Nuclear rx IV admin at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,211.67
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.
$2,831.00
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.
$126.14 with Partnership Health Plan vs $2,643.06 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 | $126.14 | ↓ -90% |
| CenCal | Medicaid|< 21 | $126.14 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $126.14 | ↓ -90% |
| CenCal | Medicaid|> 21 | $126.14 | ↓ -90% |
| Health Net | Medicaid|< 21 | $190.83 | ↓ -84% |
| Health Net | Medicaid|> 21 | $190.83 | ↓ -84% |
| Scan Health Plan | Medicare|All Plans | $284.78 | ↓ -76% |
| Kaiser | Medicare|All Plans | $284.78 | ↓ -76% |
| BCBS - Anthem | Medicare|All Plans | $284.78 | ↓ -76% |
| Aetna | Medicare|All Plans | $284.78 | ↓ -76% |
| United | Medicare|All Plans | $284.78 | ↓ -76% |
| Alignment | Medicare|All Plans | $284.78 | ↓ -76% |
| Humana | Medicare|All Plans | $284.78 | ↓ -76% |
| MHS Hospice | Commercial|All Plans | $289.62 | ↓ -76% |
| Aetna | Commercial|HMO | $363.75 | ↓ -70% |
| Aetna | Commercial|PPO | $363.75 | ↓ -70% |
| Aetna | Commercial|All Other Plans | $363.75 | ↓ -70% |
| United | Commercial|Options PPO | $561.65 | ↓ -54% |
| United | Commercial|All Other Plans | $561.65 | ↓ -54% |
| United | Commercial|HMO | $561.65 | ↓ -54% |
| United | Commercial|Non-Options PPO | $561.65 | ↓ -54% |
| BCBS - Anthem | Commercial|Non-MCS | $1,052.29 | ↓ -13% |
| Cigna | Commercial|All Other Plans | $1,189.52 | ↓ -2% |
| Cigna | Commercial|PPO | $1,189.52 | ↓ -2% |
| Western Growers | Commercial|All Plans | $1,348.50 | ↑ +11% |
| BCBS - Anthem | Commercial|MCS | $1,410.31 | ↑ +16% |
| Kaiser | Commercial|All Plans | $1,699.11 | ↑ +40% |
| First Health | Commercial|All Plans | $2,265.48 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $2,481.24 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $2,643.06 | ↑ +118% |
Visitor-reported prices
Comments
Nuclear rx IV admin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $908.43 | $126.14 – $630.14 |
| French Hospital | San Luis Obispo | $967.85 | $126.14 – $1,398.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $237.82 | $126.14 – $1,326.65 |
| Bakersfield Memorial Hospital | Bakersfield | $235.25 | $126.14 – $1,326.65 |
| Queen of The Valley Medical Center | Napa | $361.08 | $331.30 – $755.78 |
| St. Joseph's Medical Center Stockton | Stockton | $795.57 | $126.14 – $1,087.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $523.77 | $324.68 – $642.98 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $740.16 | $255.09 – $555.20 |