MRI without fol w/cont, breast at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$3,318.29
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.
$7,753.00
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.
$453.77 with Scan Health Plan vs $7,031.00 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 |
|---|---|---|---|
| Scan Health Plan | Medicare|All Plans | $453.77 | ↓ -86% |
| Kaiser | Medicare|All Plans | $453.77 | ↓ -86% |
| Aetna | Medicare|All Plans | $453.77 | ↓ -86% |
| Alignment | Medicare|All Plans | $453.77 | ↓ -86% |
| United | Medicare|All Plans | $453.77 | ↓ -86% |
| Humana | Medicare|All Plans | $453.77 | ↓ -86% |
| BCBS - Anthem | Medicare|All Plans | $453.77 | ↓ -86% |
| MHS Hospice | Commercial|All Plans | $465.84 | ↓ -86% |
| United | Commercial|HMO | $828.27 | ↓ -75% |
| United | Commercial|Options PPO | $828.27 | ↓ -75% |
| United | Commercial|All Other Plans | $828.27 | ↓ -75% |
| United | Commercial|Non-Options PPO | $828.27 | ↓ -75% |
| Cigna | Commercial|All Other Plans | $2,096.00 | ↓ -37% |
| Cigna | Commercial|PPO | $2,096.00 | ↓ -37% |
| Western Growers | Commercial|All Plans | $3,515.50 | ↑ +6% |
| Kaiser | Commercial|All Plans | $4,429.53 | ↑ +33% |
| First Health | Commercial|All Plans | $5,906.04 | ↑ +78% |
| Healthsmart | Commercial|All Plans | $6,468.52 | ↑ +95% |
| BCBS - Anthem | Commercial|Non-MCS | $6,820.07 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $6,890.38 | ↑ +108% |
| BCBS - Anthem | Commercial|MCS | $7,031.00 | ↑ +112% |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,141.82 | $453.77 – $3,814.20 |
| Mark Twain Medical Center | San Andreas | $10,247.08 | $1,263.75 – $4,787.30 |
| French Hospital | San Luis Obispo | $2,625.23 | $453.77 – $2,505.86 |
| St. Joseph's Medical Center Stockton | Stockton | $1,908.36 | $430.69 – $5,322.62 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,150.90 | $972.00 – $3,969.00 |
| Northridge Hospital Medical Center | Northridge | $2,754.01 | $453.77 – $9,871.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $3,700.01 | $469.30 – $2,123.66 |
| Sequoia Hospital | Redwood City | $6,121.03 | $523.73 – $13,789.12 |