Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$16,040.16
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.
$37,477.00
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.
$854.44 with Partnership Health Plan vs $37,102.23 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 | $854.44 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $854.44 | ↓ -95% |
| Health Net | Medicaid|> 21 | $1,050.96 | ↓ -93% |
| Health Net | Medicaid|< 21 | $1,050.96 | ↓ -93% |
| CenCal | Medicaid|> 21 | $1,346.90 | ↓ -92% |
| CenCal | Medicaid|< 21 | $1,346.90 | ↓ -92% |
| Humana | Medicare|All Plans | $13,297.25 | ↓ -17% |
| Aetna | Medicare|All Plans | $13,297.25 | ↓ -17% |
| United | Medicare|All Plans | $13,297.25 | ↓ -17% |
| Kaiser | Medicare|All Plans | $13,297.25 | ↓ -17% |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | ↓ -17% |
| Alignment | Medicare|All Plans | $13,297.25 | ↓ -17% |
| Scan Health Plan | Medicare|All Plans | $13,297.25 | ↓ -17% |
| BCBS - Anthem | Commercial|Non-MCS | $13,455.00 | ↓ -16% |
| Aetna | Commercial|All Other Plans | $16,554.00 | ↑ +3% |
| Aetna | Commercial|PPO | $16,554.00 | ↑ +3% |
| Aetna | Commercial|HMO | $16,554.00 | ↑ +3% |
| Blue Shield CA | Commercial|Exchange | $18,024.00 | ↑ +12% |
| BCBS - Anthem | Commercial|MCS | $18,030.00 | ↑ +12% |
| Western Growers | Commercial|All Plans | $18,738.50 | ↑ +17% |
| Health Net | Commercial|Care Product | $22,577.00 | ↑ +41% |
| Kaiser | Commercial|All Plans | $23,610.51 | ↑ +47% |
| Health Net | Commercial|FFS | $25,564.00 | ↑ +59% |
| Blue Shield CA | Commercial|FFS | $26,177.00 | ↑ +63% |
| First Health | Commercial|All Plans | $31,480.68 | ↑ +96% |
| United | Commercial|Non-Options PPO | $32,979.76 | ↑ +106% |
| United | Commercial|All Other Plans | $33,354.53 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $34,478.84 | ↑ +115% |
| United | Commercial|Options PPO | $34,853.61 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $36,727.46 | ↑ +129% |
| United | Commercial|HMO | $37,102.23 | ↑ +131% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,560.74 | $1,050.96 – $31,272.54 |
| French Hospital | San Luis Obispo | $14,990.48 | $854.44 – $37,476.18 |
| Bakersfield Memorial Hospital | Bakersfield | $15,006.63 | $854.44 – $32,303.10 |
| Queen of The Valley Medical Center | Napa | $22,043.73 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $11,046.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $11,059.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,098.50 | $854.44 – $31,710.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $18,892.44 | $8,992.00 – $20,488.00 |