MRI orbit fac&nck w IV cont at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,389.10
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.
$5,582.00
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.
$264.84 with Partnership Health Plan vs $5,005.84 with MultiPlan — 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 | $264.84 | ↓ -89% |
| Partnership Health Plan | Medicaid|> 21 | $264.84 | ↓ -89% |
| CenCal | Medicaid|> 21 | $279.09 | ↓ -88% |
| CenCal | Medicaid|< 21 | $279.09 | ↓ -88% |
| Health Net | Medicaid|< 21 | $400.67 | ↓ -83% |
| Health Net | Medicaid|> 21 | $400.67 | ↓ -83% |
| Aetna | Medicare|All Plans | $453.77 | ↓ -81% |
| BCBS - Anthem | Medicare|All Plans | $453.77 | ↓ -81% |
| Kaiser | Medicare|All Plans | $453.77 | ↓ -81% |
| United | Medicare|All Plans | $453.77 | ↓ -81% |
| Scan Health Plan | Medicare|All Plans | $453.77 | ↓ -81% |
| Alignment | Medicare|All Plans | $453.77 | ↓ -81% |
| Humana | Medicare|All Plans | $453.77 | ↓ -81% |
| MHS Hospice | Commercial|All Plans | $465.84 | ↓ -81% |
| United | Commercial|Options PPO | $828.27 | ↓ -65% |
| United | Commercial|All Other Plans | $828.27 | ↓ -65% |
| United | Commercial|HMO | $828.27 | ↓ -65% |
| United | Commercial|Non-Options PPO | $828.27 | ↓ -65% |
| Aetna | Commercial|HMO | $1,978.85 | ↓ -17% |
| Aetna | Commercial|PPO | $1,978.85 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $1,978.85 | ↓ -17% |
| BCBS - Anthem | Commercial|Non-MCS | $2,036.00 | ↓ -15% |
| Cigna | Commercial|All Other Plans | $2,096.00 | ↓ -12% |
| Cigna | Commercial|PPO | $2,096.00 | ↓ -12% |
| Western Growers | Commercial|All Plans | $2,554.00 | ↑ +7% |
| BCBS - Anthem | Commercial|MCS | $2,728.00 | ↑ +14% |
| Kaiser | Commercial|All Plans | $3,218.04 | ↑ +35% |
| First Health | Commercial|All Plans | $4,290.72 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $4,699.36 | ↑ +97% |
| MultiPlan | Commercial|All Plans | $5,005.84 | ↑ +110% |
Visitor-reported prices
Comments
MRI orbit fac&nck w IV cont at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,344.66 | $400.67 – $2,394.60 |
| Banner Lassen Medical Center | Susanville | $2,797.73 | $71.43 – $4,687.04 |
| Petaluma Valley Hospital | Petaluma | $7,289.43 | $470.15 – $3,151.45 |
| Mark Twain Medical Center | San Andreas | $7,405.92 | $264.84 – $2,735.18 |
| French Hospital | San Luis Obispo | $1,907.08 | $264.84 – $2,111.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,316.68 | $264.84 – $2,839.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,302.49 | $264.84 – $2,803.71 |
| Queen of The Valley Medical Center | Napa | $4,791.45 | $495.35 – $3,982.66 |