Pr incision & drainage abscess complicated/multiple at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$323.57
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.
$756.00
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.
$108.67 with Partnership Health Plan vs $7,160.00 with BCBS - Anthem — 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 | $108.67 | ↓ -66% |
| Partnership Health Plan | Medicaid|< 21 | $108.67 | ↓ -66% |
| CenCal | Medicaid|> 21 | $108.67 | ↓ -66% |
| CenCal | Medicaid|< 21 | $108.67 | ↓ -66% |
| Health Net | Medicaid|< 21 | $164.40 | ↓ -49% |
| Health Net | Medicaid|> 21 | $164.40 | ↓ -49% |
| Western Growers | Commercial|All Plans | $378.00 | ↑ +17% |
| MHS Hospice | Commercial|All Plans | $389.79 | ↑ +20% |
| Kaiser | Commercial|All Plans | $476.28 | ↑ +47% |
| Humana | Medicare|All Plans | $507.64 | ↑ +57% |
| United | Medicare|All Plans | $507.64 | ↑ +57% |
| Aetna | Medicare|All Plans | $507.64 | ↑ +57% |
| Kaiser | Medicare|All Plans | $507.64 | ↑ +57% |
| BCBS - Anthem | Medicare|All Plans | $507.64 | ↑ +57% |
| Alignment | Medicare|All Plans | $507.64 | ↑ +57% |
| Scan Health Plan | Medicare|All Plans | $507.64 | ↑ +57% |
| First Health | Commercial|All Plans | $635.04 | ↑ +96% |
| United | Commercial|Non-Options PPO | $665.28 | ↑ +106% |
| United | Commercial|All Other Plans | $672.84 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $695.52 | ↑ +115% |
| United | Commercial|Options PPO | $703.08 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $740.88 | ↑ +129% |
| United | Commercial|HMO | $748.44 | ↑ +131% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +1084% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +1241% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +1286% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +1551% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1665% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1665% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1665% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +1913% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +2113% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $216.63 | $140.94 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $547.82 – $1,921.00 |
| Mark Twain Medical Center | San Andreas | $333.00 | $108.67 – $466.48 |
| French Hospital | San Luis Obispo | $305.37 | $108.67 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $463.38 | $108.67 – $999.20 |
| Bakersfield Memorial Hospital | Bakersfield | $458.39 | $108.67 – $986.71 |
| Queen of The Valley Medical Center | Napa | $2,060.91 | $577.20 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $578.34 | $522.85 – $8,018.00 |