Alys cplx sp/pn npgt w/prgrm at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$169.85
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.
$395.00
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.
$74.28 with Inland Empire Health Plan vs $6,343.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|All Plans | $74.28 | ↓ -56% |
| HCLA | Medicaid|Preferred IPA > 21 | $74.28 | ↓ -56% |
| HCLA | Medicaid|Preferred IPA < 21 | $74.28 | ↓ -56% |
| Partnership Health Plan | Medicaid|> 21 | $74.28 | ↓ -56% |
| Partnership Health Plan | Medicaid|< 21 | $74.28 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $92.85 | ↓ -45% |
| DHR | Medicaid|< 21 | $98.75 | ↓ -42% |
| DHR | Medicaid|> 21 | $98.75 | ↓ -42% |
| Health Net | Medicaid|> 21 | $98.79 | ↓ -42% |
| Health Net | Medicaid|< 21 | $98.79 | ↓ -42% |
| Noble IPA | Medicaid|> 21 | $105.98 | ↓ -38% |
| Noble IPA | Medicaid|< 21 | $105.98 | ↓ -38% |
| Kaiser | Medicaid|< 21 | $111.42 | ↓ -34% |
| Kaiser | Medicaid|> 21 | $111.42 | ↓ -34% |
| Scan Health Plan | Medicare|All Plans | $116.63 | ↓ -31% |
| HCLA | Medicare|Preferred IPA | $116.63 | ↓ -31% |
| Health Net | Medicare|HMO | $116.63 | ↓ -31% |
| Cigna | Medicare|All Plans | $116.63 | ↓ -31% |
| Molina | Medicare|All Plans | $116.63 | ↓ -31% |
| Kaiser | Medicare|All Plans | $116.63 | ↓ -31% |
| EasyChoice | Medicare|All Plans | $116.63 | ↓ -31% |
| Humana | Medicare|All Plans | $116.63 | ↓ -31% |
| Health Net | Medicare|All Other Plans | $116.63 | ↓ -31% |
| BCBS - Anthem | Medicare|All Plans | $116.63 | ↓ -31% |
| LA Care | Medicare|All Plans | $116.63 | ↓ -31% |
| Blue Shield CA | Medicare|All Other Plans | $116.63 | ↓ -31% |
| Central Health Plan | Medicare|All Plans | $116.63 | ↓ -31% |
| Angeles IPA | Medicare|All Plans | $117.76 | ↓ -31% |
| Preferred IPA | Medicaid|Risk | $117.76 | ↓ -31% |
| United | Medicare|All Plans | $118.97 | ↓ -30% |
| HPN | Medicare|Senior | $128.29 | ↓ -24% |
| SMIPA | Medicare|All Plans | $133.29 | ↓ -22% |
| Blue Shield CA | Medicare|Trauma | $145.79 | ↓ -14% |
| LA Care | Commercial|All Plans | $145.79 | ↓ -14% |
| HCLA | Commercial|Preferred IPA | $145.79 | ↓ -14% |
| Molina | Medicaid|All Plans | $164.86 | ↓ -3% |
| SevenCorners | Medicare|All Plans | $186.61 | ↑ +10% |
| United | Commercial|Non-Options PPO | $225.15 | ↑ +33% |
| BCBS - Anthem | Commercial|Exchange | $229.10 | ↑ +35% |
| Blue Shield CA | Medicare|BlueShield Promise | $256.75 | ↑ +51% |
| Kaiser | Commercial|All Plans | $276.50 | ↑ +63% |
| LA Care | Medicaid|All Plans | $306.03 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $316.00 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $343.65 | ↑ +102% |
| BCBS - Anthem | Commercial|MCS | $395.00 | ↑ +133% |
| Care 1st | Medicaid|All Plans | $588.80 | ↑ +247% |
| Blue Shield CA | Medicaid|All Plans | $588.80 | ↑ +247% |
| Health Net | Commercial|EPPO | $2,417.00 | ↑ +1323% |
| Health Net | Commercial|Care Product | $2,936.00 | ↑ +1629% |
| Health Net | Commercial|All Other Plans | $3,375.00 | ↑ +1887% |
| United | Commercial|HMO | $6,206.00 | ↑ +3554% |
| United | Commercial|All Other Plans | $6,343.00 | ↑ +3634% |
| United | Commercial|Options PPO | $6,343.00 | ↑ +3634% |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $190.10 | $56.06 – $338.52 |
| Arroyo Grande Hospital | Santa Maria | $223.42 | $74.28 – $511.56 |
| Mark Twain Medical Center | San Andreas | $159.84 | $62.09 – $235.20 |
| French Hospital | San Luis Obispo | $204.63 | $74.28 – $511.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $191.81 | $74.28 – $413.60 |
| Bakersfield Memorial Hospital | Bakersfield | $189.74 | $74.28 – $408.43 |
| St. Joseph's Medical Center Stockton | Stockton | $155.24 | $74.28 – $432.96 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $327.54 | $101.04 – $412.58 |