Dactinomycin 0.5 mg intravenous solution at St. Mary Medical Center

1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$71.38

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$166.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$33.20 with BCBS - Anthem vs $1,444.00 with Blue Shield CA — 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 →

Payer
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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
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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 $33.20 ↓ -53%
DHR Medicaid|> 21 $41.50 ↓ -42%
DHR Medicaid|< 21 $41.50 ↓ -42%
HCLA Medicaid|Preferred IPA > 21 $49.80 ↓ -30%
HCLA Medicaid|Preferred IPA < 21 $49.80 ↓ -30%
Cigna Commercial|PPO $76.36 ↑ +7%
Cigna Commercial|All Other Plans $76.36 ↑ +7%
BCBS - Anthem Commercial|Exchange $79.48 ↑ +11%
Blue Shield CA Medicare|BlueShield Promise $107.90 ↑ +51%
Kaiser Commercial|All Plans $116.20 ↑ +63%
BCBS - Anthem Commercial|All Other Plans $118.62 ↑ +66%
MultiPlan Commercial|All Plans $132.80 ↑ +86%
Noble IPA Medicaid|> 21 $149.40 ↑ +109%
Noble IPA Medicaid|< 21 $149.40 ↑ +109%
Health Net Commercial|Care Product $166.00 ↑ +133%
Health Net Medicaid|< 21 $166.00 ↑ +133%
Health Net Medicaid|> 21 $166.00 ↑ +133%
Health Net Commercial|EPPO $166.00 ↑ +133%
Cigna Medicare|All Plans $166.00 ↑ +133%
Kaiser Medicare|All Plans $166.00 ↑ +133%
Central Health Plan Medicare|All Plans $166.00 ↑ +133%
Aetna Commercial|HMO $166.00 ↑ +133%
BCBS - Anthem Medicare|All Plans $166.00 ↑ +133%
BCBS - Anthem Commercial|MCS $166.00 ↑ +133%
Blue Shield CA Commercial|All Other Plans $166.00 ↑ +133%
Molina Medicaid|All Plans $166.00 ↑ +133%
United Commercial|All Other Plans $166.00 ↑ +133%
United Commercial|HMO $166.00 ↑ +133%
United Commercial|Options PPO $166.00 ↑ +133%
United Commercial|Non-Options PPO $166.00 ↑ +133%
Health Net Commercial|All Other Plans $166.00 ↑ +133%
Health Net Medicare|All Other Plans $166.00 ↑ +133%
Blue Shield CA Commercial|Exchange $166.00 ↑ +133%
Scan Health Plan Medicare|All Plans $166.00 ↑ +133%
LA Care Medicare|All Plans $166.00 ↑ +133%
Aetna Commercial|PPO $166.00 ↑ +133%
Aetna Commercial|All Other Plans $166.00 ↑ +133%
Angeles IPA Medicare|All Plans $166.00 ↑ +133%
Humana Medicare|All Plans $166.00 ↑ +133%
HCLA Medicare|Preferred IPA $166.00 ↑ +133%
Preferred IPA Medicaid|Risk $166.00 ↑ +133%
SMIPA Medicare|All Plans $166.00 ↑ +133%
Molina Medicare|All Plans $166.00 ↑ +133%
United Medicare|All Plans $169.32 ↑ +137%
HPN Medicare|Senior $182.60 ↑ +156%
LA Care Commercial|All Plans $207.50 ↑ +191%
HCLA Commercial|Preferred IPA $207.50 ↑ +191%
Blue Shield CA Medicare|Trauma $207.50 ↑ +191%
SevenCorners Medicare|All Plans $265.60 ↑ +272%
EasyChoice Medicare|All Plans $384.89 ↑ +439%
Blue Shield CA Medicare|All Other Plans $384.89 ↑ +439%
Health Net Medicare|HMO $384.89 ↑ +439%
LA Care Medicaid|All Plans $683.92 ↑ +858%
Care 1st Medicaid|All Plans $1,444.00 ↑ +1923%
Blue Shield CA Medicaid|All Plans $1,444.00 ↑ +1923%

Visitor-reported prices

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Dactinomycin 0.5 mg intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $2,446.23 $17.32 – $4,356.30
Mercy Hospitals – Bakersfield Bakersfield $2,722.77 $26.80 – $288.80
Bakersfield Memorial Hospital Bakersfield $2,693.42 $25.89 – $67.00
St. Joseph's Medical Center Stockton Stockton $1,761.95 $16.38 – $63.00
Providence Mission Hospital - Mission Viejo Mission Viejo $536.90 $21.46 – $624.69
Mercy Medical Center Merced Merced $3,703.37 $18.62 – $72.60
Sierra Nevada Memorial Hospital Grass Valley $3,818.82 $29.24 – $321.10
Providence Cedars-Sinai Tarzana Medical Center Tarzana $8,142.42 $45.20 – $752.25

All California hospitals for this procedure →