Transcath occlusion cns at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,997.91
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.
$4,668.00
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.
$957.83 with Partnership Health Plan vs $16,635.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $957.83 | ↓ -52% |
| Partnership Health Plan | Medicaid|< 21 | $957.83 | ↓ -52% |
| Health Net | Medicaid|< 21 | $1,178.13 | ↓ -41% |
| Health Net | Medicaid|> 21 | $1,178.13 | ↓ -41% |
| CenCal | Medicaid|> 21 | $1,509.88 | ↓ -24% |
| CenCal | Medicaid|< 21 | $1,509.88 | ↓ -24% |
| Western Growers | Commercial|All Plans | $2,180.00 | ↑ +9% |
| Kaiser | Commercial|All Plans | $2,746.80 | ↑ +37% |
| First Health | Commercial|All Plans | $3,662.40 | ↑ +83% |
| United | Commercial|Non-Options PPO | $3,836.80 | ↑ +92% |
| United | Commercial|All Other Plans | $3,880.40 | ↑ +94% |
| Healthsmart | Commercial|All Plans | $4,011.20 | ↑ +101% |
| United | Commercial|Options PPO | $4,054.80 | ↑ +103% |
| MultiPlan | Commercial|All Plans | $4,272.80 | ↑ +114% |
| United | Commercial|HMO | $4,316.40 | ↑ +116% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +125% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +226% |
| BCBS - Anthem | Commercial|Non-MCS | $12,414.00 | ↑ +521% |
| Aetna | Commercial|PPO | $16,554.00 | ↑ +729% |
| Aetna | Commercial|HMO | $16,554.00 | ↑ +729% |
| Aetna | Commercial|All Other Plans | $16,554.00 | ↑ +729% |
| BCBS - Anthem | Commercial|MCS | $16,635.00 | ↑ +733% |
Visitor-reported prices
Comments
Transcath occlusion cns at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,599.88 | $1,178.13 – $8,191.56 |
| Redwood City Medical Center | Redwood City | $2,284.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $2,284.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $7,337.20 | not published |
| Riverside Medical Center | RIVERSIDE | $7,337.20 | not published |
| Sacramento Medical Center | SACRAMENTO | $2,284.80 | not published |
| Oakland Medical Center | Oakland | $2,284.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $2,284.80 | not published |