Tomosynthesis breast diagnostic left at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$185.33
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.
$433.00
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.
$47.52 with Partnership Health Plan vs $8,719.00 with Blue Shield CA — 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 | $47.52 | ↓ -74% |
| Partnership Health Plan | Medicaid|> 21 | $47.52 | ↓ -74% |
| CenCal | Medicaid|< 21 | $48.82 | ↓ -74% |
| CenCal | Medicaid|> 21 | $48.82 | ↓ -74% |
| United | Commercial|HMO | $57.31 | ↓ -69% |
| United | Commercial|Options PPO | $57.31 | ↓ -69% |
| United | Commercial|Non-Options PPO | $57.31 | ↓ -69% |
| United | Commercial|All Other Plans | $57.31 | ↓ -69% |
| Health Net | Medicaid|> 21 | $71.89 | ↓ -61% |
| Health Net | Medicaid|< 21 | $71.89 | ↓ -61% |
| Cigna | Commercial|All Other Plans | $102.27 | ↓ -45% |
| Cigna | Commercial|PPO | $102.27 | ↓ -45% |
| Western Growers | Commercial|All Plans | $206.50 | ↑ +11% |
| Kaiser | Commercial|All Plans | $260.19 | ↑ +40% |
| First Health | Commercial|All Plans | $346.92 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $379.96 | ↑ +105% |
| BCBS - Anthem | Commercial|Non-MCS | $400.61 | ↑ +116% |
| MultiPlan | Commercial|All Plans | $404.74 | ↑ +118% |
| BCBS - Anthem | Commercial|MCS | $413.00 | ↑ +123% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +3140% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +4605% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $47.91 | $23.78 – $78.41 |
| Petaluma Valley Hospital | Petaluma | $55.59 | $13.63 – $2,570.00 |
| Mark Twain Medical Center | San Andreas | $58.61 | $22.77 – $86.24 |
| French Hospital | San Luis Obispo | $69.39 | $42.66 – $154.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $148.40 | $47.52 – $292.00 |
| Bakersfield Memorial Hospital | Bakersfield | $146.80 | $47.52 – $288.35 |
| Queen of The Valley Medical Center | Napa | $76.50 | $13.91 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $91.29 | $13.91 – $7,809.00 |