Below knee sus/seal sleeve at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$247.25
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.
?
What you pay up front if you don't use insurance.
$575.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$72.59 with Noble IPA vs $440.00 with SMIPA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $72.59 | ↓ -71% |
| Noble IPA | Medicaid|< 21 | $72.59 | ↓ -71% |
| Partnership Health Plan | Medicaid|> 21 | $80.66 | ↓ -67% |
| HCLA | Medicaid|Preferred IPA > 21 | $80.66 | ↓ -67% |
| Preferred IPA | Medicaid|Risk | $80.66 | ↓ -67% |
| HCLA | Medicaid|Preferred IPA < 21 | $80.66 | ↓ -67% |
| Angeles IPA | Medicare|All Plans | $80.66 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $80.66 | ↓ -67% |
| Inland Empire Health Plan | Medicaid|All Plans | $80.66 | ↓ -67% |
| Partnership Health Plan | Medicaid|< 21 | $80.66 | ↓ -67% |
| Molina | Medicaid|All Plans | $101.20 | ↓ -59% |
| Health Net | Medicaid|< 21 | $107.52 | ↓ -57% |
| Health Net | Medicaid|> 21 | $107.52 | ↓ -57% |
| DHR | Medicaid|< 21 | $110.00 | ↓ -56% |
| DHR | Medicaid|> 21 | $110.00 | ↓ -56% |
| HPN | Commercial|All Plans | $114.40 | ↓ -54% |
| Kaiser | Medicaid|> 21 | $120.99 | ↓ -51% |
| Kaiser | Medicaid|< 21 | $120.99 | ↓ -51% |
| Cigna | Commercial|PPO | $132.00 | ↓ -47% |
| Cigna | Commercial|All Other Plans | $132.00 | ↓ -47% |
| BCBS - Anthem | Commercial|Exchange | $149.60 | ↓ -39% |
| Health Net | Commercial|EPPO | $162.80 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $180.40 | ↓ -27% |
| Health Net | Commercial|Care Product | $198.00 | ↓ -20% |
| United | Commercial|Non-Options PPO | $206.80 | ↓ -16% |
| BCBS - Anthem | Commercial|All Other Plans | $220.00 | ↓ -11% |
| United | Commercial|All Other Plans | $220.00 | ↓ -11% |
| BCBS - Anthem | Commercial|MCS | $220.00 | ↓ -11% |
| United | Commercial|Options PPO | $220.00 | ↓ -11% |
| Health Net | Commercial|All Other Plans | $228.80 | ↓ -7% |
| United | Commercial|HMO | $228.80 | ↓ -7% |
| Blue Shield CA | Commercial|All Other Plans | $242.00 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $255.20 | ↑ +3% |
| Aetna | Commercial|HMO | $255.20 | ↑ +3% |
| Aetna | Commercial|PPO | $255.20 | ↑ +3% |
| Blue Shield CA | Medicare|BlueShield Promise | $286.00 | ↑ +16% |
| Kaiser | Commercial|All Plans | $308.00 | ↑ +25% |
| LA Care | Medicaid|All Plans | $332.32 | ↑ +34% |
| MultiPlan | Commercial|All Plans | $352.00 | ↑ +42% |
| Care 1st | Medicaid|All Plans | $403.30 | ↑ +63% |
| Blue Shield CA | Medicaid|All Plans | $403.30 | ↑ +63% |
| SMIPA | Medicare|All Plans | $440.00 | ↑ +78% |
Visitor-reported prices
Comments
Below knee sus/seal sleeve at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $224.83 | $80.66 – $440.00 |
| Glendale Memorial Hospital Health Center | Glendale | $187.45 | $40.00 – $435.60 |
| St. Bernardine Medical Center | San Bernardino | $191.48 | $80.66 – $403.30 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $153.94 – $284.79 |
| Providence Saint Joseph Medical Center | Burbank | not published | $153.94 – $284.79 |
| Providence St Joseph Hospital Orange | Orange | not published | $130.85 – $284.79 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $153.94 – $284.79 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | not published | $153.94 – $284.79 |