Pr tube thoracostomy w/connection to drainage open at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,121.79
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.
$2,621.00
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.
$150.81 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 | $150.81 | ↓ -87% |
| Partnership Health Plan | Medicaid|< 21 | $150.81 | ↓ -87% |
| CenCal | Medicaid|> 21 | $165.73 | ↓ -85% |
| CenCal | Medicaid|< 21 | $165.73 | ↓ -85% |
| Health Net | Medicaid|< 21 | $185.50 | ↓ -83% |
| Health Net | Medicaid|> 21 | $185.50 | ↓ -83% |
| Western Growers | Commercial|All Plans | $1,194.05 | ↑ +6% |
| Kaiser | Commercial|All Plans | $1,367.73 | ↑ +22% |
| First Health | Commercial|All Plans | $1,823.64 | ↑ +63% |
| United | Commercial|Non-Options PPO | $1,910.48 | ↑ +70% |
| United | Commercial|All Other Plans | $1,932.19 | ↑ +72% |
| Humana | Medicare|All Plans | $1,973.80 | ↑ +76% |
| United | Medicare|All Plans | $1,973.80 | ↑ +76% |
| Aetna | Medicare|All Plans | $1,973.80 | ↑ +76% |
| Kaiser | Medicare|All Plans | $1,973.80 | ↑ +76% |
| BCBS - Anthem | Medicare|All Plans | $1,973.80 | ↑ +76% |
| Alignment | Medicare|All Plans | $1,973.80 | ↑ +76% |
| Scan Health Plan | Medicare|All Plans | $1,973.80 | ↑ +76% |
| Healthsmart | Commercial|All Plans | $1,997.32 | ↑ +78% |
| United | Commercial|Options PPO | $2,019.03 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $2,127.58 | ↑ +90% |
| United | Commercial|HMO | $2,149.29 | ↑ +92% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +300% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +376% |
| Health Net | Commercial|Care Product | $5,970.00 | ↑ +432% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +481% |
| Health Net | Commercial|FFS | $6,759.00 | ↑ +503% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +511% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +511% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +511% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +538% |
Visitor-reported prices
Comments
Pr tube thoracostomy w/connection to drainage open at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $607.95 | $185.50 – $2,776.00 |
| Petaluma Valley Hospital | Petaluma | $2,519.91 | $1,921.00 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $305.03 | $118.49 – $448.84 |
| French Hospital | San Luis Obispo | $851.04 | $150.81 – $1,794.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,669.13 | $150.81 – $3,599.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,651.14 | $150.81 – $3,554.21 |
| Queen of The Valley Medical Center | Napa | $4,136.61 | $2,235.08 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,917.02 | $2,024.63 – $8,018.00 |