_fragile x methylation-sendout at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$160.82
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.
$374.00
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.
$32.32 with Noble IPA vs $307.42 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 | $32.32 | ↓ -80% |
| Noble IPA | Medicaid|> 21 | $32.32 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $35.91 | ↓ -78% |
| Angeles IPA | Medicare|All Plans | $35.91 | ↓ -78% |
| Partnership Health Plan | Medicaid|< 21 | $35.91 | ↓ -78% |
| HCLA | Medicaid|Preferred IPA > 21 | $35.91 | ↓ -78% |
| HCLA | Medicaid|Preferred IPA < 21 | $35.91 | ↓ -78% |
| Inland Empire Health Plan | Medicaid|All Plans | $35.91 | ↓ -78% |
| Preferred IPA | Medicaid|Risk | $35.91 | ↓ -78% |
| Partnership Health Plan | Medicaid|> 21 | $35.91 | ↓ -78% |
| EasyChoice | Medicare|All Plans | $44.89 | ↓ -72% |
| Kaiser | Medicare|All Plans | $44.89 | ↓ -72% |
| Blue Shield CA | Medicare|All Other Plans | $44.89 | ↓ -72% |
| Scan Health Plan | Medicare|All Plans | $44.89 | ↓ -72% |
| Molina | Medicare|All Plans | $44.89 | ↓ -72% |
| Humana | Medicare|All Plans | $44.89 | ↓ -72% |
| United | Medicare|All Plans | $44.89 | ↓ -72% |
| SMIPA | Medicare|All Plans | $44.89 | ↓ -72% |
| HCLA | Medicare|Preferred IPA | $44.89 | ↓ -72% |
| Health Net | Medicare|All Other Plans | $44.89 | ↓ -72% |
| Health Net | Medicare|HMO | $44.89 | ↓ -72% |
| Cigna | Medicare|All Plans | $44.89 | ↓ -72% |
| Central Health Plan | Medicare|All Plans | $44.89 | ↓ -72% |
| BCBS - Anthem | Medicare|All Plans | $44.89 | ↓ -72% |
| LA Care | Medicare|All Plans | $44.89 | ↓ -72% |
| HPN | Medicare|Senior | $44.89 | ↓ -72% |
| Health Net | Medicaid|< 21 | $47.87 | ↓ -70% |
| Health Net | Medicaid|> 21 | $47.87 | ↓ -70% |
| Molina | Medicaid|All Plans | $50.27 | ↓ -69% |
| Kaiser | Medicaid|< 21 | $53.86 | ↓ -67% |
| Kaiser | Medicaid|> 21 | $53.86 | ↓ -67% |
| United | Commercial|Non-Options PPO | $53.87 | ↓ -67% |
| United | Commercial|All Other Plans | $53.87 | ↓ -67% |
| United | Commercial|HMO | $53.87 | ↓ -67% |
| United | Commercial|Options PPO | $53.87 | ↓ -67% |
| LA Care | Commercial|All Plans | $56.11 | ↓ -65% |
| Blue Shield CA | Medicare|Trauma | $56.11 | ↓ -65% |
| HCLA | Commercial|Preferred IPA | $56.11 | ↓ -65% |
| SevenCorners | Medicare|All Plans | $71.82 | ↓ -55% |
| DHR | Medicaid|< 21 | $93.50 | ↓ -42% |
| DHR | Medicaid|> 21 | $93.50 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $100.12 | ↓ -38% |
| Cigna | Commercial|PPO | $100.12 | ↓ -38% |
| Aetna | Commercial|All Other Plans | $112.29 | ↓ -30% |
| Aetna | Commercial|PPO | $112.29 | ↓ -30% |
| Aetna | Commercial|HMO | $112.29 | ↓ -30% |
| BCBS - Anthem | Commercial|Exchange | $132.99 | ↓ -17% |
| LA Care | Medicaid|All Plans | $147.95 | ↓ -8% |
| Blue Shield CA | Medicaid|All Plans | $179.55 | ↑ +12% |
| Care 1st | Medicaid|All Plans | $179.55 | ↑ +12% |
| BCBS - Anthem | Commercial|All Other Plans | $198.29 | ↑ +23% |
| Blue Shield CA | Medicare|BlueShield Promise | $243.10 | ↑ +51% |
| Kaiser | Commercial|All Plans | $261.80 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $299.20 | ↑ +86% |
| BCBS - Anthem | Commercial|MCS | $307.42 | ↑ +91% |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $160.08 | $35.91 – $366.52 |
| French Hospital | San Luis Obispo | $146.61 | $35.91 – $366.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $60.67 | $35.91 – $130.83 |
| Bakersfield Memorial Hospital | Bakersfield | $60.02 | $35.91 – $129.19 |
| St. Joseph's Behavioral Health Center | Stockton | $93.38 | $16.36 – $130.83 |
| St. Joseph's Medical Center Stockton | Stockton | $48.08 | $34.35 – $134.10 |
| Mercy Medical Center Merced | Merced | $84.22 | $35.91 – $153.72 |
| Northridge Hospital Medical Center | Northridge | $104.35 | $35.91 – $374.00 |