 | ↓ -15% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↓ -11% |
| BCBS - Anthem | Commercial|Non-MCS | $12,414.00 | ↑ +69% |
| BCBS - Anthem | Commercial|MCS | $16,635.00 | ↑ +126% |
| Aetna | Commercial|HMO | $22,491.00 | ↑ +206% |
| Aetna | Commercial|PPO | $22,491.00 | ↑ +206% |
| Aetna | Commercial|All Other Plans | $22,491.00 | ↑ +206% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,730.89 | $824.60 – $6,644.04 |
| French Hospital | San Luis Obispo | $6,539.35 | $544.88 – $6,309.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10,678.13 | $545.05 – $25,615.98 |
| Bakersfield Memorial Hospital | Bakersfield | $10,563.00 | $545.05 – $28,494.18 |
| St. Joseph's Medical Center Stockton | Stockton | $10,409.37 | $544.88 – $29,457.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $26,842.32 | $2,238.00 – $26,028.38 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $9,475.68 | $5,171.00 – $43,618.46 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $29,135.33 | $741.04 – $36,700.02 |