Cystostomy cystotomy w/drainage 51040 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$512.67 with Partnership Health Plan vs $14,575.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $512.67 | — |
| Partnership Health Plan | Medicaid|< 21 | $512.67 | — |
| HCLA | Medicaid|Preferred IPA > 21 | $512.67 | — |
| HCLA | Medicaid|Preferred IPA < 21 | $512.67 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $512.67 | — |
| BCBS - Anthem | Medicaid|All Plans | $640.83 | — |
| Health Net | Medicaid|> 21 | $681.85 | — |
| Health Net | Medicaid|< 21 | $681.85 | — |
| Noble IPA | Medicaid|> 21 | $727.33 | — |
| Noble IPA | Medicaid|< 21 | $727.33 | — |
| Kaiser | Medicaid|< 21 | $769.00 | — |
| Kaiser | Medicaid|> 21 | $769.00 | — |
| Angeles IPA | Medicare|All Plans | $808.14 | — |
| Preferred IPA | Medicaid|Risk | $808.14 | — |
| Molina | Medicaid|All Plans | $1,131.40 | — |
| LA Care | Medicaid|All Plans | $2,112.20 | — |
| Humana | Medicare|All Plans | $2,602.84 | — |
| Kaiser | Medicare|All Plans | $2,602.84 | — |
| Central Health Plan | Medicare|All Plans | $2,602.84 | — |
| HCLA | Medicare|Preferred IPA | $2,602.84 | — |
| BCBS - Anthem | Medicare|All Plans | $2,602.84 | — |
| Health Net | Medicare|All Other Plans | $2,602.84 | — |
| Health Net | Medicare|HMO | $2,602.84 | — |
| Cigna | Medicare|All Plans | $2,602.84 | — |
| LA Care | Medicare|All Plans | $2,602.84 | — |
| Molina | Medicare|All Plans | $2,602.84 | — |
| Blue Shield CA | Medicare|All Other Plans | $2,602.84 | — |
| EasyChoice | Medicare|All Plans | $2,602.84 | — |
| Scan Health Plan | Medicare|All Plans | $2,602.84 | — |
| United | Medicare|All Plans | $2,654.90 | — |
| HPN | Medicare|Senior | $2,863.12 | — |
| HCLA | Commercial|Preferred IPA | $3,253.55 | — |
| Blue Shield CA | Medicare|Trauma | $3,253.55 | — |
| LA Care | Commercial|All Plans | $3,253.55 | — |
| Health Net | Commercial|EPPO | $3,878.00 | — |
| Blue Shield CA | Medicaid|All Plans | $4,040.70 | — |
| Care 1st | Medicaid|All Plans | $4,040.70 | — |
| SevenCorners | Medicare|All Plans | $4,164.54 | — |
| Health Net | Commercial|Care Product | $4,708.00 | — |
| Health Net | Commercial|All Other Plans | $5,411.00 | — |
| BCBS - Anthem | Commercial|Exchange | $6,300.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,403.00 | — |
| BCBS - Anthem | Commercial|MCS | $14,575.00 | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| DHR | Medicaid|> 21 | not published by hospital | — |
| DHR | Medicaid|< 21 | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,776.04 | $2,817.02 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $5,395.80 | $2,968.05 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,584.28 | $2,688.58 – $11,046.00 |
| Healdsburg Hospital | Healdsburg | $1,892.10 | $2,816.47 – $6,323.17 |
| Redwood Memorial Hospital | Fortuna | $2,365.38 | $9,858.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,674.99 | $2,908.69 – $9,773.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,086.72 | $2,285.30 – $9,779.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,485.35 | $2,160.00 – $5,080.00 |