Remove spine infusion device at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$5,800.69
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.
$13,553.00
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.
$248.22 with Partnership Health Plan vs $13,417.47 with United — 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 | $248.22 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $248.22 | ↓ -96% |
| Health Net | Medicaid|< 21 | $305.31 | ↓ -95% |
| Health Net | Medicaid|> 21 | $305.31 | ↓ -95% |
| CenCal | Medicaid|< 21 | $391.28 | ↓ -93% |
| CenCal | Medicaid|> 21 | $391.28 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +4% |
| MHS Hospice | Commercial|All Plans | $6,720.77 | ↑ +16% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +18% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +18% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +18% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +25% |
| Western Growers | Commercial|All Plans | $7,454.15 | ↑ +29% |
| Humana | Medicare|All Plans | $8,137.01 | ↑ +40% |
| Kaiser | Medicare|All Plans | $8,137.01 | ↑ +40% |
| BCBS - Anthem | Medicare|All Plans | $8,137.01 | ↑ +40% |
| Alignment | Medicare|All Plans | $8,137.01 | ↑ +40% |
| United | Medicare|All Plans | $8,137.01 | ↑ +40% |
| Aetna | Medicare|All Plans | $8,137.01 | ↑ +40% |
| Scan Health Plan | Medicare|All Plans | $8,137.01 | ↑ +40% |
| Kaiser | Commercial|All Plans | $8,538.39 | ↑ +47% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +67% |
| First Health | Commercial|All Plans | $11,384.52 | ↑ +96% |
| Health Net | Commercial|Care Product | $11,609.00 | ↑ +100% |
| United | Commercial|Non-Options PPO | $11,926.64 | ↑ +106% |
| United | Commercial|All Other Plans | $12,062.17 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $12,468.76 | ↑ +115% |
| United | Commercial|Options PPO | $12,604.29 | ↑ +117% |
| Health Net | Commercial|FFS | $13,146.00 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $13,281.94 | ↑ +129% |
| United | Commercial|HMO | $13,417.47 | ↑ +131% |
Visitor-reported prices
Comments
Remove spine infusion device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $5,312.78 | $248.22 – $13,281.94 |
| St. John's Camarillo Hospital | Camarillo | not published | $305.31 – $15,508.42 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $15,313.00 |
| Mark Twain Medical Center | San Andreas | not published | $248.22 – $248.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $248.22 – $8,137.01 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $248.22 – $8,137.01 |
| Queen of The Valley Medical Center | Napa | not published | $4,850.46 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $4,393.74 – $27,307.00 |