Splint func pos polyflex ii med at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$52.22
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.
$122.00
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.
$20.70 with CenCal vs $88.20 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $20.70 | ↓ -60% |
| CenCal | Medicaid|< 21 | $20.70 | ↓ -60% |
| Western Growers | Commercial|All Plans | $45.00 | ↓ -14% |
| Health Net | Commercial|Care Product | $52.20 | ↓ -0% |
| United | Commercial|Options PPO | $54.90 | ↑ +5% |
| United | Commercial|Non-Options PPO | $55.80 | ↑ +7% |
| United | Commercial|All Other Plans | $56.70 | ↑ +9% |
| Kaiser | Commercial|All Plans | $56.70 | ↑ +9% |
| United | Commercial|HMO | $58.50 | ↑ +12% |
| Health Net | Commercial|FFS | $59.40 | ↑ +14% |
| Cigna | Commercial|All Other Plans | $69.30 | ↑ +33% |
| Cigna | Commercial|PPO | $69.30 | ↑ +33% |
| First Health | Commercial|All Plans | $75.60 | ↑ +45% |
| Blue Shield CA | Commercial|Exchange | $75.60 | ↑ +45% |
| Aetna | Commercial|PPO | $82.80 | ↑ +59% |
| Aetna | Commercial|All Other Plans | $82.80 | ↑ +59% |
| Aetna | Commercial|HMO | $82.80 | ↑ +59% |
| Healthsmart | Commercial|All Plans | $82.80 | ↑ +59% |
| Blue Shield CA | Commercial|FFS | $84.60 | ↑ +62% |
| BCBS - Anthem | Commercial|Non-MCS | $87.30 | ↑ +67% |
| BCBS - Anthem | Commercial|MCS | $87.30 | ↑ +67% |
| MultiPlan | Commercial|All Plans | $88.20 | ↑ +69% |
Visitor-reported prices
Comments
Splint func pos polyflex ii med at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $47.83 | $17.10 – $88.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $109.45 | $15.00 – $54.00 |
| Bakersfield Memorial Hospital | Bakersfield | $108.27 | $15.00 – $58.20 |
| St. Joseph's Medical Center Stockton | Stockton | $78.21 | $14.04 – $54.00 |
| Mercy Medical Center Merced | Merced | $91.16 | $11.04 – $46.08 |
| Dominican Hospital | Santa Cruz | $78.75 | $22.00 – $100.00 |
| Northridge Hospital Medical Center | Northridge | $46.88 | $33.60 – $168.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $251.25 | $11.25 – $44.10 |