Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$5,795.98
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.
$13,542.00
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.
$37.29 with BCBS - Anthem vs $6,377.84 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Non-MCS | $37.29 | ↓ -99% |
| CenCal | Medicaid|< 21 | $42.35 | ↓ -99% |
| CenCal | Medicaid|> 21 | $42.35 | ↓ -99% |
| MHS Hospice | Commercial|All Plans | $45.32 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $50.04 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $51.54 | ↓ -99% |
| Aetna | Medicare|All Plans | $51.54 | ↓ -99% |
| United | Medicare|All Plans | $51.54 | ↓ -99% |
| Alignment | Medicare|All Plans | $51.54 | ↓ -99% |
| Humana | Medicare|All Plans | $51.54 | ↓ -99% |
| Scan Health Plan | Medicare|All Plans | $51.54 | ↓ -99% |
| Kaiser | Medicare|All Plans | $51.54 | ↓ -99% |
| United | Commercial|Non-Options PPO | $61.89 | ↓ -99% |
| United | Commercial|All Other Plans | $62.30 | ↓ -99% |
| United | Commercial|HMO | $62.30 | ↓ -99% |
| United | Commercial|Options PPO | $65.11 | ↓ -99% |
| Health Net | Medicaid|< 21 | $67.44 | ↓ -99% |
| Health Net | Medicaid|> 21 | $67.44 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $72.22 | ↓ -99% |
| Blue Shield CA | Commercial|FFS | $72.22 | ↓ -99% |
| Health Net | Commercial|Care Product | $133.67 | ↓ -98% |
| Health Net | Commercial|FFS | $151.79 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $2,928.60 | ↓ -49% |
| Cigna | Commercial|PPO | $2,928.60 | ↓ -49% |
| Western Growers | Commercial|All Plans | $3,254.00 | ↓ -44% |
| Kaiser | Commercial|All Plans | $4,100.04 | ↓ -29% |
| First Health | Commercial|All Plans | $5,466.72 | ↓ -6% |
| Healthsmart | Commercial|All Plans | $5,987.36 | ↑ +3% |
| MultiPlan | Commercial|All Plans | $6,377.84 | ↑ +10% |
Visitor-reported prices
Comments
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $5,308.47 | $42.35 – $6,377.84 |
| Bakersfield Memorial Hospital | Bakersfield | $4,964.41 | $33.60 – $2,046.89 |
| Queen of The Valley Medical Center | Napa | $1,928.17 | $22.78 – $86.26 |
| Providence St Joseph Hospital Eureka | Eureka | $1,928.17 | $27.17 – $86.26 |
| St. Joseph's Medical Center Stockton | Stockton | $1,623.77 | $42.79 – $3,469.42 |
| Mercy Medical Center Merced | Merced | $2,563.16 | $24.16 – $4,678.38 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $30.93 – $6,800.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $6,483.32 | $37.95 – $2,232.44 |