Diagnostic radio unlisted proc at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$236.93
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.
$551.00
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.
$93.78 with SMIPA vs $432.80 with MultiPlan — 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 | $93.78 | ↓ -60% |
| Blue Shield CA | Medicare|All Other Plans | $111.88 | ↓ -53% |
| HCLA | Medicare|Preferred IPA | $111.88 | ↓ -53% |
| Humana | Medicare|All Plans | $111.88 | ↓ -53% |
| LA Care | Medicare|All Plans | $111.88 | ↓ -53% |
| Health Net | Medicare|All Other Plans | $111.88 | ↓ -53% |
| Health Net | Medicare|HMO | $111.88 | ↓ -53% |
| Scan Health Plan | Medicare|All Plans | $111.88 | ↓ -53% |
| Cigna | Medicare|All Plans | $111.88 | ↓ -53% |
| Kaiser | Medicare|All Plans | $111.88 | ↓ -53% |
| Central Health Plan | Medicare|All Plans | $111.88 | ↓ -53% |
| BCBS - Anthem | Medicare|All Plans | $111.88 | ↓ -53% |
| EasyChoice | Medicare|All Plans | $111.88 | ↓ -53% |
| Molina | Medicare|All Plans | $111.88 | ↓ -53% |
| United | Medicare|All Plans | $114.12 | ↓ -52% |
| HPN | Medicare|Senior | $123.07 | ↓ -48% |
| DHR | Medicaid|< 21 | $135.25 | ↓ -43% |
| DHR | Medicaid|> 21 | $135.25 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $136.54 | ↓ -42% |
| LA Care | Commercial|All Plans | $139.85 | ↓ -41% |
| Blue Shield CA | Medicare|Trauma | $139.85 | ↓ -41% |
| HCLA | Commercial|Preferred IPA | $139.85 | ↓ -41% |
| Care 1st | Medicaid|All Plans | $140.66 | ↓ -41% |
| Blue Shield CA | Medicaid|All Plans | $140.66 | ↓ -41% |
| SevenCorners | Medicare|All Plans | $179.01 | ↓ -24% |
| United | Commercial|All Other Plans | $182.03 | ↓ -23% |
| United | Commercial|Non-Options PPO | $182.03 | ↓ -23% |
| United | Commercial|Options PPO | $182.03 | ↓ -23% |
| United | Commercial|HMO | $182.03 | ↓ -23% |
| Healthcare Partners | Medicare|All Plans | $275.91 | ↑ +16% |
| Healthcare Partners | Commercial|All Plans | $308.37 | ↑ +30% |
| Aetna | Commercial|PPO | $310.97 | ↑ +31% |
| Aetna | Commercial|All Other Plans | $310.97 | ↑ +31% |
| Aetna | Commercial|HMO | $310.97 | ↑ +31% |
| Cigna | Commercial|PPO | $329.14 | ↑ +39% |
| Cigna | Commercial|All Other Plans | $329.14 | ↑ +39% |
| Blue Shield CA | Medicare|BlueShield Promise | $351.65 | ↑ +48% |
| Kaiser | Commercial|All Plans | $378.70 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $432.80 | ↑ +83% |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $281.20 | $111.88 – $380.27 |
| French Hospital | San Luis Obispo | $224.23 | $64.53 – $447.03 |
| Healdsburg Hospital | Healdsburg | $314.67 | $117.25 – $141.49 |
| Santa Rosa Memorial Hospital | Santa Rosa | $700.23 | $121.09 – $127.70 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $122.88 | $95.14 – $207.07 |
| California Hospital Medical Center | Los Angeles | $67.90 | $35.00 – $292.78 |
| St Jude Medical Center | Fullerton | $156.96 | $95.14 – $207.07 |
| Providence St Joseph Hospital Orange | Orange | $145.92 | $95.14 – $207.07 |