Upper ext fx orthosis rad/ul at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$734.02
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.
$1,715.00
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.
$420.74 with Partnership Health Plan vs $1,680.70 with MultiPlan — 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 | $420.74 | ↓ -43% |
| Partnership Health Plan | Medicaid|< 21 | $420.74 | ↓ -43% |
| CenCal | Medicaid|> 21 | $420.74 | ↓ -43% |
| CenCal | Medicaid|< 21 | $420.74 | ↓ -43% |
| Health Net | Medicaid|< 21 | $636.54 | ↓ -13% |
| Health Net | Medicaid|> 21 | $636.54 | ↓ -13% |
| Western Growers | Commercial|All Plans | $857.50 | ↑ +17% |
| Health Net | Commercial|Care Product | $994.70 | ↑ +36% |
| United | Commercial|Options PPO | $1,046.15 | ↑ +43% |
| United | Commercial|Non-Options PPO | $1,063.30 | ↑ +45% |
| United | Commercial|All Other Plans | $1,080.45 | ↑ +47% |
| Kaiser | Commercial|All Plans | $1,080.45 | ↑ +47% |
| United | Commercial|HMO | $1,114.75 | ↑ +52% |
| Health Net | Commercial|FFS | $1,131.90 | ↑ +54% |
| Cigna | Commercial|All Other Plans | $1,320.55 | ↑ +80% |
| Cigna | Commercial|PPO | $1,320.55 | ↑ +80% |
| First Health | Commercial|All Plans | $1,440.60 | ↑ +96% |
| Blue Shield CA | Commercial|Exchange | $1,440.60 | ↑ +96% |
| Aetna | Commercial|All Other Plans | $1,577.80 | ↑ +115% |
| Healthsmart | Commercial|All Plans | $1,577.80 | ↑ +115% |
| Aetna | Commercial|HMO | $1,577.80 | ↑ +115% |
| Aetna | Commercial|PPO | $1,577.80 | ↑ +115% |
| Blue Shield CA | Commercial|FFS | $1,612.10 | ↑ +120% |
| BCBS - Anthem | Commercial|MCS | $1,663.55 | ↑ +127% |
| BCBS - Anthem | Commercial|Non-MCS | $1,663.55 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $1,680.70 | ↑ +129% |
Visitor-reported prices
Comments
Upper ext fx orthosis rad/ul at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $233.77 | $90.81 – $351.00 |
| French Hospital | San Luis Obispo | $672.28 | $325.85 – $1,680.70 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,262.70 | $389.52 – $1,590.54 |
| St. Mary Medical Center | Long Beach | $189.20 | $88.00 – $2,103.70 |
| Providence Saint Joseph Medical Center | Burbank | $872.75 | $559.71 – $1,035.46 |
| Community Hospital San Bernardino | San Bernardino | $172.04 | $92.40 – $2,103.70 |
| Glendale Memorial Hospital Health Center | Glendale | $143.44 | $40.00 – $1,779.73 |
| Mercy San Juan Medical Center | Carmichael | $57.54 | $23.10 – $210.00 |