Brace knee postop tscope xl at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$1,206.15
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.
$2,805.00
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.
$451.27 with Noble IPA vs $2,805.00 with SMIPA — 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 | $451.27 | ↓ -63% |
| Noble IPA | Medicaid|< 21 | $451.27 | ↓ -63% |
| Partnership Health Plan | Medicaid|> 21 | $501.41 | ↓ -58% |
| HCLA | Medicaid|Preferred IPA > 21 | $501.41 | ↓ -58% |
| Preferred IPA | Medicaid|Risk | $501.41 | ↓ -58% |
| HCLA | Medicaid|Preferred IPA < 21 | $501.41 | ↓ -58% |
| Angeles IPA | Medicare|All Plans | $501.41 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $501.41 | ↓ -58% |
| Inland Empire Health Plan | Medicaid|All Plans | $501.41 | ↓ -58% |
| Partnership Health Plan | Medicaid|< 21 | $501.41 | ↓ -58% |
| Molina | Medicaid|All Plans | $645.15 | ↓ -47% |
| Health Net | Medicaid|< 21 | $668.38 | ↓ -45% |
| Health Net | Medicaid|> 21 | $668.38 | ↓ -45% |
| DHR | Medicaid|< 21 | $701.25 | ↓ -42% |
| DHR | Medicaid|> 21 | $701.25 | ↓ -42% |
| HPN | Commercial|All Plans | $729.30 | ↓ -40% |
| Kaiser | Medicaid|> 21 | $752.12 | ↓ -38% |
| Kaiser | Medicaid|< 21 | $752.12 | ↓ -38% |
| Cigna | Commercial|PPO | $841.50 | ↓ -30% |
| Cigna | Commercial|All Other Plans | $841.50 | ↓ -30% |
| BCBS - Anthem | Commercial|Exchange | $953.70 | ↓ -21% |
| Health Net | Commercial|EPPO | $1,037.85 | ↓ -14% |
| Blue Shield CA | Commercial|Exchange | $1,150.05 | ↓ -5% |
| Health Net | Commercial|Care Product | $1,262.25 | ↑ +5% |
| United | Commercial|Non-Options PPO | $1,318.35 | ↑ +9% |
| BCBS - Anthem | Commercial|All Other Plans | $1,402.50 | ↑ +16% |
| United | Commercial|All Other Plans | $1,402.50 | ↑ +16% |
| BCBS - Anthem | Commercial|MCS | $1,402.50 | ↑ +16% |
| United | Commercial|Options PPO | $1,402.50 | ↑ +16% |
| Health Net | Commercial|All Other Plans | $1,458.60 | ↑ +21% |
| United | Commercial|HMO | $1,458.60 | ↑ +21% |
| Blue Shield CA | Commercial|All Other Plans | $1,542.75 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $1,626.90 | ↑ +35% |
| Aetna | Commercial|HMO | $1,626.90 | ↑ +35% |
| Aetna | Commercial|PPO | $1,626.90 | ↑ +35% |
| Blue Shield CA | Medicare|BlueShield Promise | $1,823.25 | ↑ +51% |
| Kaiser | Commercial|All Plans | $1,963.50 | ↑ +63% |
| LA Care | Medicaid|All Plans | $2,065.81 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $2,244.00 | ↑ +86% |
| Care 1st | Medicaid|All Plans | $2,507.05 | ↑ +108% |
| Blue Shield CA | Medicaid|All Plans | $2,507.05 | ↑ +108% |
| SMIPA | Medicare|All Plans | $2,805.00 | ↑ +133% |
Visitor-reported prices
Comments
Brace knee postop tscope xl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,654.77 | $758.58 – $2,946.84 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,782.13 | $681.92 – $3,504.48 |
| Community Hospital San Bernardino | San Bernardino | $1,096.76 | $501.41 – $2,805.00 |
| Glendale Memorial Hospital Health Center | Glendale | $914.43 | $40.00 – $2,776.95 |
| Mercy Medical Center Redding | Redding | $1,489.57 | $646.36 – $2,938.00 |
| St. Bernardine Medical Center | San Bernardino | $934.07 | $501.41 – $2,507.05 |
| St. Elizabeth Community Hospital | Red Bluff | $1,715.80 | $616.98 – $2,879.24 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $939.24 – $1,737.59 |