Radphm lcl tumor plr sgl day at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,537.38
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.
$3,592.00
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.
$127.83 with Partnership Health Plan vs $3,377.08 with MultiPlan — 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 | $127.83 | ↓ -92% |
| Partnership Health Plan | Medicaid|< 21 | $127.83 | ↓ -92% |
| CenCal | Medicaid|< 21 | $127.83 | ↓ -92% |
| CenCal | Medicaid|> 21 | $127.83 | ↓ -92% |
| Health Net | Medicaid|< 21 | $193.39 | ↓ -87% |
| Health Net | Medicaid|> 21 | $193.39 | ↓ -87% |
| MHS Hospice | Commercial|All Plans | $449.10 | ↓ -71% |
| BCBS - Anthem | Medicare|All Plans | $510.57 | ↓ -67% |
| Humana | Medicare|All Plans | $510.57 | ↓ -67% |
| United | Medicare|All Plans | $510.57 | ↓ -67% |
| Scan Health Plan | Medicare|All Plans | $510.57 | ↓ -67% |
| Alignment | Medicare|All Plans | $510.57 | ↓ -67% |
| Kaiser | Medicare|All Plans | $510.57 | ↓ -67% |
| Aetna | Medicare|All Plans | $510.57 | ↓ -67% |
| United | Commercial|Options PPO | $848.52 | ↓ -45% |
| United | Commercial|All Other Plans | $848.52 | ↓ -45% |
| United | Commercial|HMO | $848.52 | ↓ -45% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -45% |
| Aetna | Commercial|HMO | $945.36 | ↓ -39% |
| Aetna | Commercial|PPO | $945.36 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $945.36 | ↓ -39% |
| BCBS - Anthem | Commercial|Non-MCS | $1,382.71 | ↓ -10% |
| Western Growers | Commercial|All Plans | $1,723.00 | ↑ +12% |
| Cigna | Commercial|All Other Plans | $1,772.15 | ↑ +15% |
| Cigna | Commercial|PPO | $1,772.15 | ↑ +15% |
| BCBS - Anthem | Commercial|MCS | $1,853.15 | ↑ +21% |
| Kaiser | Commercial|All Plans | $2,170.98 | ↑ +41% |
| First Health | Commercial|All Plans | $2,894.64 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $3,170.32 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $3,377.08 | ↑ +120% |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $419.17 | $193.39 – $1,824.90 |
| Banner Lassen Medical Center | Susanville | $550.89 | $80.37 – $796.37 |
| Mark Twain Medical Center | San Andreas | $2,891.78 | $127.83 – $2,004.10 |
| French Hospital | San Luis Obispo | $1,293.21 | $127.83 – $3,088.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $487.13 | $127.83 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $481.88 | $127.83 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $428.66 | $127.83 – $729.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $866.40 | $437.05 – $951.22 |