Established Patient Office Visit (level 4) at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$832.48
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.
$1,936.00
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.
$53.79 with BCBS - Anthem vs $334.05 with Care 1st — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $53.79 | ↓ -94% |
| Noble IPA | Medicaid|> 21 | $60.13 | ↓ -93% |
| Noble IPA | Medicaid|< 21 | $60.13 | ↓ -93% |
| Angeles IPA | Medicare|All Plans | $66.81 | ↓ -92% |
| Inland Empire Health Plan | Medicaid|All Plans | $66.81 | ↓ -92% |
| HCLA | Medicaid|Preferred IPA > 21 | $66.81 | ↓ -92% |
| Preferred IPA | Medicaid|Risk | $66.81 | ↓ -92% |
| Partnership Health Plan | Medicaid|< 21 | $66.81 | ↓ -92% |
| Partnership Health Plan | Medicaid|> 21 | $66.81 | ↓ -92% |
| HCLA | Medicaid|Preferred IPA < 21 | $66.81 | ↓ -92% |
| DHR | Medicaid|< 21 | $71.00 | ↓ -91% |
| DHR | Medicaid|> 21 | $71.00 | ↓ -91% |
| Health Net | Medicaid|> 21 | $89.06 | ↓ -89% |
| Health Net | Medicaid|< 21 | $89.06 | ↓ -89% |
| Molina | Medicaid|All Plans | $93.53 | ↓ -89% |
| Kaiser | Medicaid|< 21 | $100.22 | ↓ -88% |
| Kaiser | Medicaid|> 21 | $100.22 | ↓ -88% |
| Blue Shield CA | Commercial|Exchange | $128.00 | ↓ -85% |
| BCBS - Anthem | Commercial|Exchange | $142.00 | ↓ -83% |
| United | Commercial|Non-Options PPO | $164.72 | ↓ -80% |
| Blue Shield CA | Commercial|All Other Plans | $170.00 | ↓ -80% |
| United | Commercial|All Other Plans | $176.08 | ↓ -79% |
| United | Commercial|Options PPO | $176.08 | ↓ -79% |
| Blue Shield CA | Medicare|BlueShield Promise | $184.60 | ↓ -78% |
| Kaiser | Commercial|All Plans | $198.80 | ↓ -76% |
| BCBS - Anthem | Commercial|All Other Plans | $210.16 | ↓ -75% |
| MultiPlan | Commercial|All Plans | $227.20 | ↓ -73% |
| Cigna | Commercial|PPO | $232.00 | ↓ -72% |
| Cigna | Commercial|All Other Plans | $232.00 | ↓ -72% |
| United | Commercial|HMO | $272.64 | ↓ -67% |
| LA Care | Medicaid|All Plans | $275.26 | ↓ -67% |
| SMIPA | Medicare|All Plans | $284.00 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $284.00 | ↓ -66% |
| Blue Shield CA | Medicaid|All Plans | $334.05 | ↓ -60% |
| Care 1st | Medicaid|All Plans | $334.05 | ↓ -60% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |