Removal/replacement ppm generator dual lead system at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$10,771.05
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.
$25,166.00
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.
$289.65 with Partnership Health Plan vs $25,564.00 with Health Net — 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 | $289.65 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $289.65 | ↓ -97% |
| CenCal | Medicaid|> 21 | $289.79 | ↓ -97% |
| CenCal | Medicaid|< 21 | $289.79 | ↓ -97% |
| Health Net | Medicaid|< 21 | $438.21 | ↓ -96% |
| Health Net | Medicaid|> 21 | $438.21 | ↓ -96% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↓ -44% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↓ -33% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↓ -19% |
| Aetna | Commercial|HMO | $8,743.00 | ↓ -19% |
| Aetna | Commercial|PPO | $8,743.00 | ↓ -19% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↓ -10% |
| Western Growers | Commercial|All Plans | $12,583.00 | ↑ +17% |
| Humana | Medicare|All Plans | $13,297.25 | ↑ +23% |
| Kaiser | Medicare|All Plans | $13,297.25 | ↑ +23% |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | ↑ +23% |
| Alignment | Medicare|All Plans | $13,297.25 | ↑ +23% |
| United | Medicare|All Plans | $13,297.25 | ↑ +23% |
| Aetna | Medicare|All Plans | $13,297.25 | ↑ +23% |
| Scan Health Plan | Medicare|All Plans | $13,297.25 | ↑ +23% |
| Kaiser | Commercial|All Plans | $15,854.58 | ↑ +47% |
| First Health | Commercial|All Plans | $21,139.44 | ↑ +96% |
| United | Commercial|Non-Options PPO | $22,146.08 | ↑ +106% |
| United | Commercial|All Other Plans | $22,397.74 | ↑ +108% |
| Health Net | Commercial|Care Product | $22,577.00 | ↑ +110% |
| Healthsmart | Commercial|All Plans | $23,152.72 | ↑ +115% |
| United | Commercial|Options PPO | $23,404.38 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $24,662.68 | ↑ +129% |
| United | Commercial|HMO | $24,914.34 | ↑ +131% |
| Health Net | Commercial|FFS | $25,564.00 | ↑ +137% |
Visitor-reported prices
Comments
Removal/replacement ppm generator dual lead system at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13,385.72 | $438.21 – $25,925.22 |
| French Hospital | San Luis Obispo | $10,062.25 | $289.65 – $25,155.62 |
| Bakersfield Memorial Hospital | Bakersfield | $10,561.53 | $289.65 – $22,734.62 |
| Queen of The Valley Medical Center | Napa | $28,650.27 | $6,200.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $7,809.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $8,005.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,697.41 | $289.65 – $24,849.72 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,399.45 | $2,995.00 – $20,488.00 |