Perq plmt bile duct stent at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$8,812.95
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.
$20,591.00
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.
$4,746.45 with Partnership Health Plan vs $19,791.09 with United — 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 | $4,746.45 | ↓ -46% |
| CenCal | Medicaid|> 21 | $4,746.45 | ↓ -46% |
| CenCal | Medicaid|< 21 | $4,746.45 | ↓ -46% |
| Partnership Health Plan | Medicaid|> 21 | $4,746.45 | ↓ -46% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↓ -39% |
| Blue Shield CA | Commercial|Exchange | $6,861.00 | ↓ -22% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↓ -19% |
| Health Net | Medicaid|> 21 | $7,180.90 | ↓ -19% |
| Health Net | Medicaid|< 21 | $7,180.90 | ↓ -19% |
| Humana | Medicare|All Plans | $7,413.14 | ↓ -16% |
| Aetna | Medicare|All Plans | $7,413.14 | ↓ -16% |
| United | Medicare|All Plans | $7,413.14 | ↓ -16% |
| Kaiser | Medicare|All Plans | $7,413.14 | ↓ -16% |
| BCBS - Anthem | Medicare|All Plans | $7,413.14 | ↓ -16% |
| Alignment | Medicare|All Plans | $7,413.14 | ↓ -16% |
| Scan Health Plan | Medicare|All Plans | $7,413.14 | ↓ -16% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↓ -1% |
| Aetna | Commercial|PPO | $8,743.00 | ↓ -1% |
| Aetna | Commercial|HMO | $8,743.00 | ↓ -1% |
| Blue Shield CA | Commercial|FFS | $9,965.00 | ↑ +13% |
| Western Growers | Commercial|All Plans | $10,995.05 | ↑ +25% |
| Health Net | Commercial|Care Product | $11,609.00 | ↑ +32% |
| Kaiser | Commercial|All Plans | $12,594.33 | ↑ +43% |
| Health Net | Commercial|FFS | $13,146.00 | ↑ +49% |
| First Health | Commercial|All Plans | $16,792.44 | ↑ +91% |
| United | Commercial|Non-Options PPO | $17,592.08 | ↑ +100% |
| United | Commercial|All Other Plans | $17,791.99 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $18,391.72 | ↑ +109% |
| United | Commercial|Options PPO | $18,591.63 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $19,591.18 | ↑ +122% |
| United | Commercial|HMO | $19,791.09 | ↑ +125% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| French Hospital | San Luis Obispo | $7,836.48 | $4,746.45 – $19,591.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,458.53 | $4,746.45 – $11,770.40 |
| St. Joseph's Medical Center Stockton | Stockton | $7,085.70 | $4,746.45 – $20,244.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,989.28 | $5,357.00 – $14,384.78 |
| Northridge Hospital Medical Center | Northridge | $3,913.82 | $3,226.44 – $21,786.21 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,364.40 | $1,747.00 – $12,111.00 |
| California Hospital Medical Center | Los Angeles | $4,683.65 | $2,414.25 – $23,732.25 |