Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$68.91
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.
$161.00
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.
$26.11 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 | $26.11 | ↓ -62% |
| CenCal | Medicaid|< 21 | $26.11 | ↓ -62% |
| Partnership Health Plan | Medicaid|> 21 | $26.11 | ↓ -62% |
| CenCal | Medicaid|> 21 | $26.11 | ↓ -62% |
| Humana | Medicare|All Plans | $34.06 | ↓ -51% |
| Kaiser | Medicare|All Plans | $34.06 | ↓ -51% |
| Aetna | Medicare|All Plans | $34.06 | ↓ -51% |
| United | Medicare|All Plans | $34.06 | ↓ -51% |
| BCBS - Anthem | Medicare|All Plans | $34.06 | ↓ -51% |
| Alignment | Medicare|All Plans | $34.06 | ↓ -51% |
| Scan Health Plan | Medicare|All Plans | $34.06 | ↓ -51% |
| MHS Hospice | Commercial|All Plans | $35.74 | ↓ -48% |
| Health Net | Medicaid|> 21 | $36.85 | ↓ -47% |
| Health Net | Medicaid|< 21 | $36.85 | ↓ -47% |
| Western Growers | Commercial|All Plans | $80.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $101.43 | ↑ +47% |
| First Health | Commercial|All Plans | $135.24 | ↑ +96% |
| United | Commercial|Non-Options PPO | $141.68 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $148.12 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $157.78 | ↑ +129% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +10122% |
| United | Commercial|All Other Plans | $7,169.00 | ↑ +10303% |
| United | Commercial|HMO | $7,391.00 | ↑ +10626% |
Visitor-reported prices
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Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $129.21 | $9.32 – $35.28 |
| Bakersfield Memorial Hospital | Bakersfield | $65.33 | $26.11 – $140.62 |
| Queen of The Valley Medical Center | Napa | $186.15 | $22.79 – $22.79 |
| Santa Rosa Memorial Hospital | Santa Rosa | $164.73 | $22.33 – $22.79 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $80.64 | $20.10 – $43.75 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $27.23 | $8.40 – $35.00 |
| Dominican Hospital | Santa Cruz | $83.70 | $26.11 – $158.10 |
| Sierra Nevada Memorial Hospital | Grass Valley | $15.26 | $18.76 – $32.62 |