Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$3,023.82
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.
$7,065.00
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.
$410.49 with Partnership Health Plan vs $7,044.00 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 | $410.49 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $410.49 | ↓ -86% |
| Health Net | Medicaid|< 21 | $504.90 | ↓ -83% |
| Health Net | Medicaid|> 21 | $504.90 | ↓ -83% |
| CenCal | Medicaid|< 21 | $650.77 | ↓ -78% |
| CenCal | Medicaid|> 21 | $650.77 | ↓ -78% |
| MHS Hospice | Commercial|All Plans | $1,108.88 | ↓ -63% |
| Humana | Medicare|All Plans | $1,292.70 | ↓ -57% |
| Aetna | Medicare|All Plans | $1,292.70 | ↓ -57% |
| United | Medicare|All Plans | $1,292.70 | ↓ -57% |
| Kaiser | Medicare|All Plans | $1,292.70 | ↓ -57% |
| BCBS - Anthem | Medicare|All Plans | $1,292.70 | ↓ -57% |
| Alignment | Medicare|All Plans | $1,292.70 | ↓ -57% |
| Scan Health Plan | Medicare|All Plans | $1,292.70 | ↓ -57% |
| BCBS - Anthem | Commercial|Non-MCS | $3,119.45 | ↑ +3% |
| Western Growers | Commercial|All Plans | $3,532.50 | ↑ +17% |
| BCBS - Anthem | Commercial|MCS | $4,180.77 | ↑ +38% |
| Kaiser | Commercial|All Plans | $4,450.95 | ↑ +47% |
| Aetna | Commercial|PPO | $4,481.69 | ↑ +48% |
| Aetna | Commercial|All Other Plans | $4,481.69 | ↑ +48% |
| Aetna | Commercial|HMO | $4,481.69 | ↑ +48% |
| First Health | Commercial|All Plans | $5,934.60 | ↑ +96% |
| United | Commercial|Non-Options PPO | $6,217.20 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $6,499.80 | ↑ +115% |
| United | Commercial|HMO | $6,732.00 | ↑ +123% |
| United | Commercial|All Other Plans | $6,840.00 | ↑ +126% |
| MultiPlan | Commercial|All Plans | $6,923.70 | ↑ +129% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +133% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $2,966.22 | $159.08 – $590.24 |
| Providence St Joseph Hospital Eureka | Eureka | $4,185.06 | $1,104.48 – $2,490.83 |
| Redwood Memorial Hospital | Fortuna | $2,580.60 | $2,496.65 – $2,496.65 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,726.46 | $1,194.91 – $1,868.69 |
| St Jude Medical Center | Fullerton | $1,810.56 | $938.81 – $2,043.29 |
| Providence St Joseph Hospital Orange | Orange | $3,453.12 | $938.81 – $2,043.29 |
| Petaluma Valley Hospital | Petaluma | not published | $1,157.25 – $1,738.07 |
| Queen of The Valley Medical Center | Napa | not published | $1,219.29 – $2,196.49 |