Remove ureter stent percut at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$2,478.12
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.
?
What you pay up front if you don't use insurance.
$5,790.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,511.94 with Partnership Health Plan vs $9,715.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,511.94 | ↓ -39% |
| Partnership Health Plan | Medicaid|> 21 | $1,511.94 | ↓ -39% |
| CenCal | Medicaid|< 21 | $1,661.56 | ↓ -33% |
| CenCal | Medicaid|> 21 | $1,661.56 | ↓ -33% |
| Health Net | Medicaid|< 21 | $1,859.69 | ↓ -25% |
| Health Net | Medicaid|> 21 | $1,859.69 | ↓ -25% |
| MHS Hospice | Commercial|All Plans | $2,161.22 | ↓ -13% |
| Humana | Medicare|All Plans | $2,602.84 | ↑ +5% |
| Aetna | Medicare|All Plans | $2,602.84 | ↑ +5% |
| United | Medicare|All Plans | $2,602.84 | ↑ +5% |
| Kaiser | Medicare|All Plans | $2,602.84 | ↑ +5% |
| BCBS - Anthem | Medicare|All Plans | $2,602.84 | ↑ +5% |
| Alignment | Medicare|All Plans | $2,602.84 | ↑ +5% |
| Scan Health Plan | Medicare|All Plans | $2,602.84 | ↑ +5% |
| Western Growers | Commercial|All Plans | $3,184.50 | ↑ +29% |
| Kaiser | Commercial|All Plans | $3,647.70 | ↑ +47% |
| First Health | Commercial|All Plans | $4,863.60 | ↑ +96% |
| United | Commercial|Non-Options PPO | $5,095.20 | ↑ +106% |
| United | Commercial|All Other Plans | $5,153.10 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $5,326.80 | ↑ +115% |
| United | Commercial|Options PPO | $5,384.70 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $5,674.20 | ↑ +129% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +130% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +130% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +130% |
| United | Commercial|HMO | $5,732.10 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +142% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +193% |
| Health Net | Commercial|Care Product | $7,451.00 | ↑ +201% |
| Health Net | Commercial|FFS | $8,439.00 | ↑ +241% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +252% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +292% |
Visitor-reported prices
Comments
Remove ureter stent percut at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,044.15 | $1,260.09 – $4,655.74 |
| French Hospital | San Luis Obispo | $2,199.12 | $1,511.94 – $5,497.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,138.08 | $1,511.94 – $4,610.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,080.60 | $1,511.94 – $4,420.05 |
| St. Joseph's Medical Center Stockton | Stockton | $2,558.10 | $887.04 – $4,104.05 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,026.16 | $2,908.69 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,236.48 | $2,285.30 – $6,920.00 |
| Mercy Medical Center Merced | Merced | $3,010.69 | $1,259.00 – $2,518.00 |