External newborn metabolic screening panel at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$96.75
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.
$225.00
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.
$56.25 with DHR vs $225.00 with SMIPA — 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 |
|---|---|---|---|
| DHR | Medicaid|< 21 | $56.25 | ↓ -42% |
| DHR | Medicaid|> 21 | $56.25 | ↓ -42% |
| Blue Shield CA | Commercial|Exchange | $85.50 | ↓ -12% |
| Blue Shield CA | Commercial|All Other Plans | $110.25 | ↑ +14% |
| United | Commercial|Non-Options PPO | $130.50 | ↑ +35% |
| United | Commercial|Options PPO | $139.50 | ↑ +44% |
| United | Commercial|All Other Plans | $139.50 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $146.25 | ↑ +51% |
| Kaiser | Commercial|All Plans | $157.50 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $180.00 | ↑ +86% |
| United | Commercial|HMO | $216.00 | ↑ +123% |
| SMIPA | Medicare|All Plans | $225.00 | ↑ +133% |
Visitor-reported prices
Comments
External newborn metabolic screening panel at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $91.98 | $56.70 – $163.80 |
| Banner Lassen Medical Center | Susanville | $122.48 | $72.57 – $348.15 |
| Petaluma Valley Hospital | Petaluma | $120.36 | $238.96 – $238.96 |
| Arroyo Grande Hospital | Santa Maria | $96.30 | $112.50 – $220.50 |
| French Hospital | San Luis Obispo | $88.20 | $60.75 – $220.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $87.56 | $118.00 – $188.80 |
| Bakersfield Memorial Hospital | Bakersfield | $86.62 | $118.00 – $233.64 |
| Queen of The Valley Medical Center | Napa | $117.81 | $299.92 – $299.92 |