Close lac/mouth vest/2.5 cm or < 40830 at St. Mary Medical Center

1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$78.61 with HCLA vs $6,054.00 with BCBS - Anthem — 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 →

Payer
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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
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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
HCLA Medicaid|Preferred IPA > 21 $78.61
Partnership Health Plan Medicaid|> 21 $78.61
Partnership Health Plan Medicaid|< 21 $78.61
HCLA Medicaid|Preferred IPA < 21 $78.61
Inland Empire Health Plan Medicaid|All Plans $78.61
BCBS - Anthem Medicaid|All Plans $98.26
Health Net Medicaid|> 21 $104.55
Health Net Medicaid|< 21 $104.55
Noble IPA Medicaid|> 21 $111.53
Noble IPA Medicaid|< 21 $111.53
Kaiser Medicaid|> 21 $117.91
Kaiser Medicaid|< 21 $117.91
Preferred IPA Medicaid|Risk $123.92
Angeles IPA Medicare|All Plans $123.92
Molina Medicaid|All Plans $173.49
SMIPA Medicare|All Plans $239.29
Scan Health Plan Medicare|All Plans $295.06
Humana Medicare|All Plans $295.06
Molina Medicare|All Plans $295.06
HCLA Medicare|Preferred IPA $295.06
Health Net Medicare|All Other Plans $295.06
Health Net Medicare|HMO $295.06
Cigna Medicare|All Plans $295.06
EasyChoice Medicare|All Plans $295.06
Kaiser Medicare|All Plans $295.06
Central Health Plan Medicare|All Plans $295.06
BCBS - Anthem Medicare|All Plans $295.06
LA Care Medicare|All Plans $295.06
Blue Shield CA Medicare|All Other Plans $295.06
United Medicare|All Plans $300.97
LA Care Medicaid|All Plans $323.87
HPN Medicare|Senior $324.57
LA Care Commercial|All Plans $368.82
Blue Shield CA Medicare|Trauma $368.82
HCLA Commercial|Preferred IPA $368.82
SevenCorners Medicare|All Plans $472.10
Care 1st Medicaid|All Plans $619.60
Blue Shield CA Medicaid|All Plans $619.60
Health Net Commercial|EPPO $1,910.00
Health Net Commercial|Care Product $2,319.00
BCBS - Anthem Commercial|Exchange $2,617.00
Health Net Commercial|All Other Plans $2,666.00
BCBS - Anthem Commercial|All Other Plans $3,906.00
BCBS - Anthem Commercial|MCS $6,054.00
Blue Shield CA Medicare|BlueShield Promise not published by hospital
DHR Medicaid|> 21 not published by hospital
DHR Medicaid|< 21 not published by hospital
United Commercial|Non-Options PPO not published by hospital
United Commercial|Options PPO not published by hospital
United Commercial|HMO not published by hospital
United Commercial|All Other Plans not published by hospital
MultiPlan Commercial|All Plans not published by hospital
Kaiser Commercial|All Plans not published by hospital

Visitor-reported prices

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Close lac/mouth vest/2.5 cm or < 40830 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $453.90 $319.18 – $1,687.00
Queen of The Valley Medical Center Napa $468.18 $336.29 – $6,200.00
Providence St Joseph Hospital Eureka Eureka $470.73 $304.63 – $8,018.00
Healdsburg Hospital Healdsburg $255.51 $319.12 – $721.00
Redwood Memorial Hospital Fortuna $922.08 $1,333.00 – $8,222.00
Santa Rosa Memorial Hospital Santa Rosa $894.54 $329.57 – $4,042.00
Providence Mission Hospital - Mission Viejo Mission Viejo $1,281.60 $258.93 – $1,597.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana $190.05 $203.00 – $1,287.00

All California hospitals for this procedure →