Njx px nfrosgrm &/urtrgrm at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,116.66
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.
$2,609.00
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.
$475.05 with CenCal vs $7,160.00 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $475.05 | ↓ -57% |
| CenCal | Medicaid|< 21 | $475.05 | ↓ -57% |
| Partnership Health Plan | Medicaid|< 21 | $475.05 | ↓ -57% |
| Partnership Health Plan | Medicaid|> 21 | $475.05 | ↓ -57% |
| MHS Hospice | Commercial|All Plans | $678.94 | ↓ -39% |
| Health Net | Medicaid|> 21 | $718.70 | ↓ -36% |
| Health Net | Medicaid|< 21 | $718.70 | ↓ -36% |
| Humana | Medicare|All Plans | $848.09 | ↓ -24% |
| Aetna | Medicare|All Plans | $848.09 | ↓ -24% |
| United | Medicare|All Plans | $848.09 | ↓ -24% |
| Kaiser | Medicare|All Plans | $848.09 | ↓ -24% |
| BCBS - Anthem | Medicare|All Plans | $848.09 | ↓ -24% |
| Alignment | Medicare|All Plans | $848.09 | ↓ -24% |
| Scan Health Plan | Medicare|All Plans | $848.09 | ↓ -24% |
| Western Growers | Commercial|All Plans | $1,434.95 | ↑ +29% |
| Kaiser | Commercial|All Plans | $1,643.67 | ↑ +47% |
| First Health | Commercial|All Plans | $2,191.56 | ↑ +96% |
| United | Commercial|Non-Options PPO | $2,295.92 | ↑ +106% |
| United | Commercial|All Other Plans | $2,322.01 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $2,400.28 | ↑ +115% |
| United | Commercial|Options PPO | $2,426.37 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $2,556.82 | ↑ +129% |
| United | Commercial|HMO | $2,582.91 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +302% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +328% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +378% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +385% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +411% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +411% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +411% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +483% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +541% |
Visitor-reported prices
Comments
Njx px nfrosgrm &/urtrgrm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $740.66 | $456.57 – $1,569.60 |
| French Hospital | San Luis Obispo | $1,036.06 | $475.05 – $2,556.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $795.43 | $475.05 – $901.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,038.25 | $475.05 – $1,693.76 |
| Providence St Joseph Hospital Eureka | Eureka | $4,250.34 | $896.84 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,188.35 | $407.40 – $1,629.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $727.77 | $970.26 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $984.96 | $762.31 – $5,171.00 |