Consultation/report referred slides prepared elsewhere at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$234.35
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.
$545.00
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.
$39.28 with SMIPA vs $437.35 with Care 1st — 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 |
|---|---|---|---|
| SMIPA | Medicare|All Plans | $39.28 | ↓ -83% |
| United | Commercial|All Other Plans | $40.61 | ↓ -83% |
| United | Commercial|Options PPO | $40.61 | ↓ -83% |
| United | Commercial|HMO | $40.61 | ↓ -83% |
| United | Commercial|Non-Options PPO | $40.61 | ↓ -83% |
| DHR | Medicaid|< 21 | $49.25 | ↓ -79% |
| DHR | Medicaid|> 21 | $49.25 | ↓ -79% |
| Blue Shield CA | Medicare|All Other Plans | $49.87 | ↓ -79% |
| Humana | Medicare|All Plans | $49.87 | ↓ -79% |
| HCLA | Medicare|Preferred IPA | $49.87 | ↓ -79% |
| Molina | Medicare|All Plans | $49.87 | ↓ -79% |
| Health Net | Medicare|HMO | $49.87 | ↓ -79% |
| LA Care | Medicare|All Plans | $49.87 | ↓ -79% |
| Cigna | Medicare|All Plans | $49.87 | ↓ -79% |
| Kaiser | Medicare|All Plans | $49.87 | ↓ -79% |
| Scan Health Plan | Medicare|All Plans | $49.87 | ↓ -79% |
| Central Health Plan | Medicare|All Plans | $49.87 | ↓ -79% |
| BCBS - Anthem | Medicare|All Plans | $49.87 | ↓ -79% |
| Health Net | Medicare|All Other Plans | $49.87 | ↓ -79% |
| EasyChoice | Medicare|All Plans | $49.87 | ↓ -79% |
| United | Medicare|All Plans | $50.87 | ↓ -78% |
| HPN | Medicare|Senior | $54.86 | ↓ -77% |
| Blue Shield CA | Medicare|Trauma | $62.34 | ↓ -73% |
| HCLA | Commercial|Preferred IPA | $62.34 | ↓ -73% |
| LA Care | Commercial|All Plans | $62.34 | ↓ -73% |
| Noble IPA | Medicaid|< 21 | $78.72 | ↓ -66% |
| Noble IPA | Medicaid|> 21 | $78.72 | ↓ -66% |
| SevenCorners | Medicare|All Plans | $79.79 | ↓ -66% |
| Partnership Health Plan | Medicaid|> 21 | $87.47 | ↓ -63% |
| Preferred IPA | Medicaid|Risk | $87.47 | ↓ -63% |
| HCLA | Medicaid|Preferred IPA > 21 | $87.47 | ↓ -63% |
| Inland Empire Health Plan | Medicaid|All Plans | $87.47 | ↓ -63% |
| HCLA | Medicaid|Preferred IPA < 21 | $87.47 | ↓ -63% |
| Angeles IPA | Medicare|All Plans | $87.47 | ↓ -63% |
| Partnership Health Plan | Medicaid|< 21 | $87.47 | ↓ -63% |
| BCBS - Anthem | Medicaid|All Plans | $87.83 | ↓ -63% |
| BCBS - Anthem | Commercial|Exchange | $114.26 | ↓ -51% |
| Health Net | Medicaid|> 21 | $116.60 | ↓ -50% |
| Health Net | Medicaid|< 21 | $116.60 | ↓ -50% |
| Molina | Medicaid|All Plans | $122.46 | ↓ -48% |
| Blue Shield CA | Medicare|BlueShield Promise | $128.05 | ↓ -45% |
| Kaiser | Medicaid|< 21 | $131.20 | ↓ -44% |
| Kaiser | Medicaid|> 21 | $131.20 | ↓ -44% |
| Kaiser | Commercial|All Plans | $137.90 | ↓ -41% |
| MultiPlan | Commercial|All Plans | $157.60 | ↓ -33% |
| BCBS - Anthem | Commercial|All Other Plans | $171.39 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $187.54 | ↓ -20% |
| Cigna | Commercial|PPO | $187.54 | ↓ -20% |
| Aetna | Commercial|HMO | $197.00 | ↓ -16% |
| Aetna | Commercial|PPO | $197.00 | ↓ -16% |
| Aetna | Commercial|All Other Plans | $197.00 | ↓ -16% |
| BCBS - Anthem | Commercial|MCS | $197.00 | ↓ -16% |
| LA Care | Medicaid|All Plans | $251.24 | ↑ +7% |
| Blue Shield CA | Medicaid|All Plans | $437.35 | ↑ +87% |
| Care 1st | Medicaid|All Plans | $437.35 | ↑ +87% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $63.08 | $38.88 – $223.12 |
| Petaluma Valley Hospital | Petaluma | $240.72 | $50.33 – $319.03 |
| Arroyo Grande Hospital | Santa Maria | $256.33 | $40.61 – $216.67 |
| Mark Twain Medical Center | San Andreas | $83.92 | $32.60 – $123.48 |
| French Hospital | San Luis Obispo | $234.77 | $32.62 – $254.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $55.65 | $40.61 – $241.65 |
| Bakersfield Memorial Hospital | Bakersfield | $55.05 | $40.61 – $241.65 |
| Queen of The Valley Medical Center | Napa | $386.07 | $53.03 – $403.17 |