CT heart w/evaluation of calcium without contrast at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$246.82
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.
$574.00
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.
$73.20 with Noble IPA vs $544.88 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 |
|---|---|---|---|
| Noble IPA | Medicaid|< 21 | $73.20 | ↓ -70% |
| Noble IPA | Medicaid|> 21 | $73.20 | ↓ -70% |
| Inland Empire Health Plan | Medicaid|All Plans | $81.33 | ↓ -67% |
| Partnership Health Plan | Medicaid|< 21 | $81.33 | ↓ -67% |
| HCLA | Medicaid|Preferred IPA > 21 | $81.33 | ↓ -67% |
| HCLA | Medicaid|Preferred IPA < 21 | $81.33 | ↓ -67% |
| Partnership Health Plan | Medicaid|> 21 | $81.33 | ↓ -67% |
| Preferred IPA | Medicaid|Risk | $81.33 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $81.33 | ↓ -67% |
| Angeles IPA | Medicare|All Plans | $81.33 | ↓ -67% |
| SMIPA | Medicare|All Plans | $93.78 | ↓ -62% |
| Health Net | Medicaid|> 21 | $108.41 | ↓ -56% |
| Health Net | Medicaid|< 21 | $108.41 | ↓ -56% |
| Cigna | Medicare|All Plans | $111.88 | ↓ -55% |
| Humana | Medicare|All Plans | $111.88 | ↓ -55% |
| Molina | Medicare|All Plans | $111.88 | ↓ -55% |
| HCLA | Medicare|Preferred IPA | $111.88 | ↓ -55% |
| Health Net | Medicare|All Other Plans | $111.88 | ↓ -55% |
| Health Net | Medicare|HMO | $111.88 | ↓ -55% |
| Scan Health Plan | Medicare|All Plans | $111.88 | ↓ -55% |
| EasyChoice | Medicare|All Plans | $111.88 | ↓ -55% |
| Kaiser | Medicare|All Plans | $111.88 | ↓ -55% |
| Central Health Plan | Medicare|All Plans | $111.88 | ↓ -55% |
| BCBS - Anthem | Medicare|All Plans | $111.88 | ↓ -55% |
| LA Care | Medicare|All Plans | $111.88 | ↓ -55% |
| Blue Shield CA | Medicare|All Other Plans | $111.88 | ↓ -55% |
| Molina | Medicaid|All Plans | $113.86 | ↓ -54% |
| United | Medicare|All Plans | $114.12 | ↓ -54% |
| Kaiser | Medicaid|> 21 | $122.00 | ↓ -51% |
| Kaiser | Medicaid|< 21 | $122.00 | ↓ -51% |
| HPN | Medicare|Senior | $123.07 | ↓ -50% |
| Blue Shield CA | Medicare|Trauma | $139.85 | ↓ -43% |
| LA Care | Commercial|All Plans | $139.85 | ↓ -43% |
| HCLA | Commercial|Preferred IPA | $139.85 | ↓ -43% |
| DHR | Medicaid|< 21 | $143.50 | ↓ -42% |
| DHR | Medicaid|> 21 | $143.50 | ↓ -42% |
| SevenCorners | Medicare|All Plans | $179.01 | ↓ -27% |
| United | Commercial|HMO | $182.03 | ↓ -26% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -26% |
| United | Commercial|Options PPO | $182.03 | ↓ -26% |
| United | Commercial|All Other Plans | $182.03 | ↓ -26% |
| BCBS - Anthem | Commercial|Exchange | $235.71 | ↓ -5% |
| Aetna | Commercial|HMO | $320.35 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $320.35 | ↑ +30% |
| Aetna | Commercial|PPO | $320.35 | ↑ +30% |
| LA Care | Medicaid|All Plans | $335.08 | ↑ +36% |
| BCBS - Anthem | Commercial|All Other Plans | $351.45 | ↑ +42% |
| Blue Shield CA | Medicare|BlueShield Promise | $373.10 | ↑ +51% |
| Kaiser | Commercial|All Plans | $401.80 | ↑ +63% |
| Care 1st | Medicaid|All Plans | $406.65 | ↑ +65% |
| Blue Shield CA | Medicaid|All Plans | $406.65 | ↑ +65% |
| MultiPlan | Commercial|All Plans | $459.20 | ↑ +86% |
| BCBS - Anthem | Commercial|MCS | $544.88 | ↑ +121% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $196.67 | $111.88 – $350.22 |
| Arroyo Grande Hospital | Santa Maria | $266.65 | $81.33 – $561.54 |
| French Hospital | San Luis Obispo | $212.47 | $62.10 – $225.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $66.41 | $81.33 – $179.00 |
| Bakersfield Memorial Hospital | Bakersfield | $65.70 | $81.33 – $179.00 |
| Queen of The Valley Medical Center | Napa | $486.03 | $123.56 – $351.98 |
| Providence St Joseph Hospital Eureka | Eureka | $512.04 | $111.93 – $384.90 |
| St. Joseph's Medical Center Stockton | Stockton | $1,255.68 | $81.33 – $824.10 |