Nm radiopharmaceutical therapy oral administration at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,580.18
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.
$3,692.00
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.
$119.11 with Partnership Health Plan vs $3,147.76 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 | $119.11 | ↓ -92% |
| CenCal | Medicaid|< 21 | $119.11 | ↓ -92% |
| Partnership Health Plan | Medicaid|> 21 | $119.11 | ↓ -92% |
| CenCal | Medicaid|> 21 | $119.11 | ↓ -92% |
| Health Net | Medicaid|< 21 | $180.21 | ↓ -89% |
| Health Net | Medicaid|> 21 | $180.21 | ↓ -89% |
| Scan Health Plan | Medicare|All Plans | $284.78 | ↓ -82% |
| Kaiser | Medicare|All Plans | $284.78 | ↓ -82% |
| BCBS - Anthem | Medicare|All Plans | $284.78 | ↓ -82% |
| Aetna | Medicare|All Plans | $284.78 | ↓ -82% |
| United | Medicare|All Plans | $284.78 | ↓ -82% |
| Alignment | Medicare|All Plans | $284.78 | ↓ -82% |
| Humana | Medicare|All Plans | $284.78 | ↓ -82% |
| MHS Hospice | Commercial|All Plans | $289.62 | ↓ -82% |
| Aetna | Commercial|HMO | $334.57 | ↓ -79% |
| Aetna | Commercial|PPO | $334.57 | ↓ -79% |
| Aetna | Commercial|All Other Plans | $334.57 | ↓ -79% |
| United | Commercial|Options PPO | $561.65 | ↓ -64% |
| United | Commercial|All Other Plans | $561.65 | ↓ -64% |
| United | Commercial|HMO | $561.65 | ↓ -64% |
| United | Commercial|Non-Options PPO | $561.65 | ↓ -64% |
| BCBS - Anthem | Commercial|Non-MCS | $1,052.29 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $1,189.52 | ↓ -25% |
| Cigna | Commercial|PPO | $1,189.52 | ↓ -25% |
| BCBS - Anthem | Commercial|MCS | $1,410.31 | ↓ -11% |
| Western Growers | Commercial|All Plans | $1,606.00 | ↑ +2% |
| Kaiser | Commercial|All Plans | $2,023.56 | ↑ +28% |
| First Health | Commercial|All Plans | $2,698.08 | ↑ +71% |
| Healthsmart | Commercial|All Plans | $2,955.04 | ↑ +87% |
| MultiPlan | Commercial|All Plans | $3,147.76 | ↑ +99% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $554.07 | $176.30 – $1,224.93 |
| Banner Lassen Medical Center | Susanville | $726.40 | $44.83 – $1,010.74 |
| Mark Twain Medical Center | San Andreas | $853.82 | $119.11 – $592.90 |
| French Hospital | San Luis Obispo | $1,259.11 | $119.11 – $1,398.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $634.41 | $119.11 – $1,368.00 |
| Bakersfield Memorial Hospital | Bakersfield | $627.57 | $119.11 – $1,350.90 |
| Queen of The Valley Medical Center | Napa | $5,730.87 | $331.30 – $755.78 |
| Providence St Joseph Hospital Eureka | Eureka | $1,063.86 | $300.11 – $857.06 |