Revasc lithotrip tibi/perone at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$16,134.75
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.
$37,698.00
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.
$8,484.00 with Blue Shield CA vs $37,321.02 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|Exchange | $8,484.00 | ↓ -47% |
| Aetna | Commercial|HMO | $9,997.00 | ↓ -38% |
| Aetna | Commercial|PPO | $9,997.00 | ↓ -38% |
| Aetna | Commercial|All Other Plans | $9,997.00 | ↓ -38% |
| Blue Shield CA | Commercial|FFS | $12,322.00 | ↓ -24% |
| BCBS - Anthem | Commercial|Non-MCS | $12,414.00 | ↓ -23% |
| BCBS - Anthem | Medicare|All Plans | $14,409.33 | ↓ -11% |
| Humana | Medicare|All Plans | $14,409.33 | ↓ -11% |
| Scan Health Plan | Medicare|All Plans | $14,409.33 | ↓ -11% |
| Aetna | Medicare|All Plans | $14,409.33 | ↓ -11% |
| United | Medicare|All Plans | $14,409.33 | ↓ -11% |
| Alignment | Medicare|All Plans | $14,409.33 | ↓ -11% |
| Kaiser | Medicare|All Plans | $14,409.33 | ↓ -11% |
| BCBS - Anthem | Commercial|MCS | $16,635.00 | ↑ +3% |
| Western Growers | Commercial|All Plans | $18,849.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $23,749.74 | ↑ +47% |
| First Health | Commercial|All Plans | $31,666.32 | ↑ +96% |
| United | Commercial|Non-Options PPO | $33,174.24 | ↑ +106% |
| United | Commercial|All Other Plans | $33,551.22 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $34,682.16 | ↑ +115% |
| United | Commercial|Options PPO | $35,059.14 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $36,944.04 | ↑ +129% |
| United | Commercial|HMO | $37,321.02 | ↑ +131% |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,787.60 | $5,417.01 – $26,644.42 |
| French Hospital | San Luis Obispo | $14,777.62 | $10,178.46 – $36,944.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16,795.55 | $12,223.17 – $36,216.80 |
| Bakersfield Memorial Hospital | Bakersfield | $11,610.78 | $14,409.33 – $24,993.23 |
| Queen of The Valley Medical Center | Napa | $15,017.46 | $9,256.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $15,116.91 | $11,036.00 – $31,625.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,284.10 | $8,224.86 – $32,899.44 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,931.27 | $4,233.00 – $20,488.00 |