Ortho ewh rgd without jnt cstm w/fit&adj at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$196.46
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.
?
What you pay up front if you don't use insurance.
$459.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$133.00 with Western Growers vs $327.18 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $133.00 | ↓ -32% |
| Health Net | Commercial|Care Product | $154.28 | ↓ -21% |
| United | Commercial|Options PPO | $162.26 | ↓ -17% |
| United | Commercial|Non-Options PPO | $164.92 | ↓ -16% |
| Kaiser | Commercial|All Plans | $167.58 | ↓ -15% |
| United | Commercial|All Other Plans | $167.58 | ↓ -15% |
| United | Commercial|HMO | $172.90 | ↓ -12% |
| Health Net | Commercial|FFS | $175.56 | ↓ -11% |
| Cigna | Commercial|PPO | $204.82 | ↑ +4% |
| Cigna | Commercial|All Other Plans | $204.82 | ↑ +4% |
| First Health | Commercial|All Plans | $223.44 | ↑ +14% |
| Blue Shield CA | Commercial|Exchange | $223.44 | ↑ +14% |
| Healthsmart | Commercial|All Plans | $244.72 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $244.72 | ↑ +25% |
| Aetna | Commercial|PPO | $244.72 | ↑ +25% |
| Aetna | Commercial|HMO | $244.72 | ↑ +25% |
| Blue Shield CA | Commercial|FFS | $250.04 | ↑ +27% |
| BCBS - Anthem | Commercial|MCS | $258.02 | ↑ +31% |
| BCBS - Anthem | Commercial|Non-MCS | $258.02 | ↑ +31% |
| MultiPlan | Commercial|All Plans | $260.68 | ↑ +33% |
| CenCal | Medicaid|< 21 | $266.00 | ↑ +35% |
| Partnership Health Plan | Medicaid|< 21 | $266.00 | ↑ +35% |
| Partnership Health Plan | Medicaid|> 21 | $266.00 | ↑ +35% |
| CenCal | Medicaid|> 21 | $266.00 | ↑ +35% |
| Health Net | Medicaid|> 21 | $327.18 | ↑ +67% |
| Health Net | Medicaid|< 21 | $327.18 | ↑ +67% |
Visitor-reported prices
Comments
Ortho ewh rgd without jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $179.93 | $50.54 – $266.00 |
| Dominican Hospital | Santa Cruz | $854.10 | $733.55 – $1,898.00 |
| Mercy San Juan Medical Center | Carmichael | $655.14 | $263.01 – $2,032.35 |
| Mercy General Hospital | Sacramento | $521.24 | $549.93 – $2,127.99 |
| Mercy Hospital of Folsom | Folsom | $930.10 | $263.01 – $2,295.36 |
| Woodland Memorial Hospital | Woodland | $655.14 | $263.01 – $2,391.00 |
| Methodist Hospital of Sacramento | Sacramento | $688.61 | $549.93 – $2,151.90 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $920.62 – $1,703.15 |