Tc-99m maa at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$374.50
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.
$875.00
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.
$17.22 with CenCal vs $857.50 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 | $17.22 | ↓ -95% |
| CenCal | Medicaid|> 21 | $17.22 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $30.00 | ↓ -92% |
| Partnership Health Plan | Medicaid|< 21 | $30.00 | ↓ -92% |
| Health Net | Medicaid|< 21 | $45.39 | ↓ -88% |
| Health Net | Medicaid|> 21 | $45.39 | ↓ -88% |
| BCBS - Anthem | Commercial|Non-MCS | $47.00 | ↓ -87% |
| United | Commercial|HMO | $48.58 | ↓ -87% |
| United | Commercial|All Other Plans | $48.58 | ↓ -87% |
| United | Commercial|Options PPO | $52.95 | ↓ -86% |
| United | Commercial|Non-Options PPO | $55.95 | ↓ -85% |
| BCBS - Anthem | Commercial|MCS | $63.08 | ↓ -83% |
| Western Growers | Commercial|All Plans | $437.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $551.25 | ↑ +47% |
| First Health | Commercial|All Plans | $735.00 | ↑ +96% |
| Healthsmart | Commercial|All Plans | $805.00 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $857.50 | ↑ +129% |
Visitor-reported prices
Comments
Tc-99m maa at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $136.66 | $28.34 – $243.36 |
| Banner Lassen Medical Center | Susanville | $204.92 | $49.50 – $285.18 |
| Mark Twain Medical Center | San Andreas | $275.06 | $30.00 – $343.98 |
| French Hospital | San Luis Obispo | $185.03 | $17.22 – $454.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $143.58 | $30.00 – $309.60 |
| Bakersfield Memorial Hospital | Bakersfield | $142.03 | $30.00 – $305.73 |
| St. Joseph's Medical Center Stockton | Stockton | $226.68 | $30.00 – $632.22 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $245.85 | $30.00 – $309.68 |