Behavior counsel obesity 15min medicare g0447 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$50.74
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.
$118.00
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.
$20.03 with Noble IPA vs $188.05 with SevenCorners — 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 |
|---|---|---|---|
| Noble IPA | Medicaid|< 21 | $20.03 | ↓ -61% |
| Noble IPA | Medicaid|> 21 | $20.03 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $22.26 | ↓ -56% |
| Partnership Health Plan | Medicaid|> 21 | $22.26 | ↓ -56% |
| Partnership Health Plan | Medicaid|< 21 | $22.26 | ↓ -56% |
| HCLA | Medicaid|Preferred IPA < 21 | $22.26 | ↓ -56% |
| HCLA | Medicaid|Preferred IPA > 21 | $22.26 | ↓ -56% |
| Preferred IPA | Medicaid|Risk | $22.26 | ↓ -56% |
| Inland Empire Health Plan | Medicaid|All Plans | $22.26 | ↓ -56% |
| Angeles IPA | Medicare|All Plans | $22.26 | ↓ -56% |
| DHR | Medicaid|< 21 | $29.50 | ↓ -42% |
| DHR | Medicaid|> 21 | $29.50 | ↓ -42% |
| Health Net | Medicaid|< 21 | $29.67 | ↓ -42% |
| Health Net | Medicaid|> 21 | $29.67 | ↓ -42% |
| Molina | Medicaid|All Plans | $31.16 | ↓ -39% |
| Kaiser | Medicaid|< 21 | $33.39 | ↓ -34% |
| Kaiser | Medicaid|> 21 | $33.39 | ↓ -34% |
| United | Commercial|Non-Options PPO | $68.44 | ↑ +35% |
| United | Commercial|Options PPO | $73.16 | ↑ +44% |
| United | Commercial|All Other Plans | $73.16 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $76.70 | ↑ +51% |
| Kaiser | Commercial|All Plans | $82.60 | ↑ +63% |
| LA Care | Medicaid|All Plans | $91.71 | ↑ +81% |
| SMIPA | Medicare|All Plans | $92.29 | ↑ +82% |
| MultiPlan | Commercial|All Plans | $94.40 | ↑ +86% |
| Blue Shield CA | Medicaid|All Plans | $111.30 | ↑ +119% |
| Care 1st | Medicaid|All Plans | $111.30 | ↑ +119% |
| United | Commercial|HMO | $113.28 | ↑ +123% |
| HCLA | Medicare|Preferred IPA | $117.53 | ↑ +132% |
| Humana | Medicare|All Plans | $117.53 | ↑ +132% |
| Molina | Medicare|All Plans | $117.53 | ↑ +132% |
| Health Net | Medicare|All Other Plans | $117.53 | ↑ +132% |
| Health Net | Medicare|HMO | $117.53 | ↑ +132% |
| Cigna | Medicare|All Plans | $117.53 | ↑ +132% |
| Kaiser | Medicare|All Plans | $117.53 | ↑ +132% |
| Central Health Plan | Medicare|All Plans | $117.53 | ↑ +132% |
| BCBS - Anthem | Medicare|All Plans | $117.53 | ↑ +132% |
| Blue Shield CA | Medicare|All Other Plans | $117.53 | ↑ +132% |
| Scan Health Plan | Medicare|All Plans | $117.53 | ↑ +132% |
| LA Care | Medicare|All Plans | $117.53 | ↑ +132% |
| EasyChoice | Medicare|All Plans | $117.53 | ↑ +132% |
| United | Medicare|All Plans | $119.89 | ↑ +136% |
| HPN | Medicare|Senior | $129.28 | ↑ +155% |
| HCLA | Commercial|Preferred IPA | $146.91 | ↑ +190% |
| LA Care | Commercial|All Plans | $146.91 | ↑ +190% |
| Blue Shield CA | Medicare|Trauma | $146.91 | ↑ +190% |
| SevenCorners | Medicare|All Plans | $188.05 | ↑ +271% |
Visitor-reported prices
Comments
Behavior counsel obesity 15min medicare g0447 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $87.92 | $22.26 – $129.36 |
| Healdsburg Hospital | Healdsburg | not published | $136.88 – $136.88 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $141.36 – $144.24 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $111.06 – $241.72 |
| Providence St Joseph Hospital Orange | Orange | not published | $111.06 – $241.72 |
| Providence Saint John's Health Center | Santa Monica | not published | $87.93 – $241.72 |