Paring/cutting benign hyperkeratotic lesion single 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$19.22 with Partnership Health Plan vs $5,710.00 with Aetna — 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 | $19.22 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $19.22 | ↓ -90% |
| Health Net | Medicaid|> 21 | $23.64 | ↓ -88% |
| Health Net | Medicaid|< 21 | $23.64 | ↓ -88% |
| CenCal | Medicaid|> 21 | $30.31 | ↓ -85% |
| CenCal | Medicaid|< 21 | $30.31 | ↓ -85% |
| MHS Hospice | Commercial|All Plans | $213.16 | ↑ +9% |
| Western Growers | Commercial|All Plans | $229.50 | ↑ +17% |
| Kaiser | Medicare|All Plans | $252.47 | ↑ +29% |
| United | Medicare|All Plans | $252.47 | ↑ +29% |
| Humana | Medicare|All Plans | $252.47 | ↑ +29% |
| Scan Health Plan | Medicare|All Plans | $252.47 | ↑ +29% |
| Aetna | Medicare|All Plans | $252.47 | ↑ +29% |
| Alignment | Medicare|All Plans | $252.47 | ↑ +29% |
| BCBS - Anthem | Medicare|All Plans | $252.47 | ↑ +29% |
| Kaiser | Commercial|All Plans | $289.17 | ↑ +47% |
| First Health | Commercial|All Plans | $385.56 | ↑ +96% |
| United | Commercial|Non-Options PPO | $403.92 | ↑ +106% |
| United | Commercial|All Other Plans | $408.51 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $422.28 | ↑ +115% |
| United | Commercial|Options PPO | $426.87 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $449.82 | ↑ +129% |
| United | Commercial|HMO | $454.41 | ↑ +131% |
| BCBS - Anthem | Commercial|Non-MCS | $459.00 | ↑ +134% |
| BCBS - Anthem | Commercial|MCS | $459.00 | ↑ +134% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↑ +605% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +924% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +1851% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +2109% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +2806% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +2806% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +2806% |
Visitor-reported prices
Comments
Paring/cutting benign hyperkeratotic lesion single at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $284.69 | $23.64 – $426.00 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $270.38 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $49.29 | $19.15 – $72.52 |
| French Hospital | San Luis Obispo | $179.93 | $19.22 – $449.82 |
| Bakersfield Memorial Hospital | Bakersfield | $114.51 | $19.22 – $252.47 |
| Queen of The Valley Medical Center | Napa | $406.98 | $284.87 – $2,747.00 |
| Providence St Joseph Hospital Eureka | Eureka | $409.53 | $258.05 – $2,699.00 |
| Healdsburg Hospital | Healdsburg | $260.61 | $270.32 – $3,982.87 |