Replace aortic valve w/byp prq aprch 33367 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$25,533.20
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.
$59,657.00
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.
$496.28 with CenCal vs $59,060.43 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $496.28 | ↓ -98% |
| Partnership Health Plan | Medicaid|> 21 | $496.28 | ↓ -98% |
| CenCal | Medicaid|< 21 | $496.28 | ↓ -98% |
| Partnership Health Plan | Medicaid|< 21 | $496.28 | ↓ -98% |
| Health Net | Medicaid|> 21 | $750.82 | ↓ -97% |
| Health Net | Medicaid|< 21 | $750.82 | ↓ -97% |
| BCBS - Anthem | Commercial|Non-MCS | $12,414.00 | ↓ -51% |
| Aetna | Commercial|HMO | $14,472.00 | ↓ -43% |
| Aetna | Commercial|PPO | $14,472.00 | ↓ -43% |
| Aetna | Commercial|All Other Plans | $14,472.00 | ↓ -43% |
| BCBS - Anthem | Commercial|MCS | $16,635.00 | ↓ -35% |
| Blue Shield CA | Commercial|Exchange | $18,024.00 | ↓ -29% |
| Blue Shield CA | Commercial|FFS | $26,177.00 | ↑ +3% |
| Western Growers | Commercial|All Plans | $29,828.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $37,583.91 | ↑ +47% |
| First Health | Commercial|All Plans | $50,111.88 | ↑ +96% |
| United | Commercial|Non-Options PPO | $52,498.16 | ↑ +106% |
| United | Commercial|All Other Plans | $53,094.73 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $54,884.44 | ↑ +115% |
| United | Commercial|Options PPO | $55,481.01 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $58,463.86 | ↑ +129% |
| United | Commercial|HMO | $59,060.43 | ↑ +131% |
Visitor-reported prices
Comments
Replace aortic valve w/byp prq aprch 33367 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $23,385.94 | $496.28 – $58,464.84 |
| Bakersfield Memorial Hospital | Bakersfield | $26,687.14 | $496.28 – $71,989.83 |
| St. Joseph's Medical Center Stockton | Stockton | $1,125.44 | $496.28 – $3,215.52 |
| Mercy Medical Center Merced | Merced | $36,460.46 | $496.28 – $70,089.03 |
| Dominican Hospital | Santa Cruz | $1,929.15 | $496.28 – $3,858.30 |
| Northridge Hospital Medical Center | Northridge | $7,279.95 | $496.28 – $26,093.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,807.70 | $1,807.00 – $7,764.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $4,199.65 | $1,821.00 – $9,648.00 |