Repair pm/icd lead sgl at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$7,445.92
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.
$17,397.00
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.
$241.81 with Partnership Health Plan vs $26,177.00 with Blue Shield CA — 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 | $241.81 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $241.81 | ↓ -97% |
| Health Net | Medicaid|< 21 | $297.43 | ↓ -96% |
| Health Net | Medicaid|> 21 | $297.43 | ↓ -96% |
| CenCal | Medicaid|< 21 | $381.18 | ↓ -95% |
| CenCal | Medicaid|> 21 | $381.18 | ↓ -95% |
| MHS Hospice | Commercial|All Plans | $3,640.37 | ↓ -51% |
| Humana | Medicare|All Plans | $4,624.09 | ↓ -38% |
| Aetna | Medicare|All Plans | $4,624.09 | ↓ -38% |
| United | Medicare|All Plans | $4,624.09 | ↓ -38% |
| Kaiser | Medicare|All Plans | $4,624.09 | ↓ -38% |
| BCBS - Anthem | Medicare|All Plans | $4,624.09 | ↓ -38% |
| Alignment | Medicare|All Plans | $4,624.09 | ↓ -38% |
| Scan Health Plan | Medicare|All Plans | $4,624.09 | ↓ -38% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↓ -3% |
| Western Growers | Commercial|All Plans | $8,698.50 | ↑ +17% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $9,997.00 | ↑ +34% |
| Aetna | Commercial|PPO | $9,997.00 | ↑ +34% |
| Aetna | Commercial|HMO | $9,997.00 | ↑ +34% |
| Kaiser | Commercial|All Plans | $10,960.11 | ↑ +47% |
| Health Net | Commercial|Care Product | $11,609.00 | ↑ +56% |
| Health Net | Commercial|FFS | $13,146.00 | ↑ +77% |
| First Health | Commercial|All Plans | $14,613.48 | ↑ +96% |
| United | Commercial|Non-Options PPO | $15,309.36 | ↑ +106% |
| United | Commercial|All Other Plans | $15,483.33 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $16,005.24 | ↑ +115% |
| United | Commercial|Options PPO | $16,179.21 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $17,049.06 | ↑ +129% |
| United | Commercial|HMO | $17,223.03 | ↑ +131% |
| Blue Shield CA | Commercial|Exchange | $18,024.00 | ↑ +142% |
| Blue Shield CA | Commercial|FFS | $26,177.00 | ↑ +252% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,096.27 | $297.43 – $8,410.84 |
| French Hospital | San Luis Obispo | $6,415.87 | $241.81 – $16,039.66 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $241.81 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $7,975.38 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,647.34 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,869.84 | $241.81 – $5,342.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,202.00 | $4,042.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,988.48 | $4,085.40 – $20,774.00 |