Sinus CT scan (with and without contrast) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$4,855.24
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.
$11,344.00
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.
$222.30 with MHS Hospice vs $8,389.78 with MultiPlan — 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 |
|---|---|---|---|
| MHS Hospice | Commercial|All Plans | $222.30 | ↓ -95% |
| Kaiser | Medicare|All Plans | $226.19 | ↓ -95% |
| Aetna | Medicare|All Plans | $226.19 | ↓ -95% |
| United | Medicare|All Plans | $226.19 | ↓ -95% |
| Humana | Medicare|All Plans | $226.19 | ↓ -95% |
| Scan Health Plan | Medicare|All Plans | $226.19 | ↓ -95% |
| Alignment | Medicare|All Plans | $226.19 | ↓ -95% |
| BCBS - Anthem | Medicare|All Plans | $226.19 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $257.53 | ↓ -95% |
| Partnership Health Plan | Medicaid|< 21 | $257.53 | ↓ -95% |
| CenCal | Medicaid|< 21 | $265.26 | ↓ -95% |
| CenCal | Medicaid|> 21 | $265.26 | ↓ -95% |
| Health Net | Medicaid|> 21 | $389.61 | ↓ -92% |
| Health Net | Medicaid|< 21 | $389.61 | ↓ -92% |
| United | Commercial|Options PPO | $401.74 | ↓ -92% |
| United | Commercial|HMO | $401.74 | ↓ -92% |
| United | Commercial|Non-Options PPO | $401.74 | ↓ -92% |
| United | Commercial|All Other Plans | $401.74 | ↓ -92% |
| BCBS - Anthem | Commercial|Non-MCS | $1,642.00 | ↓ -66% |
| Cigna | Commercial|All Other Plans | $1,756.00 | ↓ -64% |
| Cigna | Commercial|PPO | $1,756.00 | ↓ -64% |
| Aetna | Commercial|HMO | $1,930.82 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $1,930.82 | ↓ -60% |
| Aetna | Commercial|PPO | $1,930.82 | ↓ -60% |
| BCBS - Anthem | Commercial|MCS | $2,200.00 | ↓ -55% |
| Western Growers | Commercial|All Plans | $4,280.50 | ↓ -12% |
| Kaiser | Commercial|All Plans | $5,393.43 | ↑ +11% |
| First Health | Commercial|All Plans | $7,191.24 | ↑ +48% |
| Healthsmart | Commercial|All Plans | $7,876.12 | ↑ +62% |
| MultiPlan | Commercial|All Plans | $8,389.78 | ↑ +73% |
Visitor-reported prices
Comments
Sinus CT scan (with and without contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,505.85 | $226.19 – $2,681.64 |
| Banner Lassen Medical Center | Susanville | $1,220.10 | $35.60 – $2,105.87 |
| Petaluma Valley Hospital | Petaluma | $4,112.64 | $236.37 – $1,639.64 |
| Mark Twain Medical Center | San Andreas | $7,260.74 | $257.53 – $1,981.56 |
| French Hospital | San Luis Obispo | $3,520.56 | $226.19 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,000.07 | $226.19 – $4,312.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,978.50 | $226.19 – $4,258.89 |
| Queen of The Valley Medical Center | Napa | $2,868.24 | $249.04 – $2,072.10 |