Tib/per revasc stent & ather 37231 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$25,795.99
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.
$60,271.00
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.
$646.18 with CenCal vs $59,668.29 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $646.18 | ↓ -97% |
| CenCal | Medicaid|< 21 | $646.18 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $646.31 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $646.31 | ↓ -97% |
| Health Net | Medicaid|> 21 | $977.80 | ↓ -96% |
| Health Net | Medicaid|< 21 | $977.80 | ↓ -96% |
| Blue Shield CA | Commercial|Exchange | $8,484.00 | ↓ -67% |
| Aetna | Commercial|HMO | $9,997.00 | ↓ -61% |
| Aetna | Commercial|PPO | $9,997.00 | ↓ -61% |
| Aetna | Commercial|All Other Plans | $9,997.00 | ↓ -61% |
| Blue Shield CA | Commercial|FFS | $12,322.00 | ↓ -52% |
| BCBS - Anthem | Commercial|Non-MCS | $13,455.00 | ↓ -48% |
| BCBS - Anthem | Commercial|MCS | $18,030.00 | ↓ -30% |
| Humana | Medicare|All Plans | $22,815.81 | ↓ -12% |
| Aetna | Medicare|All Plans | $22,815.81 | ↓ -12% |
| United | Medicare|All Plans | $22,815.81 | ↓ -12% |
| Kaiser | Medicare|All Plans | $22,815.81 | ↓ -12% |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | ↓ -12% |
| Alignment | Medicare|All Plans | $22,815.81 | ↓ -12% |
| Scan Health Plan | Medicare|All Plans | $22,815.81 | ↓ -12% |
| Health Net | Commercial|Care Product | $28,179.00 | ↑ +9% |
| Western Growers | Commercial|All Plans | $30,135.50 | ↑ +17% |
| Health Net | Commercial|FFS | $31,909.00 | ↑ +24% |
| Kaiser | Commercial|All Plans | $37,970.73 | ↑ +47% |
| First Health | Commercial|All Plans | $50,627.64 | ↑ +96% |
| United | Commercial|Non-Options PPO | $53,038.48 | ↑ +106% |
| United | Commercial|All Other Plans | $53,641.19 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $55,449.32 | ↑ +115% |
| United | Commercial|Options PPO | $56,052.03 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $59,065.58 | ↑ +129% |
| United | Commercial|HMO | $59,668.29 | ↑ +131% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21,131.75 | $977.80 – $43,115.78 |
| French Hospital | San Luis Obispo | $23,626.24 | $646.18 – $57,299.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $646.31 – $36,273.60 |
| Bakersfield Memorial Hospital | Bakersfield | $16,640.52 | $646.31 – $35,820.18 |
| Queen of The Valley Medical Center | Napa | $25,453.59 | $9,256.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $14,274.88 | $0.80 – $13,349.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $30,382.74 | $4,233.00 – $89,248.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $22,244.64 | $9,779.00 – $59,944.00 |