Ortho hnd/fngr w/jnt cstm w/fit&adj at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$86.89
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.
$203.00
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.
$101.50 with Western Growers vs $249.69 with Health Net — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $101.50 | ↑ +17% |
| Health Net | Commercial|Care Product | $117.74 | ↑ +36% |
| United | Commercial|Options PPO | $123.83 | ↑ +43% |
| United | Commercial|Non-Options PPO | $125.86 | ↑ +45% |
| Kaiser | Commercial|All Plans | $127.89 | ↑ +47% |
| United | Commercial|All Other Plans | $127.89 | ↑ +47% |
| United | Commercial|HMO | $131.95 | ↑ +52% |
| Health Net | Commercial|FFS | $133.98 | ↑ +54% |
| Cigna | Commercial|PPO | $156.31 | ↑ +80% |
| Cigna | Commercial|All Other Plans | $156.31 | ↑ +80% |
| Blue Shield CA | Commercial|Exchange | $170.52 | ↑ +96% |
| First Health | Commercial|All Plans | $170.52 | ↑ +96% |
| CenCal | Medicaid|> 21 | $183.77 | ↑ +111% |
| Partnership Health Plan | Medicaid|> 21 | $183.77 | ↑ +111% |
| Partnership Health Plan | Medicaid|< 21 | $183.77 | ↑ +111% |
| CenCal | Medicaid|< 21 | $183.77 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $186.76 | ↑ +115% |
| Aetna | Commercial|All Other Plans | $186.76 | ↑ +115% |
| Aetna | Commercial|PPO | $186.76 | ↑ +115% |
| Aetna | Commercial|HMO | $186.76 | ↑ +115% |
| Blue Shield CA | Commercial|FFS | $190.82 | ↑ +120% |
| BCBS - Anthem | Commercial|Non-MCS | $196.91 | ↑ +127% |
| BCBS - Anthem | Commercial|MCS | $196.91 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $198.94 | ↑ +129% |
| Health Net | Medicaid|> 21 | $249.69 | ↑ +187% |
| Health Net | Medicaid|< 21 | $249.69 | ↑ +187% |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $79.58 | $38.57 – $198.94 |
| Dominican Hospital | Santa Cruz | $228.60 | $183.77 – $508.00 |
| Mercy San Juan Medical Center | Carmichael | $164.13 | $65.89 – $509.15 |
| Mercy General Hospital | Sacramento | $130.59 | $137.77 – $533.11 |
| Mercy Hospital of Folsom | Folsom | $233.02 | $65.89 – $575.04 |
| Woodland Memorial Hospital | Woodland | $164.13 | $65.89 – $599.00 |
| Methodist Hospital of Sacramento | Sacramento | $172.52 | $137.77 – $539.10 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $105.00 | $350.66 – $648.72 |