Pembrolizumab 25 mg/ml intravenous solution at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$16,050.00
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.
$37,500.00
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.
$55.81 with CenCal vs $36,750.00 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 |
|---|---|---|---|
| CenCal | Medicaid|< 21 | $55.81 | ↓ -100% |
| CenCal | Medicaid|> 21 | $55.81 | ↓ -100% |
| MHS Hospice | Commercial|All Plans | $61.02 | ↓ -100% |
| Humana | Medicare|All Plans | $74.41 | ↓ -100% |
| Kaiser | Medicare|All Plans | $74.41 | ↓ -100% |
| Alignment | Medicare|All Plans | $74.41 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $74.41 | ↓ -100% |
| United | Medicare|All Plans | $74.41 | ↓ -100% |
| Scan Health Plan | Medicare|All Plans | $74.41 | ↓ -100% |
| Aetna | Medicare|All Plans | $74.41 | ↓ -100% |
| United | Commercial|Non-Options PPO | $86.30 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $88.46 | ↓ -99% |
| Blue Shield CA | Commercial|FFS | $88.46 | ↓ -99% |
| Health Net | Medicaid|> 21 | $89.79 | ↓ -99% |
| Health Net | Medicaid|< 21 | $89.79 | ↓ -99% |
| United | Commercial|Options PPO | $91.95 | ↓ -99% |
| United | Commercial|HMO | $95.04 | ↓ -99% |
| United | Commercial|All Other Plans | $95.04 | ↓ -99% |
| BCBS - Anthem | Commercial|Non-MCS | $101.78 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $136.60 | ↓ -99% |
| Health Net | Commercial|Care Product | $163.73 | ↓ -99% |
| Health Net | Commercial|FFS | $185.94 | ↓ -99% |
| Aetna | Commercial|PPO | $325.95 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $325.95 | ↓ -98% |
| Aetna | Commercial|HMO | $325.95 | ↓ -98% |
| Cigna | Commercial|PPO | $16,875.00 | ↑ +5% |
| Cigna | Commercial|All Other Plans | $16,875.00 | ↑ +5% |
| Western Growers | Commercial|All Plans | $18,750.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $23,625.00 | ↑ +47% |
| First Health | Commercial|All Plans | $31,500.00 | ↑ +96% |
| Healthsmart | Commercial|All Plans | $34,500.00 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $36,750.00 | ↑ +129% |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $14,700.00 | $55.81 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8,919.22 | $36.05 – $16,137.60 |
| Bakersfield Memorial Hospital | Bakersfield | $8,823.05 | $74.41 – $15,935.88 |
| Queen of The Valley Medical Center | Napa | $13,813.45 | $61.25 – $127.60 |
| Providence St Joseph Hospital Eureka | Eureka | $13,813.45 | $61.25 – $127.60 |
| St. Joseph's Medical Center Stockton | Stockton | $5,771.81 | $56.66 – $13,507.04 |
| Mercy Medical Center Merced | Merced | $6,221.72 | $59.35 – $9,528.78 |
| Dominican Hospital | Santa Cruz | $7,806.15 | $49.35 – $14,744.95 |