Pmp22 gene dup/delet at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$195.86
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.
$457.60
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.
$217.50 with Western Growers vs $1,953.97 with Cigna — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $217.50 | ↑ +11% |
| Kaiser | Commercial|All Plans | $274.05 | ↑ +40% |
| First Health | Commercial|All Plans | $365.40 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $400.20 | ↑ +104% |
| BCBS - Anthem | Commercial|Non-MCS | $421.95 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $426.30 | ↑ +118% |
| United | Medicare|All Plans | $435.00 | ↑ +122% |
| United | Commercial|Options PPO | $435.00 | ↑ +122% |
| Humana | Medicare|All Plans | $435.00 | ↑ +122% |
| United | Commercial|Non-Options PPO | $435.00 | ↑ +122% |
| Aetna | Commercial|All Other Plans | $435.00 | ↑ +122% |
| Aetna | Commercial|PPO | $435.00 | ↑ +122% |
| Aetna | Medicare|All Plans | $435.00 | ↑ +122% |
| Aetna | Commercial|HMO | $435.00 | ↑ +122% |
| United | Commercial|All Other Plans | $435.00 | ↑ +122% |
| Alignment | Medicare|All Plans | $435.00 | ↑ +122% |
| MHS Hospice | Commercial|All Plans | $435.00 | ↑ +122% |
| Scan Health Plan | Medicare|All Plans | $435.00 | ↑ +122% |
| Kaiser | Medicare|All Plans | $435.00 | ↑ +122% |
| BCBS - Anthem | Medicare|All Plans | $435.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $435.00 | ↑ +122% |
| United | Commercial|HMO | $910.03 | ↑ +365% |
| Cigna | Commercial|PPO | $1,953.97 | ↑ +898% |
| Cigna | Commercial|All Other Plans | $1,953.97 | ↑ +898% |
Visitor-reported prices
Comments
Pmp22 gene dup/delet at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $304.77 | $247.70 – $457.60 |
| French Hospital | San Luis Obispo | $179.38 | $117.45 – $2,297.05 |
| Mercy Hospitals – Bakersfield | Bakersfield | $169.77 | $228.80 – $2,179.24 |
| Bakersfield Memorial Hospital | Bakersfield | $167.94 | $228.80 – $2,179.24 |
| St. Joseph's Behavioral Health Center | Stockton | $261.29 | $45.76 – $366.08 |
| St. Joseph's Medical Center Stockton | Stockton | $134.54 | $96.10 – $457.60 |
| Mercy Medical Center Merced | Merced | $235.67 | $274.56 – $457.60 |
| Sequoia Hospital | Redwood City | $343.07 | $405.28 – $2,640.13 |