Tc-99m diag per dose at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$137.82
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.
$322.00
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.
$161.00 with Western Growers vs $318.78 with United — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $161.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $202.86 | ↑ +47% |
| First Health | Commercial|All Plans | $270.48 | ↑ +96% |
| United | Commercial|Non-Options PPO | $283.36 | ↑ +106% |
| United | Commercial|All Other Plans | $286.58 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $296.24 | ↑ +115% |
| United | Commercial|Options PPO | $299.46 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $315.56 | ↑ +129% |
| United | Commercial|HMO | $318.78 | ↑ +131% |
Visitor-reported prices
Comments
Tc-99m diag per dose at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $256.41 | $84.86 – $321.44 |
| French Hospital | San Luis Obispo | $1,399.44 | $14.58 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $23.75 | $32.00 – $51.20 |
| Bakersfield Memorial Hospital | Bakersfield | $23.49 | $32.00 – $63.36 |
| St. Joseph's Medical Center Stockton | Stockton | $208.45 | $148.89 – $595.56 |
| Mercy Medical Center Merced | Merced | $32.96 | $38.40 – $63.36 |
| Northridge Hospital Medical Center | Northridge | $564.70 | $465.52 – $2,024.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $198.45 | not published |