Trnscath plc vas stent w/s&i ea addl artery at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$9,001.70
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.
$21,032.00
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.
$182.80 with Partnership Health Plan vs $19,829.70 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 | $182.80 | ↓ -98% |
| Partnership Health Plan | Medicaid|> 21 | $182.80 | ↓ -98% |
| CenCal | Medicaid|< 21 | $182.80 | ↓ -98% |
| CenCal | Medicaid|> 21 | $182.80 | ↓ -98% |
| Health Net | Medicaid|> 21 | $276.55 | ↓ -97% |
| Health Net | Medicaid|< 21 | $276.55 | ↓ -97% |
| Aetna | Commercial|PPO | $5,710.00 | ↓ -37% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↓ -37% |
| Aetna | Commercial|HMO | $5,710.00 | ↓ -37% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↓ -19% |
| Blue Shield CA | Commercial|Exchange | $8,484.00 | ↓ -6% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +8% |
| Western Growers | Commercial|All Plans | $10,015.00 | ↑ +11% |
| Blue Shield CA | Commercial|FFS | $12,322.00 | ↑ +37% |
| Kaiser | Commercial|All Plans | $12,618.90 | ↑ +40% |
| First Health | Commercial|All Plans | $16,825.20 | ↑ +87% |
| United | Commercial|Non-Options PPO | $17,626.40 | ↑ +96% |
| United | Commercial|All Other Plans | $17,826.70 | ↑ +98% |
| Healthsmart | Commercial|All Plans | $18,427.60 | ↑ +105% |
| United | Commercial|Options PPO | $18,627.90 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $19,629.40 | ↑ +118% |
| United | Commercial|HMO | $19,829.70 | ↑ +120% |
Visitor-reported prices
Comments
Trnscath plc vas stent w/s&i ea addl artery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $12,908.00 | not published |
| St. John's Camarillo Hospital | Camarillo | $11,215.43 | $276.55 – $19,972.68 |
| Antioch Medical Center | ANTIOCH | $12,908.00 | not published |
| Redwood City Medical Center | Redwood City | $12,908.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $12,908.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $8,372.00 | not published |
| Riverside Medical Center | RIVERSIDE | $8,372.00 | not published |
| Fremont Medical Center | FREMONT | $12,908.00 | not published |