Tissue exam koh skin/hair/nails at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$23.12
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.
$54.00
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.
$4.27 with Alignment vs $54.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Alignment | Medicare|All Plans | $4.27 | ↓ -82% |
| BCBS - Anthem | Medicare|All Plans | $4.27 | ↓ -82% |
| MHS Hospice | Commercial|All Plans | $4.27 | ↓ -82% |
| Aetna | Medicare|All Plans | $4.27 | ↓ -82% |
| United | Medicare|All Plans | $4.27 | ↓ -82% |
| Scan Health Plan | Medicare|All Plans | $4.27 | ↓ -82% |
| Humana | Medicare|All Plans | $4.27 | ↓ -82% |
| Kaiser | Medicare|All Plans | $4.27 | ↓ -82% |
| CenCal | Medicaid|< 21 | $4.89 | ↓ -79% |
| CenCal | Medicaid|> 21 | $4.89 | ↓ -79% |
| United | Commercial|Options PPO | $5.12 | ↓ -78% |
| United | Commercial|All Other Plans | $5.12 | ↓ -78% |
| United | Commercial|HMO | $5.12 | ↓ -78% |
| United | Commercial|Non-Options PPO | $5.12 | ↓ -78% |
| Partnership Health Plan | Medicaid|> 21 | $5.35 | ↓ -77% |
| Partnership Health Plan | Medicaid|< 21 | $5.35 | ↓ -77% |
| Health Net | Medicaid|> 21 | $8.09 | ↓ -65% |
| Health Net | Medicaid|< 21 | $8.09 | ↓ -65% |
| Cigna | Commercial|PPO | $11.02 | ↓ -52% |
| Cigna | Commercial|All Other Plans | $11.02 | ↓ -52% |
| Western Growers | Commercial|All Plans | $27.00 | ↑ +17% |
| Aetna | Commercial|HMO | $31.34 | ↑ +36% |
| Aetna | Commercial|PPO | $31.34 | ↑ +36% |
| Aetna | Commercial|All Other Plans | $31.34 | ↑ +36% |
| Kaiser | Commercial|All Plans | $34.02 | ↑ +47% |
| Blue Shield CA | Commercial|Exchange | $34.02 | ↑ +47% |
| First Health | Commercial|All Plans | $45.36 | ↑ +96% |
| Blue Shield CA | Commercial|FFS | $47.52 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $49.68 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $52.38 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $52.92 | ↑ +129% |
| BCBS - Anthem | Commercial|MCS | $54.00 | ↑ +134% |
Visitor-reported prices
Comments
Tissue exam koh skin/hair/nails at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $92.07 | $0.85 – $62.08 |
| French Hospital | San Luis Obispo | $21.17 | $4.27 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8.58 | $4.27 – $18.50 |
| Bakersfield Memorial Hospital | Bakersfield | $8.49 | $4.27 – $18.27 |
| Providence St Joseph Hospital Eureka | Eureka | $160.14 | $4.27 – $49.93 |
| St. Joseph's Behavioral Health Center | Stockton | $13.21 | $2.32 – $18.50 |
| St. Joseph's Medical Center Stockton | Stockton | $32.34 | $3.63 – $18.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $68.64 | $3.63 – $8.54 |