Rmvl pm gen w/rplc pm gen mlt lead sys at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$11,848.33
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.
$27,683.00
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.
$301.48 with CenCal vs $31,909.00 with Health Net — 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 | $301.48 | ↓ -97% |
| CenCal | Medicaid|< 21 | $301.48 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $301.56 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $301.56 | ↓ -97% |
| Health Net | Medicaid|< 21 | $456.23 | ↓ -96% |
| Health Net | Medicaid|> 21 | $456.23 | ↓ -96% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↓ -49% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↓ -39% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↓ -26% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↓ -26% |
| Aetna | Commercial|HMO | $8,743.00 | ↓ -26% |
| Aetna | Commercial|PPO | $8,743.00 | ↓ -26% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↓ -18% |
| Western Growers | Commercial|All Plans | $13,841.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $17,440.29 | ↑ +47% |
| First Health | Commercial|All Plans | $23,253.72 | ↑ +96% |
| Humana | Medicare|All Plans | $24,231.82 | ↑ +105% |
| Kaiser | Medicare|All Plans | $24,231.82 | ↑ +105% |
| BCBS - Anthem | Medicare|All Plans | $24,231.82 | ↑ +105% |
| Alignment | Medicare|All Plans | $24,231.82 | ↑ +105% |
| United | Medicare|All Plans | $24,231.82 | ↑ +105% |
| Aetna | Medicare|All Plans | $24,231.82 | ↑ +105% |
| Scan Health Plan | Medicare|All Plans | $24,231.82 | ↑ +105% |
| United | Commercial|Non-Options PPO | $24,361.04 | ↑ +106% |
| United | Commercial|All Other Plans | $24,637.87 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $25,468.36 | ↑ +115% |
| United | Commercial|Options PPO | $25,745.19 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $27,129.34 | ↑ +129% |
| United | Commercial|HMO | $27,406.17 | ↑ +131% |
| Health Net | Commercial|Care Product | $28,179.00 | ↑ +138% |
| Health Net | Commercial|FFS | $31,909.00 | ↑ +169% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $13,385.72 | $456.23 – $46,866.74 |
| French Hospital | San Luis Obispo | $11,048.92 | $301.48 – $27,622.28 |
| Bakersfield Memorial Hospital | Bakersfield | $11,195.34 | $301.56 – $24,231.82 |
| Queen of The Valley Medical Center | Napa | $28,650.27 | $6,200.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $21,022.20 | $7,809.00 – $89,248.00 |
| Redwood Memorial Hospital | Fortuna | $33,793.62 | $8,005.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,393.68 | $301.48 – $32,553.36 |
| Santa Rosa Memorial Hospital | Santa Rosa | $27,641.49 | $2,995.00 – $26,801.96 |