Rectal sensation test at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$508.04
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.
$1,187.00
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.
$168.78 with MHS Hospice vs $14,472.00 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 |
|---|---|---|---|
| MHS Hospice | Commercial|All Plans | $168.78 | ↓ -67% |
| Humana | Medicare|All Plans | $395.66 | ↓ -22% |
| Scan Health Plan | Medicare|All Plans | $395.66 | ↓ -22% |
| Alignment | Medicare|All Plans | $395.66 | ↓ -22% |
| Aetna | Medicare|All Plans | $395.66 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $395.66 | ↓ -22% |
| United | Medicare|All Plans | $395.66 | ↓ -22% |
| Kaiser | Medicare|All Plans | $395.66 | ↓ -22% |
| Western Growers | Commercial|All Plans | $652.85 | ↑ +29% |
| Kaiser | Commercial|All Plans | $747.81 | ↑ +47% |
| First Health | Commercial|All Plans | $997.08 | ↑ +96% |
| United | Commercial|Non-Options PPO | $1,044.56 | ↑ +106% |
| United | Commercial|All Other Plans | $1,056.43 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $1,092.04 | ↑ +115% |
| United | Commercial|Options PPO | $1,103.91 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $1,151.39 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $1,163.26 | ↑ +129% |
| United | Commercial|HMO | $1,175.13 | ↑ +131% |
| BCBS - Anthem | Commercial|MCS | $1,187.00 | ↑ +134% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +654% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +754% |
| Aetna | Commercial|PPO | $14,472.00 | ↑ +2749% |
| Aetna | Commercial|All Other Plans | $14,472.00 | ↑ +2749% |
| Aetna | Commercial|HMO | $14,472.00 | ↑ +2749% |
Visitor-reported prices
Comments
Rectal sensation test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| California Hospital Medical Center | Los Angeles | $234.26 | $120.75 – $440.77 |
| Glendale Memorial Hospital Health Center | Glendale | $148.99 | $114.25 – $494.57 |
| Petaluma Valley Hospital | Petaluma | not published | $1,333.00 – $3,338.80 |
| Queen of The Valley Medical Center | Napa | not published | $1,333.00 – $4,219.42 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1,333.00 – $4,784.85 |
| Healdsburg Hospital | Healdsburg | not published | $1,908.74 – $1,908.74 |
| Redwood Memorial Hospital | Fortuna | not published | $1,333.00 – $4,796.02 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $1,333.00 – $3,589.71 |