MRI guid ndl plc s&i at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,959.82
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.
$4,579.00
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.
$366.76 with Partnership Health Plan vs $4,579.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $366.76 | ↓ -81% |
| CenCal | Medicaid|> 21 | $366.76 | ↓ -81% |
| Partnership Health Plan | Medicaid|< 21 | $366.76 | ↓ -81% |
| CenCal | Medicaid|< 21 | $366.76 | ↓ -81% |
| Health Net | Medicaid|< 21 | $554.87 | ↓ -72% |
| Health Net | Medicaid|> 21 | $554.87 | ↓ -72% |
| Aetna | Commercial|PPO | $1,978.85 | ↑ +1% |
| Aetna | Commercial|HMO | $1,978.85 | ↑ +1% |
| Aetna | Commercial|All Other Plans | $1,978.85 | ↑ +1% |
| Cigna | Commercial|PPO | $2,096.00 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $2,096.00 | ↑ +7% |
| Western Growers | Commercial|All Plans | $2,289.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $2,884.77 | ↑ +47% |
| First Health | Commercial|All Plans | $3,846.36 | ↑ +96% |
| United | Commercial|Non-Options PPO | $4,029.52 | ↑ +106% |
| United | Commercial|All Other Plans | $4,075.31 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $4,212.68 | ↑ +115% |
| United | Commercial|Options PPO | $4,258.47 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $4,441.63 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $4,487.42 | ↑ +129% |
| United | Commercial|HMO | $4,533.21 | ↑ +131% |
| BCBS - Anthem | Commercial|MCS | $4,579.00 | ↑ +134% |
Visitor-reported prices
Comments
MRI guid ndl plc s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $571.98 | $337.43 – $798.31 |
| Mark Twain Medical Center | San Andreas | $5,260.74 | $366.76 – $2,298.10 |
| French Hospital | San Luis Obispo | $435.52 | $299.97 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $3,989.73 | $2,511.83 – $3,353.21 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,310.81 | $2,563.69 – $2,852.78 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,454.72 | $1,837.14 – $4,257.80 |
| California Hospital Medical Center | Los Angeles | $834.20 | $330.08 – $1,907.00 |
| St. Mary Medical Center | Long Beach | $736.16 | $330.08 – $1,922.00 |