Biopsy of heart lining at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$1,976.28
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.
$4,596.00
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.
$272.83 with Partnership Health Plan vs $26,454.00 with Blue Shield CA — 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 | $272.83 | ↓ -86% |
| HCLA | Medicaid|Preferred IPA < 21 | $272.83 | ↓ -86% |
| HCLA | Medicaid|Preferred IPA > 21 | $272.83 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|All Plans | $272.83 | ↓ -86% |
| Partnership Health Plan | Medicaid|< 21 | $272.83 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $341.04 | ↓ -83% |
| Health Net | Medicaid|> 21 | $362.86 | ↓ -82% |
| Health Net | Medicaid|< 21 | $362.86 | ↓ -82% |
| Noble IPA | Medicaid|> 21 | $389.29 | ↓ -80% |
| Noble IPA | Medicaid|< 21 | $389.29 | ↓ -80% |
| Kaiser | Medicaid|> 21 | $409.25 | ↓ -79% |
| Kaiser | Medicaid|< 21 | $409.25 | ↓ -79% |
| Angeles IPA | Medicare|All Plans | $432.54 | ↓ -78% |
| Preferred IPA | Medicaid|Risk | $432.54 | ↓ -78% |
| Molina | Medicaid|All Plans | $605.56 | ↓ -69% |
| LA Care | Medicaid|All Plans | $1,124.06 | ↓ -43% |
| DHR | Medicaid|> 21 | $1,149.00 | ↓ -42% |
| DHR | Medicaid|< 21 | $1,149.00 | ↓ -42% |
| Healthcare Partners | Medicare|All Plans | $2,114.16 | ↑ +7% |
| Care 1st | Medicaid|All Plans | $2,162.70 | ↑ +9% |
| Blue Shield CA | Medicaid|All Plans | $2,162.70 | ↑ +9% |
| Healthcare Partners | Commercial|All Plans | $2,389.92 | ↑ +21% |
| United | Commercial|Non-Options PPO | $2,665.68 | ↑ +35% |
| United | Commercial|Options PPO | $2,849.52 | ↑ +44% |
| United | Commercial|All Other Plans | $2,849.52 | ↑ +44% |
| HPN | Commercial|All Plans | $2,895.48 | ↑ +47% |
| Blue Shield CA | Medicare|BlueShield Promise | $2,987.40 | ↑ +51% |
| Kaiser | Commercial|All Plans | $3,217.20 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $3,676.80 | ↑ +86% |
| HCLA | Medicare|Preferred IPA | $3,999.21 | ↑ +102% |
| Humana | Medicare|All Plans | $3,999.21 | ↑ +102% |
| Molina | Medicare|All Plans | $3,999.21 | ↑ +102% |
| Health Net | Medicare|All Other Plans | $3,999.21 | ↑ +102% |
| Health Net | Medicare|HMO | $3,999.21 | ↑ +102% |
| Cigna | Medicare|All Plans | $3,999.21 | ↑ +102% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↑ +102% |
| Central Health Plan | Medicare|All Plans | $3,999.21 | ↑ +102% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↑ +102% |
| Blue Shield CA | Medicare|All Other Plans | $3,999.21 | ↑ +102% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↑ +102% |
| LA Care | Medicare|All Plans | $3,999.21 | ↑ +102% |
| EasyChoice | Medicare|All Plans | $3,999.21 | ↑ +102% |
| United | Medicare|All Plans | $4,079.20 | ↑ +106% |
| HPN | Medicare|Senior | $4,399.13 | ↑ +123% |
| United | Commercial|HMO | $4,412.16 | ↑ +123% |
| SMIPA | Medicare|All Plans | $4,596.00 | ↑ +133% |
| BCBS - Anthem | Commercial|Exchange | $4,709.00 | ↑ +138% |
| Health Net | Commercial|EPPO | $4,909.00 | ↑ +148% |
| HCLA | Commercial|Preferred IPA | $4,999.01 | ↑ +153% |
| Blue Shield CA | Medicare|Trauma | $4,999.01 | ↑ +153% |
| LA Care | Commercial|All Plans | $4,999.01 | ↑ +153% |
| Health Net | Commercial|Care Product | $5,961.00 | ↑ +202% |
| SevenCorners | Medicare|All Plans | $6,398.74 | ↑ +224% |
| Health Net | Commercial|All Other Plans | $6,851.00 | ↑ +247% |
| BCBS - Anthem | Commercial|All Other Plans | $7,028.00 | ↑ +256% |
| BCBS - Anthem | Commercial|MCS | $10,893.00 | ↑ +451% |
| Blue Shield CA | Commercial|Exchange | $20,316.00 | ↑ +928% |
| Blue Shield CA | Commercial|All Other Plans | $26,454.00 | ↑ +1239% |
Visitor-reported prices
Comments
Biopsy of heart lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,223.46 | $272.83 – $5,091.10 |
| French Hospital | San Luis Obispo | $1,973.72 | $272.83 – $4,934.30 |
| Bakersfield Memorial Hospital | Bakersfield | $2,251.55 | $272.83 – $4,846.65 |
| St. Joseph's Medical Center Stockton | Stockton | $1,803.69 | $272.83 – $5,153.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,796.44 | $2,238.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,006.88 | $3,429.00 – $7,883.00 |
| Mercy Medical Center Merced | Merced | $3,159.53 | $272.83 – $6,073.65 |
| Dominican Hospital | Santa Cruz | $1,465.65 | $272.83 – $10,194.41 |