Rmvl icd gen w/rplc icd gen sgl lead sys at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$35,761.54
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.
$83,555.00
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.
$301.56 with Partnership Health Plan vs $82,719.45 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $301.56 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $301.56 | ↓ -99% |
| CenCal | Medicaid|< 21 | $301.74 | ↓ -99% |
| CenCal | Medicaid|> 21 | $301.74 | ↓ -99% |
| Health Net | Medicaid|< 21 | $456.23 | ↓ -99% |
| Health Net | Medicaid|> 21 | $456.23 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↓ -83% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↓ -80% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↓ -76% |
| Aetna | Commercial|HMO | $8,743.00 | ↓ -76% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↓ -76% |
| Aetna | Commercial|PPO | $8,743.00 | ↓ -76% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↓ -73% |
| Humana | Medicare|All Plans | $28,520.13 | ↓ -20% |
| Aetna | Medicare|All Plans | $28,520.13 | ↓ -20% |
| United | Medicare|All Plans | $28,520.13 | ↓ -20% |
| Kaiser | Medicare|All Plans | $28,520.13 | ↓ -20% |
| BCBS - Anthem | Medicare|All Plans | $28,520.13 | ↓ -20% |
| Alignment | Medicare|All Plans | $28,520.13 | ↓ -20% |
| Scan Health Plan | Medicare|All Plans | $28,520.13 | ↓ -20% |
| Health Net | Commercial|Care Product | $35,173.00 | ↓ -2% |
| Health Net | Commercial|FFS | $39,829.00 | ↑ +11% |
| Western Growers | Commercial|All Plans | $41,777.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $52,639.65 | ↑ +47% |
| First Health | Commercial|All Plans | $70,186.20 | ↑ +96% |
| United | Commercial|Non-Options PPO | $73,528.40 | ↑ +106% |
| United | Commercial|All Other Plans | $74,363.95 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $76,870.60 | ↑ +115% |
| United | Commercial|Options PPO | $77,706.15 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $81,883.90 | ↑ +129% |
| United | Commercial|HMO | $82,719.45 | ↑ +131% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29,632.89 | $456.23 – $57,040.26 |
| French Hospital | San Luis Obispo | $33,117.34 | $301.56 – $82,793.34 |
| Bakersfield Memorial Hospital | Bakersfield | $27,680.61 | $301.56 – $59,584.96 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $6,200.00 – $113,226.00 |
| Providence St Joseph Hospital Eureka | Eureka | $33,080.64 | $7,809.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,120.99 | $301.56 – $51,774.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $34,027.71 | $2,995.00 – $30,951.14 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,906.72 | $5,357.00 – $52,926.57 |