Special physics consult at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$312.87
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.
$731.00
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.
$136.54 with CenCal vs $11,311.00 with Cigna — 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 | $136.54 | ↓ -56% |
| CenCal | Medicaid|< 21 | $136.54 | ↓ -56% |
| Partnership Health Plan | Medicaid|< 21 | $136.54 | ↓ -56% |
| Partnership Health Plan | Medicaid|> 21 | $136.54 | ↓ -56% |
| MHS Hospice | Commercial|All Plans | $154.43 | ↓ -51% |
| Alignment | Medicare|All Plans | $168.70 | ↓ -46% |
| Kaiser | Medicare|All Plans | $168.70 | ↓ -46% |
| BCBS - Anthem | Medicare|All Plans | $168.70 | ↓ -46% |
| Humana | Medicare|All Plans | $168.70 | ↓ -46% |
| Scan Health Plan | Medicare|All Plans | $168.70 | ↓ -46% |
| Aetna | Medicare|All Plans | $168.70 | ↓ -46% |
| United | Medicare|All Plans | $168.70 | ↓ -46% |
| Health Net | Medicaid|< 21 | $206.57 | ↓ -34% |
| Health Net | Medicaid|> 21 | $206.57 | ↓ -34% |
| Western Growers | Commercial|All Plans | $365.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $460.53 | ↑ +47% |
| First Health | Commercial|All Plans | $614.04 | ↑ +96% |
| United | Commercial|Non-Options PPO | $643.28 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $672.52 | ↑ +115% |
| United | Commercial|Options PPO | $679.83 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $709.07 | ↑ +127% |
| Aetna | Commercial|HMO | $711.03 | ↑ +127% |
| Aetna | Commercial|All Other Plans | $711.03 | ↑ +127% |
| Aetna | Commercial|PPO | $711.03 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $716.38 | ↑ +129% |
| United | Commercial|HMO | $731.00 | ↑ +134% |
| BCBS - Anthem | Commercial|MCS | $731.00 | ↑ +134% |
| United | Commercial|All Other Plans | $731.00 | ↑ +134% |
| Cigna | Commercial|All Other Plans | $11,311.00 | ↑ +3515% |
| Cigna | Commercial|PPO | $11,311.00 | ↑ +3515% |
Visitor-reported prices
Comments
Special physics consult at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $724.46 | $168.70 – $1,438.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $146.18 | $136.54 – $19,249.00 |
| Queen of The Valley Medical Center | Napa | $683.91 | $190.84 – $934.20 |
| Providence St Joseph Hospital Eureka | Eureka | $1,208.19 | $172.87 – $1,059.39 |
| St. Joseph's Medical Center Stockton | Stockton | $427.48 | $136.54 – $1,454.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,371.39 | $187.03 – $794.78 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $844.32 | $146.94 – $319.81 |
| Mercy Medical Center Merced | Merced | $565.99 | $136.54 – $1,099.00 |