Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$5,105.19
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.
?
What you pay up front if you don't use insurance.
$11,928.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$181.68 with Partnership Health Plan vs $19,451.00 with Blue Shield CA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $181.68 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $181.68 | ↓ -96% |
| CenCal | Medicaid|< 21 | $181.68 | ↓ -96% |
| CenCal | Medicaid|> 21 | $181.68 | ↓ -96% |
| Health Net | Medicaid|> 21 | $274.87 | ↓ -95% |
| Health Net | Medicaid|< 21 | $274.87 | ↓ -95% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +5% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +12% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +12% |
| Western Growers | Commercial|All Plans | $6,307.95 | ↑ +24% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +40% |
| Kaiser | Commercial|All Plans | $7,225.47 | ↑ +42% |
| First Health | Commercial|All Plans | $9,633.96 | ↑ +89% |
| United | Commercial|Non-Options PPO | $10,092.72 | ↑ +98% |
| United | Commercial|All Other Plans | $10,207.41 | ↑ +100% |
| Healthsmart | Commercial|All Plans | $10,551.48 | ↑ +107% |
| United | Commercial|Options PPO | $10,666.17 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $11,239.62 | ↑ +120% |
| United | Commercial|HMO | $11,354.31 | ↑ +122% |
| Blue Shield CA | Commercial|Exchange | $13,393.00 | ↑ +162% |
| Blue Shield CA | Commercial|FFS | $19,451.00 | ↑ +281% |
Visitor-reported prices
Comments
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,937.28 | $274.87 – $3,449.94 |
| French Hospital | San Luis Obispo | $4,675.78 | $181.68 – $9,787.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,917.39 | $181.68 – $8,948.95 |
| Bakersfield Memorial Hospital | Bakersfield | $3,690.19 | $181.68 – $9,954.45 |
| St. Joseph's Medical Center Stockton | Stockton | $4,343.85 | $0.80 – $3,222.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,837.06 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,346.72 | $1,200.00 – $15,436.00 |
| Mercy Medical Center Merced | Merced | $5,041.85 | $181.68 – $9,692.10 |