Therapy nutrition individual initial f2f w/patient each 15 minutes at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$78.76
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.
$184.00
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.
$30.35 with Partnership Health Plan vs $7,391.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $30.35 | ↓ -61% |
| CenCal | Medicaid|< 21 | $30.35 | ↓ -61% |
| Partnership Health Plan | Medicaid|> 21 | $30.35 | ↓ -61% |
| CenCal | Medicaid|> 21 | $30.35 | ↓ -61% |
| Humana | Medicare|All Plans | $38.99 | ↓ -50% |
| Kaiser | Medicare|All Plans | $38.99 | ↓ -50% |
| Aetna | Medicare|All Plans | $38.99 | ↓ -50% |
| United | Medicare|All Plans | $38.99 | ↓ -50% |
| BCBS - Anthem | Medicare|All Plans | $38.99 | ↓ -50% |
| Alignment | Medicare|All Plans | $38.99 | ↓ -50% |
| Scan Health Plan | Medicare|All Plans | $38.99 | ↓ -50% |
| MHS Hospice | Commercial|All Plans | $41.20 | ↓ -48% |
| Health Net | Medicaid|> 21 | $42.84 | ↓ -46% |
| Health Net | Medicaid|< 21 | $42.84 | ↓ -46% |
| Western Growers | Commercial|All Plans | $85.00 | ↑ +8% |
| Kaiser | Commercial|All Plans | $107.10 | ↑ +36% |
| First Health | Commercial|All Plans | $142.80 | ↑ +81% |
| United | Commercial|Non-Options PPO | $149.60 | ↑ +90% |
| Healthsmart | Commercial|All Plans | $156.40 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $166.60 | ↑ +112% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +8844% |
| United | Commercial|All Other Plans | $7,169.00 | ↑ +9002% |
| United | Commercial|HMO | $7,391.00 | ↑ +9284% |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $123.21 | $9.32 – $35.28 |
| Bakersfield Memorial Hospital | Bakersfield | $69.73 | $30.35 – $150.10 |
| Queen of The Valley Medical Center | Napa | $186.15 | $28.40 – $28.40 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $80.64 | $24.25 – $52.78 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $27.23 | $8.40 – $35.00 |
| Dominican Hospital | Santa Cruz | $99.45 | $30.35 – $187.85 |
| Sierra Nevada Memorial Hospital | Grass Valley | $18.53 | $22.78 – $37.36 |
| Sequoia Hospital | Redwood City | $42.23 | $30.35 – $139.28 |