Perq nl/pl lithotrp cplx>2cm at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$8,562.14
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.
$20,005.00
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.
$725.85 with Partnership Health Plan vs $20,480.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $725.85 | ↓ -92% |
| Partnership Health Plan | Medicaid|< 21 | $725.85 | ↓ -92% |
| Health Net | Medicaid|> 21 | $892.80 | ↓ -90% |
| Health Net | Medicaid|< 21 | $892.80 | ↓ -90% |
| CenCal | Medicaid|> 21 | $1,144.19 | ↓ -87% |
| CenCal | Medicaid|< 21 | $1,144.19 | ↓ -87% |
| BCBS - Anthem | Commercial|Non-MCS | $9,303.00 | ↑ +9% |
| Western Growers | Commercial|All Plans | $11,002.75 | ↑ +29% |
| Humana | Medicare|All Plans | $11,749.43 | ↑ +37% |
| United | Medicare|All Plans | $11,749.43 | ↑ +37% |
| Kaiser | Medicare|All Plans | $11,749.43 | ↑ +37% |
| BCBS - Anthem | Medicare|All Plans | $11,749.43 | ↑ +37% |
| Aetna | Medicare|All Plans | $11,749.43 | ↑ +37% |
| Alignment | Medicare|All Plans | $11,749.43 | ↑ +37% |
| Scan Health Plan | Medicare|All Plans | $11,749.43 | ↑ +37% |
| Aetna | Commercial|HMO | $11,868.00 | ↑ +39% |
| Aetna | Commercial|All Other Plans | $11,868.00 | ↑ +39% |
| Aetna | Commercial|PPO | $11,868.00 | ↑ +39% |
| BCBS - Anthem | Commercial|MCS | $12,466.00 | ↑ +46% |
| Kaiser | Commercial|All Plans | $12,603.15 | ↑ +47% |
| Blue Shield CA | Commercial|Exchange | $13,393.00 | ↑ +56% |
| First Health | Commercial|All Plans | $16,804.20 | ↑ +96% |
| United | Commercial|Non-Options PPO | $17,604.40 | ↑ +106% |
| United | Commercial|All Other Plans | $17,804.45 | ↑ +108% |
| Health Net | Commercial|Care Product | $18,087.00 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $18,404.60 | ↑ +115% |
| United | Commercial|Options PPO | $18,604.65 | ↑ +117% |
| Blue Shield CA | Commercial|FFS | $19,451.00 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $19,604.90 | ↑ +129% |
| United | Commercial|HMO | $19,804.95 | ↑ +131% |
| Health Net | Commercial|FFS | $20,480.00 | ↑ +139% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,698.43 | $892.80 – $21,454.00 |
| Mark Twain Medical Center | San Andreas | $2,317.02 | $725.85 – $3,409.42 |
| French Hospital | San Luis Obispo | $10,729.83 | $725.85 – $25,547.62 |
| Dominican Hospital | Santa Cruz | $7,845.75 | $725.85 – $39,764.43 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $725.85 – $13,088.87 |
| Mercy San Juan Medical Center | Carmichael | $8,589.08 | $725.85 – $26,018.01 |
| Mercy General Hospital | Sacramento | $6,833.65 | $725.85 – $25,077.60 |
| Mercy Hospital of Folsom | Folsom | $12,193.99 | $725.85 – $25,704.54 |