Interrog dev eval icpms ip at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$50.08
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.
$117.00
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.
$27.40 with Partnership Health Plan vs $7,391.00 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 | $27.40 | ↓ -45% |
| CenCal | Medicaid|< 21 | $27.40 | ↓ -45% |
| CenCal | Medicaid|> 21 | $27.40 | ↓ -45% |
| Partnership Health Plan | Medicaid|< 21 | $27.40 | ↓ -45% |
| Health Net | Medicaid|> 21 | $41.45 | ↓ -17% |
| Health Net | Medicaid|< 21 | $41.45 | ↓ -17% |
| MHS Hospice | Commercial|All Plans | $44.22 | ↓ -12% |
| Humana | Medicare|All Plans | $47.38 | ↓ -5% |
| Aetna | Medicare|All Plans | $47.38 | ↓ -5% |
| United | Medicare|All Plans | $47.38 | ↓ -5% |
| Kaiser | Medicare|All Plans | $47.38 | ↓ -5% |
| BCBS - Anthem | Medicare|All Plans | $47.38 | ↓ -5% |
| Alignment | Medicare|All Plans | $47.38 | ↓ -5% |
| Scan Health Plan | Medicare|All Plans | $47.38 | ↓ -5% |
| Western Growers | Commercial|All Plans | $58.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $73.71 | ↑ +47% |
| First Health | Commercial|All Plans | $98.28 | ↑ +96% |
| United | Commercial|Non-Options PPO | $102.96 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $107.64 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $113.49 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $114.66 | ↑ +129% |
| BCBS - Anthem | Commercial|MCS | $117.00 | ↑ +134% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +7552% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +8564% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +13965% |
| United | Commercial|All Other Plans | $7,169.00 | ↑ +14215% |
| United | Commercial|HMO | $7,391.00 | ↑ +14658% |
Visitor-reported prices
Comments
Interrog dev eval icpms ip at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $45.87 | $27.40 – $114.66 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $85.58 | $26.40 – $110.00 |
| Dominican Hospital | Santa Cruz | $60.30 | $27.40 – $160.35 |
| Sierra Nevada Memorial Hospital | Grass Valley | $68.67 | $27.40 – $123.48 |
| Sequoia Hospital | Redwood City | $51.69 | $27.40 – $19,277.00 |
| Mercy San Juan Medical Center | Carmichael | $33.43 | $13.42 – $117.82 |
| Mercy Medical Center Redding | Redding | $55.77 | $43.57 – $110.00 |
| Mercy General Hospital | Sacramento | $26.60 | $27.40 – $117.82 |