Sevelamer carbonate 800 mg tablet at Arroyo Grande Hospital

1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$20.12

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$47.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$21.15 with Cigna vs $47.00 with BCBS - Anthem — 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 →

Payer
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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
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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
Cigna Commercial|All Other Plans $21.15 ↑ +5%
Cigna Commercial|PPO $21.15 ↑ +5%
Western Growers Commercial|All Plans $23.50 ↑ +17%
Kaiser Commercial|All Plans $29.61 ↑ +47%
First Health Commercial|All Plans $39.48 ↑ +96%
United Commercial|Non-Options PPO $41.36 ↑ +106%
United Commercial|All Other Plans $41.83 ↑ +108%
Healthsmart Commercial|All Plans $43.24 ↑ +115%
United Commercial|Options PPO $43.71 ↑ +117%
BCBS - Anthem Commercial|Non-MCS $44.65 ↑ +122%
MultiPlan Commercial|All Plans $46.06 ↑ +129%
United Commercial|HMO $46.53 ↑ +131%
BCBS - Anthem Commercial|MCS $47.00 ↑ +134%

Visitor-reported prices

visitor-reported
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Sevelamer carbonate 800 mg tablet at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $6.57 $4.05 – $11.70
French Hospital San Luis Obispo $18.43 $12.69 – $46.06
Mercy Hospitals – Bakersfield Bakersfield $13.36 $1.60 – $4.00
Bakersfield Memorial Hospital Bakersfield $13.22 $1.00 – $4.00
St. Joseph's Behavioral Health Center Stockton $15.99 $0.80 – $6.40
St. Joseph's Medical Center Stockton Stockton $8.53 $2.08 – $8.00
Mercy Medical Center Merced Merced $18.03 $1.00 – $3.96
Dominican Hospital Santa Cruz $17.10 $11.02 – $34.58

All California hospitals for this procedure →