Susceptibility enzyme detection per enzyme at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$19.26
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.
?
What you pay up front if you don't use insurance.
$45.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.21 with Partnership Health Plan vs $13.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $1.21 | ↓ -94% |
| CenCal | Medicaid|> 21 | $1.21 | ↓ -94% |
| CenCal | Medicaid|< 21 | $1.21 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $1.21 | ↓ -94% |
| Health Net | Medicaid|> 21 | $1.83 | ↓ -90% |
| Health Net | Medicaid|< 21 | $1.83 | ↓ -90% |
| BCBS - Anthem | Medicare|All Plans | $4.75 | ↓ -75% |
| Humana | Medicare|All Plans | $4.75 | ↓ -75% |
| Scan Health Plan | Medicare|All Plans | $4.75 | ↓ -75% |
| Aetna | Medicare|All Plans | $4.75 | ↓ -75% |
| MHS Hospice | Commercial|All Plans | $4.75 | ↓ -75% |
| United | Medicare|All Plans | $4.75 | ↓ -75% |
| Alignment | Medicare|All Plans | $4.75 | ↓ -75% |
| Kaiser | Medicare|All Plans | $4.75 | ↓ -75% |
| United | Commercial|HMO | $5.70 | ↓ -70% |
| United | Commercial|All Other Plans | $5.70 | ↓ -70% |
| United | Commercial|Non-Options PPO | $5.70 | ↓ -70% |
| United | Commercial|Options PPO | $5.70 | ↓ -70% |
| Western Growers | Commercial|All Plans | $6.50 | ↓ -66% |
| Blue Shield CA | Commercial|Exchange | $8.19 | ↓ -57% |
| Kaiser | Commercial|All Plans | $8.19 | ↓ -57% |
| First Health | Commercial|All Plans | $10.92 | ↓ -43% |
| Blue Shield CA | Commercial|FFS | $11.44 | ↓ -41% |
| Healthsmart | Commercial|All Plans | $11.96 | ↓ -38% |
| Aetna | Commercial|HMO | $11.96 | ↓ -38% |
| Aetna | Commercial|PPO | $11.96 | ↓ -38% |
| Aetna | Commercial|All Other Plans | $11.96 | ↓ -38% |
| Cigna | Commercial|PPO | $12.25 | ↓ -36% |
| Cigna | Commercial|All Other Plans | $12.25 | ↓ -36% |
| BCBS - Anthem | Commercial|Non-MCS | $12.61 | ↓ -35% |
| MultiPlan | Commercial|All Plans | $12.74 | ↓ -34% |
| BCBS - Anthem | Commercial|MCS | $13.00 | ↓ -33% |
Visitor-reported prices
Comments
Susceptibility enzyme detection per enzyme at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $35.92 | $1.83 – $14.82 |
| Petaluma Valley Hospital | Petaluma | $340.68 | $4.66 – $23.52 |
| Mark Twain Medical Center | San Andreas | $43.96 | $1.21 – $11.65 |
| French Hospital | San Luis Obispo | $17.64 | $1.21 – $14.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14.70 | $1.21 – $13.66 |
| Bakersfield Memorial Hospital | Bakersfield | $14.54 | $1.21 – $13.66 |
| Queen of The Valley Medical Center | Napa | $195.84 | $4.75 – $29.73 |
| Providence St Joseph Hospital Eureka | Eureka | $80.58 | $4.75 – $33.71 |