Trnscath plc stent crv crtd w/prtct at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$25,816.96
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.
$60,320.00
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.
$702.78 with Partnership Health Plan vs $59,716.80 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $702.78 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $702.78 | ↓ -97% |
| CenCal | Medicaid|< 21 | $772.33 | ↓ -97% |
| CenCal | Medicaid|> 21 | $772.33 | ↓ -97% |
| Health Net | Medicaid|< 21 | $864.42 | ↓ -97% |
| Health Net | Medicaid|> 21 | $864.42 | ↓ -97% |
| Aetna | Commercial|PPO | $8,743.00 | ↓ -66% |
| Aetna | Commercial|All Other Plans | $8,743.00 | ↓ -66% |
| Aetna | Commercial|HMO | $8,743.00 | ↓ -66% |
| Blue Shield CA | Commercial|Exchange | $11,084.00 | ↓ -57% |
| BCBS - Anthem | Commercial|Non-MCS | $13,455.00 | ↓ -48% |
| Blue Shield CA | Commercial|FFS | $16,097.00 | ↓ -38% |
| BCBS - Anthem | Commercial|MCS | $18,030.00 | ↓ -30% |
| Western Growers | Commercial|All Plans | $30,160.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $38,001.60 | ↑ +47% |
| First Health | Commercial|All Plans | $50,668.80 | ↑ +96% |
| United | Commercial|Non-Options PPO | $53,081.60 | ↑ +106% |
| United | Commercial|All Other Plans | $53,684.80 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $55,494.40 | ↑ +115% |
| United | Commercial|Options PPO | $56,097.60 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $59,113.60 | ↑ +129% |
| United | Commercial|HMO | $59,716.80 | ↑ +131% |
Visitor-reported prices
Comments
Trnscath plc stent crv crtd w/prtct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,657.65 | $864.42 – $10,075.26 |
| Redwood City Medical Center | Redwood City | $1,976.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,976.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $9,926.80 | not published |
| Riverside Medical Center | RIVERSIDE | $9,926.80 | not published |
| Sacramento Medical Center | SACRAMENTO | $1,976.80 | not published |
| Oakland Medical Center | Oakland | $1,976.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $1,976.80 | not published |