Prcrd drg 6+yr without anomly at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,157.55
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.
$5,041.00
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.
$208.49 with Partnership Health Plan vs $16,569.00 with Aetna — 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 | $208.49 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $208.49 | ↓ -90% |
| CenCal | Medicaid|< 21 | $208.75 | ↓ -90% |
| CenCal | Medicaid|> 21 | $208.75 | ↓ -90% |
| Health Net | Medicaid|> 21 | $315.42 | ↓ -85% |
| Health Net | Medicaid|< 21 | $315.42 | ↓ -85% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -36% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↓ -7% |
| Western Growers | Commercial|All Plans | $2,351.00 | ↑ +9% |
| Kaiser | Commercial|All Plans | $2,962.26 | ↑ +37% |
| First Health | Commercial|All Plans | $3,949.68 | ↑ +83% |
| United | Commercial|Non-Options PPO | $4,137.76 | ↑ +92% |
| United | Commercial|All Other Plans | $4,184.78 | ↑ +94% |
| Healthsmart | Commercial|All Plans | $4,325.84 | ↑ +100% |
| United | Commercial|Options PPO | $4,372.86 | ↑ +103% |
| MultiPlan | Commercial|All Plans | $4,607.96 | ↑ +114% |
| United | Commercial|HMO | $4,654.98 | ↑ +116% |
| BCBS - Anthem | Commercial|Non-MCS | $9,303.00 | ↑ +331% |
| BCBS - Anthem | Commercial|MCS | $12,466.00 | ↑ +478% |
| Aetna | Commercial|All Other Plans | $16,569.00 | ↑ +668% |
| Aetna | Commercial|PPO | $16,569.00 | ↑ +668% |
| Aetna | Commercial|HMO | $16,569.00 | ↑ +668% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $525.60 | $315.42 – $936.00 |
| Petaluma Valley Hospital | Petaluma | $1,154.64 | $593.00 – $6,619.00 |
| French Hospital | San Luis Obispo | $1,976.08 | $208.49 – $4,607.96 |
| Bakersfield Memorial Hospital | Bakersfield | $1,756.83 | $208.49 – $4,739.13 |
| Queen of The Valley Medical Center | Napa | $1,049.58 | $1,727.00 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,444.43 | $1,802.00 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $1,311.72 | $721.00 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $3,148.74 | $1,847.00 – $9,031.00 |