Very long chain fatty acids at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$45.66
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.
$106.66
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.
$19.75 with Alignment vs $106.66 with Aetna — 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 |
|---|---|---|---|
| Alignment | Medicare|All Plans | $19.75 | ↓ -57% |
| BCBS - Anthem | Medicare|All Plans | $19.75 | ↓ -57% |
| MHS Hospice | Commercial|All Plans | $19.75 | ↓ -57% |
| Aetna | Medicare|All Plans | $19.75 | ↓ -57% |
| United | Medicare|All Plans | $19.75 | ↓ -57% |
| Scan Health Plan | Medicare|All Plans | $19.75 | ↓ -57% |
| Humana | Medicare|All Plans | $19.75 | ↓ -57% |
| Kaiser | Medicare|All Plans | $19.75 | ↓ -57% |
| CenCal | Medicaid|> 21 | $22.66 | ↓ -50% |
| CenCal | Medicaid|< 21 | $22.66 | ↓ -50% |
| Partnership Health Plan | Medicaid|< 21 | $23.02 | ↓ -50% |
| Partnership Health Plan | Medicaid|> 21 | $23.02 | ↓ -50% |
| United | Commercial|All Other Plans | $23.70 | ↓ -48% |
| United | Commercial|Non-Options PPO | $23.70 | ↓ -48% |
| United | Commercial|HMO | $23.70 | ↓ -48% |
| United | Commercial|Options PPO | $23.70 | ↓ -48% |
| Health Net | Medicaid|> 21 | $34.82 | ↓ -24% |
| Health Net | Medicaid|< 21 | $34.82 | ↓ -24% |
| Cigna | Commercial|PPO | $50.90 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $50.90 | ↑ +11% |
| Western Growers | Commercial|All Plans | $53.33 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $67.20 | ↑ +47% |
| Kaiser | Commercial|All Plans | $67.20 | ↑ +47% |
| First Health | Commercial|All Plans | $89.60 | ↑ +96% |
| Blue Shield CA | Commercial|FFS | $93.87 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $98.13 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $103.47 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $104.53 | ↑ +129% |
| Aetna | Commercial|HMO | $106.66 | ↑ +134% |
| BCBS - Anthem | Commercial|MCS | $106.66 | ↑ +134% |
| Aetna | Commercial|PPO | $106.66 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $106.66 | ↑ +134% |
Visitor-reported prices
Comments
Very long chain fatty acids at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $115.92 | $18.00 – $18.00 |
| Antioch Medical Center | ANTIOCH | $115.92 | $18.00 – $18.00 |
| Redwood City Medical Center | Redwood City | $115.92 | $18.00 – $18.00 |
| Santa Clara Medical Center | SANTA CLARA | $115.92 | $18.00 – $18.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $139.88 | $13.00 – $13.00 |
| Riverside Medical Center | RIVERSIDE | $139.88 | $13.00 – $13.00 |
| Fremont Medical Center | FREMONT | $115.92 | $18.00 – $18.00 |
| Banner Lassen Medical Center | Susanville | $97.03 | $3.95 – $150.35 |