Established Patient Office Visit (level 3) at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$107.50
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.
$250.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.43 with BCBS - Anthem vs $250.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $34.43 | ↓ -68% |
| Noble IPA | Medicaid|> 21 | $38.48 | ↓ -64% |
| Noble IPA | Medicaid|< 21 | $38.48 | ↓ -64% |
| Preferred IPA | Medicaid|Risk | $42.76 | ↓ -60% |
| Partnership Health Plan | Medicaid|< 21 | $42.76 | ↓ -60% |
| Partnership Health Plan | Medicaid|> 21 | $42.76 | ↓ -60% |
| Inland Empire Health Plan | Medicaid|All Plans | $42.76 | ↓ -60% |
| Angeles IPA | Medicare|All Plans | $42.76 | ↓ -60% |
| HCLA | Medicaid|Preferred IPA < 21 | $42.76 | ↓ -60% |
| HCLA | Medicaid|Preferred IPA > 21 | $42.76 | ↓ -60% |
| Health Net | Medicaid|> 21 | $57.00 | ↓ -47% |
| Health Net | Medicaid|< 21 | $57.00 | ↓ -47% |
| Molina | Medicaid|All Plans | $59.86 | ↓ -44% |
| DHR | Medicaid|> 21 | $62.50 | ↓ -42% |
| DHR | Medicaid|< 21 | $62.50 | ↓ -42% |
| Kaiser | Medicaid|> 21 | $64.14 | ↓ -40% |
| Kaiser | Medicaid|< 21 | $64.14 | ↓ -40% |
| BCBS - Anthem | Commercial|Exchange | $125.00 | ↑ +16% |
| Blue Shield CA | Commercial|Exchange | $128.00 | ↑ +19% |
| United | Commercial|Non-Options PPO | $145.00 | ↑ +35% |
| United | Commercial|All Other Plans | $155.00 | ↑ +44% |
| United | Commercial|Options PPO | $155.00 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $162.50 | ↑ +51% |
| Blue Shield CA | Commercial|All Other Plans | $170.00 | ↑ +58% |
| Kaiser | Commercial|All Plans | $175.00 | ↑ +63% |
| LA Care | Medicaid|All Plans | $176.17 | ↑ +64% |
| BCBS - Anthem | Commercial|All Other Plans | $185.00 | ↑ +72% |
| MultiPlan | Commercial|All Plans | $200.00 | ↑ +86% |
| Blue Shield CA | Medicaid|All Plans | $213.80 | ↑ +99% |
| Care 1st | Medicaid|All Plans | $213.80 | ↑ +99% |
| Cigna | Commercial|All Other Plans | $232.00 | ↑ +116% |
| Cigna | Commercial|PPO | $232.00 | ↑ +116% |
| United | Commercial|HMO | $240.00 | ↑ +123% |
| SMIPA | Medicare|All Plans | $250.00 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $250.00 | ↑ +133% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $59.21 – $226.00 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $39.60 – $354.05 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $34.43 – $351.00 |
| Mark Twain Medical Center | San Andreas | $138.53 | $36.22 – $137.20 |
| French Hospital | San Luis Obispo | $149.36 | $34.43 – $343.98 |
| Bakersfield Memorial Hospital | Bakersfield | $107.54 | $42.76 – $232.00 |
| Healdsburg Hospital | Healdsburg | $302.43 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |