Transcath occlusion non-cns at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$10,952.52
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.
$25,590.00
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.
$778.40 with Partnership Health Plan vs $25,564.00 with Health Net — 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 | $778.40 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $778.40 | ↓ -93% |
| Health Net | Medicaid|< 21 | $957.43 | ↓ -91% |
| Health Net | Medicaid|> 21 | $957.43 | ↓ -91% |
| CenCal | Medicaid|< 21 | $1,227.03 | ↓ -89% |
| CenCal | Medicaid|> 21 | $1,227.03 | ↓ -89% |
| BCBS - Anthem | Commercial|Non-MCS | $12,414.00 | ↑ +13% |
| Blue Shield CA | Commercial|Exchange | $13,393.00 | ↑ +22% |
| Aetna | Commercial|HMO | $13,747.00 | ↑ +26% |
| Aetna | Commercial|PPO | $13,747.00 | ↑ +26% |
| Aetna | Commercial|All Other Plans | $13,747.00 | ↑ +26% |
| Western Growers | Commercial|All Plans | $14,074.50 | ↑ +29% |
| Humana | Medicare|All Plans | $14,409.33 | ↑ +32% |
| Kaiser | Medicare|All Plans | $14,409.33 | ↑ +32% |
| BCBS - Anthem | Medicare|All Plans | $14,409.33 | ↑ +32% |
| United | Medicare|All Plans | $14,409.33 | ↑ +32% |
| Alignment | Medicare|All Plans | $14,409.33 | ↑ +32% |
| Aetna | Medicare|All Plans | $14,409.33 | ↑ +32% |
| Scan Health Plan | Medicare|All Plans | $14,409.33 | ↑ +32% |
| Kaiser | Commercial|All Plans | $16,121.70 | ↑ +47% |
| BCBS - Anthem | Commercial|MCS | $16,635.00 | ↑ +52% |
| Blue Shield CA | Commercial|FFS | $19,451.00 | ↑ +78% |
| First Health | Commercial|All Plans | $21,495.60 | ↑ +96% |
| United | Commercial|Non-Options PPO | $22,519.20 | ↑ +106% |
| Health Net | Commercial|Care Product | $22,577.00 | ↑ +106% |
| United | Commercial|All Other Plans | $22,775.10 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $23,542.80 | ↑ +115% |
| United | Commercial|Options PPO | $23,798.70 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $25,078.20 | ↑ +129% |
| United | Commercial|HMO | $25,334.10 | ↑ +131% |
| Health Net | Commercial|FFS | $25,564.00 | ↑ +133% |
Visitor-reported prices
Comments
Transcath occlusion non-cns at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,865.61 | $957.43 – $26,644.42 |
| French Hospital | San Luis Obispo | $10,031.28 | $778.40 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $15,981.94 | $778.40 – $34,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $16,545.10 | $778.40 – $35,614.78 |
| St. Joseph's Medical Center Stockton | Stockton | $11,063.22 | $778.40 – $27,336.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,329.60 | $12,620.59 – $27,468.35 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $12,224.72 | $1,323.28 – $15,398.74 |
| Mercy Medical Center Merced | Merced | $17,152.59 | $778.40 – $32,972.94 |