Consult comp w/report rfrd material at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$222.23
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.
$516.80
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.
$41.75 with DHR vs $728.05 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 |
|---|---|---|---|
| DHR | Medicaid|< 21 | $41.75 | ↓ -81% |
| DHR | Medicaid|> 21 | $41.75 | ↓ -81% |
| SMIPA | Medicare|All Plans | $58.13 | ↓ -74% |
| BCBS - Anthem | Commercial|Exchange | $96.86 | ↓ -56% |
| Blue Shield CA | Medicare|BlueShield Promise | $108.55 | ↓ -51% |
| Kaiser | Commercial|All Plans | $116.90 | ↓ -47% |
| Noble IPA | Medicaid|< 21 | $131.05 | ↓ -41% |
| Noble IPA | Medicaid|> 21 | $131.05 | ↓ -41% |
| MultiPlan | Commercial|All Plans | $133.60 | ↓ -40% |
| BCBS - Anthem | Commercial|All Other Plans | $145.29 | ↓ -35% |
| HCLA | Medicaid|Preferred IPA < 21 | $145.61 | ↓ -34% |
| HCLA | Medicaid|Preferred IPA > 21 | $145.61 | ↓ -34% |
| Inland Empire Health Plan | Medicaid|All Plans | $145.61 | ↓ -34% |
| Partnership Health Plan | Medicaid|< 21 | $145.61 | ↓ -34% |
| Partnership Health Plan | Medicaid|> 21 | $145.61 | ↓ -34% |
| Preferred IPA | Medicaid|Risk | $145.61 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $145.61 | ↓ -34% |
| Angeles IPA | Medicare|All Plans | $145.61 | ↓ -34% |
| Scan Health Plan | Medicare|All Plans | $167.00 | ↓ -25% |
| Kaiser | Medicare|All Plans | $167.00 | ↓ -25% |
| Humana | Medicare|All Plans | $167.00 | ↓ -25% |
| Aetna | Commercial|All Other Plans | $167.00 | ↓ -25% |
| Aetna | Commercial|PPO | $167.00 | ↓ -25% |
| Aetna | Commercial|HMO | $167.00 | ↓ -25% |
| Molina | Medicaid|All Plans | $167.00 | ↓ -25% |
| Molina | Medicare|All Plans | $167.00 | ↓ -25% |
| United | Commercial|All Other Plans | $167.00 | ↓ -25% |
| United | Commercial|HMO | $167.00 | ↓ -25% |
| United | Commercial|Options PPO | $167.00 | ↓ -25% |
| United | Commercial|Non-Options PPO | $167.00 | ↓ -25% |
| Health Net | Medicare|All Other Plans | $167.00 | ↓ -25% |
| Health Net | Medicaid|< 21 | $167.00 | ↓ -25% |
| Health Net | Medicaid|> 21 | $167.00 | ↓ -25% |
| Cigna | Medicare|All Plans | $167.00 | ↓ -25% |
| Central Health Plan | Medicare|All Plans | $167.00 | ↓ -25% |
| BCBS - Anthem | Medicare|All Plans | $167.00 | ↓ -25% |
| BCBS - Anthem | Commercial|MCS | $167.00 | ↓ -25% |
| LA Care | Medicare|All Plans | $167.00 | ↓ -25% |
| HCLA | Medicare|Preferred IPA | $167.00 | ↓ -25% |
| United | Medicare|All Plans | $170.34 | ↓ -23% |
| HPN | Medicare|Senior | $183.70 | ↓ -17% |
| LA Care | Commercial|All Plans | $208.75 | ↓ -6% |
| HCLA | Commercial|Preferred IPA | $208.75 | ↓ -6% |
| Blue Shield CA | Medicare|Trauma | $208.75 | ↓ -6% |
| Blue Shield CA | Medicare|All Other Plans | $217.73 | ↓ -2% |
| EasyChoice | Medicare|All Plans | $217.73 | ↓ -2% |
| Health Net | Medicare|HMO | $217.73 | ↓ -2% |
| Kaiser | Medicaid|< 21 | $218.42 | ↓ -2% |
| Kaiser | Medicaid|> 21 | $218.42 | ↓ -2% |
| SevenCorners | Medicare|All Plans | $267.20 | ↑ +20% |
| Cigna | Commercial|PPO | $302.55 | ↑ +36% |
| Cigna | Commercial|All Other Plans | $302.55 | ↑ +36% |
| LA Care | Medicaid|All Plans | $418.22 | ↑ +88% |
| Care 1st | Medicaid|All Plans | $728.05 | ↑ +228% |
| Blue Shield CA | Medicaid|All Plans | $728.05 | ↑ +228% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $76.38 | $34.27 – $175.57 |
| Petaluma Valley Hospital | Petaluma | $307.53 | $98.94 – $494.67 |
| Arroyo Grande Hospital | Santa Maria | $271.23 | $145.61 – $621.03 |
| French Hospital | San Luis Obispo | $248.42 | $145.61 – $621.03 |
| Mercy Hospitals – Bakersfield | Bakersfield | $51.20 | $34.50 – $389.84 |
| Bakersfield Memorial Hospital | Bakersfield | $50.65 | $34.50 – $389.84 |
| Queen of The Valley Medical Center | Napa | $402.90 | $98.94 – $625.14 |
| Providence St Joseph Hospital Eureka | Eureka | $226.44 | $98.94 – $708.91 |