Consultation pathology during surgery frozen section each additional block at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$110.51
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.
$257.00
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.
$25.03 with Noble IPA vs $257.00 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 | $25.03 | ↓ -77% |
| Noble IPA | Medicaid|< 21 | $25.03 | ↓ -77% |
| Partnership Health Plan | Medicaid|> 21 | $27.81 | ↓ -75% |
| Inland Empire Health Plan | Medicaid|All Plans | $27.81 | ↓ -75% |
| Preferred IPA | Medicaid|Risk | $27.81 | ↓ -75% |
| HCLA | Medicaid|Preferred IPA > 21 | $27.81 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $27.81 | ↓ -75% |
| HCLA | Medicaid|Preferred IPA < 21 | $27.81 | ↓ -75% |
| Angeles IPA | Medicare|All Plans | $27.81 | ↓ -75% |
| Partnership Health Plan | Medicaid|< 21 | $27.81 | ↓ -75% |
| United | Commercial|Non-Options PPO | $28.90 | ↓ -74% |
| United | Commercial|All Other Plans | $28.90 | ↓ -74% |
| United | Commercial|Options PPO | $28.90 | ↓ -74% |
| United | Commercial|HMO | $28.90 | ↓ -74% |
| DHR | Medicaid|< 21 | $35.25 | ↓ -68% |
| DHR | Medicaid|> 21 | $35.25 | ↓ -68% |
| Health Net | Medicaid|< 21 | $37.07 | ↓ -66% |
| Health Net | Medicaid|> 21 | $37.07 | ↓ -66% |
| Molina | Medicaid|All Plans | $38.93 | ↓ -65% |
| Kaiser | Medicaid|< 21 | $41.71 | ↓ -62% |
| Kaiser | Medicaid|> 21 | $41.71 | ↓ -62% |
| Cigna | Commercial|PPO | $54.79 | ↓ -50% |
| Cigna | Commercial|All Other Plans | $54.79 | ↓ -50% |
| BCBS - Anthem | Commercial|Exchange | $55.26 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $76.41 | ↓ -31% |
| Aetna | Commercial|PPO | $76.41 | ↓ -31% |
| Aetna | Commercial|HMO | $76.41 | ↓ -31% |
| LA Care | Medicaid|All Plans | $79.89 | ↓ -28% |
| BCBS - Anthem | Commercial|All Other Plans | $82.39 | ↓ -25% |
| Blue Shield CA | Medicare|BlueShield Promise | $91.65 | ↓ -17% |
| Kaiser | Commercial|All Plans | $98.70 | ↓ -11% |
| MultiPlan | Commercial|All Plans | $112.80 | ↑ +2% |
| BCBS - Anthem | Commercial|MCS | $127.74 | ↑ +16% |
| Care 1st | Medicaid|All Plans | $139.05 | ↑ +26% |
| Blue Shield CA | Medicaid|All Plans | $139.05 | ↑ +26% |
| SMIPA | Medicare|All Plans | $257.00 | ↑ +133% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $118.26 | $28.90 – $210.60 |
| Petaluma Valley Hospital | Petaluma | $97.41 | $46.20 – $68.09 |
| Arroyo Grande Hospital | Santa Maria | $7.87 | $9.19 – $63.31 |
| Mark Twain Medical Center | San Andreas | $17.55 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $7.21 | $4.96 – $74.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $26.35 | $15.50 – $70.60 |
| Bakersfield Memorial Hospital | Bakersfield | $26.06 | $15.50 – $70.60 |
| Queen of The Valley Medical Center | Napa | $83.13 | $46.20 – $86.05 |