Reptilase test at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$10.69
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.
$24.97
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.
$9.85 with United vs $25.37 with Cigna — 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 |
|---|---|---|---|
| United | Medicare|All Plans | $9.85 | ↓ -8% |
| Humana | Medicare|All Plans | $9.85 | ↓ -8% |
| Scan Health Plan | Medicare|All Plans | $9.85 | ↓ -8% |
| MHS Hospice | Commercial|All Plans | $9.85 | ↓ -8% |
| BCBS - Anthem | Medicare|All Plans | $9.85 | ↓ -8% |
| Kaiser | Medicare|All Plans | $9.85 | ↓ -8% |
| Aetna | Medicare|All Plans | $9.85 | ↓ -8% |
| Alignment | Medicare|All Plans | $9.85 | ↓ -8% |
| CenCal | Medicaid|> 21 | $11.30 | ↑ +6% |
| CenCal | Medicaid|< 21 | $11.30 | ↑ +6% |
| Western Growers | Commercial|All Plans | $11.77 | ↑ +10% |
| United | Commercial|Non-Options PPO | $11.82 | ↑ +11% |
| United | Commercial|HMO | $11.82 | ↑ +11% |
| United | Commercial|All Other Plans | $11.82 | ↑ +11% |
| United | Commercial|Options PPO | $11.82 | ↑ +11% |
| Partnership Health Plan | Medicaid|< 21 | $12.55 | ↑ +17% |
| Partnership Health Plan | Medicaid|> 21 | $12.55 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $14.84 | ↑ +39% |
| Kaiser | Commercial|All Plans | $14.84 | ↑ +39% |
| Health Net | Medicaid|> 21 | $18.99 | ↑ +78% |
| Health Net | Medicaid|< 21 | $18.99 | ↑ +78% |
| First Health | Commercial|All Plans | $19.78 | ↑ +85% |
| Blue Shield CA | Commercial|FFS | $20.72 | ↑ +94% |
| Healthsmart | Commercial|All Plans | $21.66 | ↑ +103% |
| BCBS - Anthem | Commercial|Non-MCS | $22.84 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $23.07 | ↑ +116% |
| Aetna | Commercial|PPO | $23.54 | ↑ +120% |
| Aetna | Commercial|All Other Plans | $23.54 | ↑ +120% |
| BCBS - Anthem | Commercial|MCS | $23.54 | ↑ +120% |
| Aetna | Commercial|HMO | $23.54 | ↑ +120% |
| Cigna | Commercial|PPO | $25.37 | ↑ +137% |
| Cigna | Commercial|All Other Plans | $25.37 | ↑ +137% |
Visitor-reported prices
Comments
Reptilase test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $23.84 | $1.97 – $38.80 |
| French Hospital | San Luis Obispo | $9.79 | $6.36 – $29.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9.27 | $9.85 – $28.29 |
| Bakersfield Memorial Hospital | Bakersfield | $9.17 | $9.85 – $28.29 |
| St. Joseph's Behavioral Health Center | Stockton | $14.26 | $2.36 – $18.84 |
| St. Joseph's Medical Center Stockton | Stockton | $7.35 | $4.95 – $23.54 |
| Mercy Medical Center Merced | Merced | $12.86 | $6.83 – $22.13 |
| Northridge Hospital Medical Center | Northridge | $80.64 | $3.30 – $23.54 |