ER Visit (level 5, high severity) at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$2,629.88
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.
$6,116.00
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.
$139.53 with Noble IPA vs $12,749.00 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 |
|---|---|---|---|
| Noble IPA | Medicaid|> 21 | $139.53 | ↓ -95% |
| Noble IPA | Medicaid|< 21 | $139.53 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|All Plans | $155.03 | ↓ -94% |
| Preferred IPA | Medicaid|Risk | $155.03 | ↓ -94% |
| Angeles IPA | Medicare|All Plans | $155.03 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $155.03 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $155.03 | ↓ -94% |
| HCLA | Medicaid|Preferred IPA > 21 | $155.03 | ↓ -94% |
| HCLA | Medicaid|Preferred IPA < 21 | $155.03 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $155.03 | ↓ -94% |
| Health Net | Medicaid|< 21 | $206.65 | ↓ -92% |
| Health Net | Medicaid|> 21 | $206.65 | ↓ -92% |
| Molina | Medicaid|All Plans | $217.04 | ↓ -92% |
| Kaiser | Medicaid|< 21 | $232.55 | ↓ -91% |
| Kaiser | Medicaid|> 21 | $232.55 | ↓ -91% |
| SMIPA | Medicare|All Plans | $592.84 | ↓ -77% |
| LA Care | Medicaid|All Plans | $638.72 | ↓ -76% |
| Blue Shield CA | Medicaid|All Plans | $775.15 | ↓ -71% |
| Care 1st | Medicaid|All Plans | $775.15 | ↓ -71% |
| Health Net | Medicare|HMO | $779.00 | ↓ -70% |
| Health Net | Medicare|All Other Plans | $779.00 | ↓ -70% |
| Blue Shield CA | Medicare|All Other Plans | $779.00 | ↓ -70% |
| LA Care | Medicare|All Plans | $779.00 | ↓ -70% |
| Cigna | Medicare|All Plans | $779.00 | ↓ -70% |
| Scan Health Plan | Medicare|All Plans | $779.00 | ↓ -70% |
| Kaiser | Medicare|All Plans | $779.00 | ↓ -70% |
| EasyChoice | Medicare|All Plans | $779.00 | ↓ -70% |
| Central Health Plan | Medicare|All Plans | $779.00 | ↓ -70% |
| HCLA | Medicare|Preferred IPA | $779.00 | ↓ -70% |
| Molina | Medicare|All Plans | $779.00 | ↓ -70% |
| BCBS - Anthem | Medicare|All Plans | $779.00 | ↓ -70% |
| Humana | Medicare|All Plans | $779.00 | ↓ -70% |
| United | Medicare|All Plans | $794.58 | ↓ -70% |
| HPN | Medicare|Senior | $856.90 | ↓ -67% |
| Blue Shield CA | Medicare|Trauma | $973.75 | ↓ -63% |
| LA Care | Commercial|All Plans | $973.75 | ↓ -63% |
| HCLA | Commercial|Preferred IPA | $973.75 | ↓ -63% |
| SevenCorners | Medicare|All Plans | $1,246.40 | ↓ -53% |
| DHR | Medicaid|< 21 | $1,460.00 | ↓ -44% |
| DHR | Medicaid|> 21 | $1,460.00 | ↓ -44% |
| Healthcare Partners | Medicare|All Plans | $2,686.40 | ↑ +2% |
| Healthcare Partners | Commercial|All Plans | $3,036.80 | ↑ +15% |
| Blue Shield CA | Commercial|Exchange | $3,387.20 | ↑ +29% |
| Cigna | Commercial|PPO | $3,620.80 | ↑ +38% |
| Cigna | Commercial|All Other Plans | $3,620.80 | ↑ +38% |
| Blue Shield CA | Commercial|All Other Plans | $3,737.60 | ↑ +42% |
| Blue Shield CA | Medicare|BlueShield Promise | $3,796.00 | ↑ +44% |
| Aetna | Commercial|All Other Plans | $3,971.20 | ↑ +51% |
| Aetna | Commercial|HMO | $3,971.20 | ↑ +51% |
| Aetna | Commercial|PPO | $3,971.20 | ↑ +51% |
| Kaiser | Commercial|All Plans | $4,088.00 | ↑ +55% |
| HPN | Commercial|All Plans | $4,496.80 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $4,672.00 | ↑ +78% |
| Health Net | Commercial|EPPO | $5,323.00 | ↑ +102% |
| BCBS - Anthem | Commercial|Exchange | $5,511.00 | ↑ +110% |
| Health Net | Commercial|Care Product | $6,469.00 | ↑ +146% |
| Health Net | Commercial|All Other Plans | $7,415.00 | ↑ +182% |
| United | Commercial|HMO | $7,783.00 | ↑ +196% |
| BCBS - Anthem | Commercial|All Other Plans | $8,225.00 | ↑ +213% |
| United | Commercial|Non-Options PPO | $10,007.00 | ↑ +281% |
| United | Commercial|All Other Plans | $12,480.00 | ↑ +375% |
| United | Commercial|Options PPO | $12,480.00 | ↑ +375% |
| BCBS - Anthem | Commercial|MCS | $12,749.00 | ↑ +385% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |