Perq dev breast 1st strtctc at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,063.39
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.
$4,821.00
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.
$244.60 with CenCal vs $7,160.00 with BCBS - Anthem — 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 | $244.60 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $244.60 | ↓ -88% |
| CenCal | Medicaid|> 21 | $244.60 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $244.60 | ↓ -88% |
| Health Net | Medicaid|< 21 | $370.06 | ↓ -82% |
| Health Net | Medicaid|> 21 | $370.06 | ↓ -82% |
| MHS Hospice | Commercial|All Plans | $744.19 | ↓ -64% |
| Humana | Medicare|All Plans | $893.98 | ↓ -57% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -57% |
| United | Medicare|All Plans | $893.98 | ↓ -57% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -57% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -57% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -57% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -57% |
| Western Growers | Commercial|All Plans | $1,230.35 | ↓ -40% |
| Kaiser | Commercial|All Plans | $1,409.31 | ↓ -32% |
| First Health | Commercial|All Plans | $1,879.08 | ↓ -9% |
| United | Commercial|Non-Options PPO | $1,968.56 | ↓ -5% |
| United | Commercial|All Other Plans | $1,990.93 | ↓ -4% |
| Healthsmart | Commercial|All Plans | $2,058.04 | ↓ -0% |
| United | Commercial|Options PPO | $2,080.41 | ↑ +1% |
| MultiPlan | Commercial|All Plans | $2,192.26 | ↑ +6% |
| United | Commercial|HMO | $2,214.63 | ↑ +7% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +132% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +159% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +162% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +232% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +232% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +232% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +247% |
Visitor-reported prices
Comments
Perq dev breast 1st strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,861.94 | $370.06 – $3,315.78 |
| Petaluma Valley Hospital | Petaluma | $4,794.51 | $954.29 – $2,695.00 |
| French Hospital | San Luis Obispo | $1,519.79 | $244.60 – $1,948.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $700.82 | $244.60 – $1,336.00 |
| Bakersfield Memorial Hospital | Bakersfield | $665.38 | $244.60 – $1,319.30 |
| Queen of The Valley Medical Center | Napa | $3,487.38 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $994.50 | $910.78 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $221.68 | $0.80 – $444.00 |