Sugars single quant at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$44.02
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.
$102.85
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.
$11.53 with Kaiser vs $38.00 with Aetna — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $11.53 | ↓ -74% |
| Humana | Medicare|All Plans | $11.53 | ↓ -74% |
| Scan Health Plan | Medicare|All Plans | $11.53 | ↓ -74% |
| Aetna | Medicare|All Plans | $11.53 | ↓ -74% |
| MHS Hospice | Commercial|All Plans | $11.53 | ↓ -74% |
| United | Medicare|All Plans | $11.53 | ↓ -74% |
| Alignment | Medicare|All Plans | $11.53 | ↓ -74% |
| BCBS - Anthem | Medicare|All Plans | $11.53 | ↓ -74% |
| CenCal | Medicaid|< 21 | $13.23 | ↓ -70% |
| CenCal | Medicaid|> 21 | $13.23 | ↓ -70% |
| United | Commercial|All Other Plans | $13.84 | ↓ -69% |
| United | Commercial|HMO | $13.84 | ↓ -69% |
| United | Commercial|Options PPO | $13.84 | ↓ -69% |
| United | Commercial|Non-Options PPO | $13.84 | ↓ -69% |
| Partnership Health Plan | Medicaid|< 21 | $14.69 | ↓ -67% |
| Partnership Health Plan | Medicaid|> 21 | $14.69 | ↓ -67% |
| Western Growers | Commercial|All Plans | $19.00 | ↓ -57% |
| Health Net | Medicaid|< 21 | $22.23 | ↓ -50% |
| Health Net | Medicaid|> 21 | $22.23 | ↓ -50% |
| Blue Shield CA | Commercial|Exchange | $23.94 | ↓ -46% |
| Kaiser | Commercial|All Plans | $23.94 | ↓ -46% |
| Cigna | Commercial|PPO | $29.69 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $29.69 | ↓ -33% |
| First Health | Commercial|All Plans | $31.92 | ↓ -27% |
| Blue Shield CA | Commercial|FFS | $33.44 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $34.96 | ↓ -21% |
| BCBS - Anthem | Commercial|Non-MCS | $36.86 | ↓ -16% |
| MultiPlan | Commercial|All Plans | $37.24 | ↓ -15% |
| Aetna | Commercial|All Other Plans | $38.00 | ↓ -14% |
| Aetna | Commercial|PPO | $38.00 | ↓ -14% |
| BCBS - Anthem | Commercial|MCS | $38.00 | ↓ -14% |
| Aetna | Commercial|HMO | $38.00 | ↓ -14% |
Visitor-reported prices
Comments
Sugars single quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $16.65 | $10.26 – $30.57 |
| Banner Lassen Medical Center | Susanville | $6.89 | $2.31 – $16.90 |
| Mark Twain Medical Center | San Andreas | $25.31 | $11.53 – $37.24 |
| French Hospital | San Luis Obispo | $40.32 | $10.26 – $37.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14.10 | $11.53 – $34.86 |
| Bakersfield Memorial Hospital | Bakersfield | $13.95 | $11.53 – $33.11 |
| St. Joseph's Behavioral Health Center | Stockton | $21.70 | $3.49 – $27.89 |
| St. Joseph's Medical Center Stockton | Stockton | $11.18 | $7.33 – $34.86 |