Brace fx hum ovr shldr sm at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$926.65
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.
$2,155.00
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.
$51.00 with BCBS - Anthem vs $1,742.10 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $51.00 | ↓ -94% |
| Preferred IPA | Medicaid|Risk | $53.55 | ↓ -94% |
| Molina | Medicaid|All Plans | $58.65 | ↓ -94% |
| DHR | Medicaid|< 21 | $63.75 | ↓ -93% |
| DHR | Medicaid|> 21 | $63.75 | ↓ -93% |
| HPN | Commercial|All Plans | $66.30 | ↓ -93% |
| HCLA | Medicaid|Preferred IPA < 21 | $76.50 | ↓ -92% |
| Cigna | Commercial|All Other Plans | $76.50 | ↓ -92% |
| HCLA | Medicaid|Preferred IPA > 21 | $76.50 | ↓ -92% |
| Cigna | Commercial|PPO | $76.50 | ↓ -92% |
| BCBS - Anthem | Commercial|Exchange | $86.70 | ↓ -91% |
| Angeles IPA | Medicare|All Plans | $89.25 | ↓ -90% |
| Health Net | Commercial|EPPO | $94.35 | ↓ -90% |
| Blue Shield CA | Commercial|Exchange | $104.55 | ↓ -89% |
| Health Net | Commercial|Care Product | $114.75 | ↓ -88% |
| United | Commercial|Non-Options PPO | $119.85 | ↓ -87% |
| BCBS - Anthem | Commercial|All Other Plans | $127.50 | ↓ -86% |
| United | Commercial|Options PPO | $127.50 | ↓ -86% |
| United | Commercial|All Other Plans | $127.50 | ↓ -86% |
| BCBS - Anthem | Commercial|MCS | $127.50 | ↓ -86% |
| Health Net | Commercial|All Other Plans | $132.60 | ↓ -86% |
| United | Commercial|HMO | $132.60 | ↓ -86% |
| Blue Shield CA | Commercial|All Other Plans | $140.25 | ↓ -85% |
| Aetna | Commercial|All Other Plans | $147.90 | ↓ -84% |
| Aetna | Commercial|HMO | $147.90 | ↓ -84% |
| Aetna | Commercial|PPO | $147.90 | ↓ -84% |
| Blue Shield CA | Medicare|BlueShield Promise | $165.75 | ↓ -82% |
| Kaiser | Commercial|All Plans | $178.50 | ↓ -81% |
| MultiPlan | Commercial|All Plans | $204.00 | ↓ -78% |
| Noble IPA | Medicaid|> 21 | $229.50 | ↓ -75% |
| Noble IPA | Medicaid|< 21 | $229.50 | ↓ -75% |
| SMIPA | Medicare|All Plans | $255.00 | ↓ -72% |
| Partnership Health Plan | Medicaid|< 21 | $255.00 | ↓ -72% |
| Partnership Health Plan | Medicaid|> 21 | $255.00 | ↓ -72% |
| Health Net | Medicaid|> 21 | $255.00 | ↓ -72% |
| Inland Empire Health Plan | Medicaid|All Plans | $255.00 | ↓ -72% |
| Health Net | Medicaid|< 21 | $255.00 | ↓ -72% |
| Kaiser | Medicaid|< 21 | $382.50 | ↓ -59% |
| Kaiser | Medicaid|> 21 | $382.50 | ↓ -59% |
| LA Care | Medicaid|All Plans | $1,050.60 | ↑ +13% |
| Care 1st | Medicaid|All Plans | $1,742.10 | ↑ +88% |
| Blue Shield CA | Medicaid|All Plans | $1,742.10 | ↑ +88% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $751.17 | $315.84 – $1,026.48 |
| Petaluma Valley Hospital | Petaluma | $1,155.22 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $417.38 | $281.25 – $1,012.50 |
| Bakersfield Memorial Hospital | Bakersfield | $412.88 | $281.25 – $1,091.25 |
| Queen of The Valley Medical Center | Napa | $1,029.79 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,237.73 | not published |
| Healdsburg Hospital | Healdsburg | $639.64 | not published |
| Redwood Memorial Hospital | Fortuna | $1,237.73 | not published |