Counseling visit to discuss need for ldct g0296 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$122.12
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.
$284.00
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.
$0.01 with BCBS - Anthem vs $284.00 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 →
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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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $0.01 | ↓ -100% |
| DHR | Medicaid|< 21 | $71.00 | ↓ -42% |
| DHR | Medicaid|> 21 | $71.00 | ↓ -42% |
| SMIPA | Medicare|All Plans | $92.29 | ↓ -24% |
| Humana | Medicare|All Plans | $117.53 | ↓ -4% |
| Molina | Medicare|All Plans | $117.53 | ↓ -4% |
| Health Net | Medicare|All Other Plans | $117.53 | ↓ -4% |
| Health Net | Medicare|HMO | $117.53 | ↓ -4% |
| Cigna | Medicare|All Plans | $117.53 | ↓ -4% |
| Kaiser | Medicare|All Plans | $117.53 | ↓ -4% |
| Central Health Plan | Medicare|All Plans | $117.53 | ↓ -4% |
| BCBS - Anthem | Medicare|All Plans | $117.53 | ↓ -4% |
| Blue Shield CA | Medicare|All Other Plans | $117.53 | ↓ -4% |
| Scan Health Plan | Medicare|All Plans | $117.53 | ↓ -4% |
| LA Care | Medicare|All Plans | $117.53 | ↓ -4% |
| EasyChoice | Medicare|All Plans | $117.53 | ↓ -4% |
| HCLA | Medicare|Preferred IPA | $117.53 | ↓ -4% |
| United | Medicare|All Plans | $119.89 | ↓ -2% |
| HPN | Medicare|Senior | $129.28 | ↑ +6% |
| HCLA | Commercial|Preferred IPA | $146.91 | ↑ +20% |
| LA Care | Commercial|All Plans | $146.91 | ↑ +20% |
| Blue Shield CA | Medicare|Trauma | $146.91 | ↑ +20% |
| BCBS - Anthem | Commercial|Exchange | $164.72 | ↑ +35% |
| United | Commercial|Non-Options PPO | $164.72 | ↑ +35% |
| United | Commercial|Options PPO | $176.08 | ↑ +44% |
| United | Commercial|All Other Plans | $176.08 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $184.60 | ↑ +51% |
| SevenCorners | Medicare|All Plans | $188.05 | ↑ +54% |
| Kaiser | Commercial|All Plans | $198.80 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $227.20 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $247.08 | ↑ +102% |
| United | Commercial|HMO | $272.64 | ↑ +123% |
| BCBS - Anthem | Commercial|MCS | $284.00 | ↑ +133% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $233.28 | $111.06 – $241.72 |
| St Jude Medical Center | Fullerton | $119.52 | $111.06 – $241.72 |
| Providence St Joseph Hospital Orange | Orange | $135.84 | $111.06 – $241.72 |
| Petaluma Valley Hospital | Petaluma | not published | $136.90 – $347.00 |
| Queen of The Valley Medical Center | Napa | not published | $144.24 – $438.52 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $130.66 – $497.28 |
| Healdsburg Hospital | Healdsburg | not published | $136.88 – $198.37 |
| Redwood Memorial Hospital | Fortuna | not published | $498.45 – $498.45 |