Inj, alfentanil hcl, 500mcg at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$44.72
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.
$104.00
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.
$20.80 with BCBS - Anthem vs $104.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $20.80 | ↓ -53% |
| DHR | Medicaid|> 21 | $26.00 | ↓ -42% |
| DHR | Medicaid|< 21 | $26.00 | ↓ -42% |
| HCLA | Medicaid|Preferred IPA < 21 | $31.20 | ↓ -30% |
| HCLA | Medicaid|Preferred IPA > 21 | $31.20 | ↓ -30% |
| Preferred IPA | Medicaid|Risk | $36.40 | ↓ -19% |
| Cigna | Commercial|PPO | $47.84 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $47.84 | ↑ +7% |
| United | Commercial|Non-Options PPO | $60.32 | ↑ +35% |
| BCBS - Anthem | Commercial|Exchange | $62.40 | ↑ +40% |
| United | Commercial|Options PPO | $64.48 | ↑ +44% |
| United | Commercial|All Other Plans | $64.48 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $67.60 | ↑ +51% |
| Kaiser | Commercial|All Plans | $72.80 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $83.20 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $92.56 | ↑ +107% |
| United | Commercial|HMO | $99.84 | ↑ +123% |
| Health Net | Commercial|Care Product | $100.00 | ↑ +124% |
| BCBS - Anthem | Commercial|MCS | $104.00 | ↑ +133% |
| SMIPA | Medicare|All Plans | $104.00 | ↑ +133% |
Visitor-reported prices
Comments
Inj, alfentanil hcl, 500mcg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northridge Hospital Medical Center | Northridge | $11.44 | $8.20 – $41.00 |
| California Hospital Medical Center | Los Angeles | $28.13 | $14.50 – $45.82 |
| Providence Saint Joseph Medical Center | Burbank | $43.75 | $5.11 – $5.11 |
| Mercy San Juan Medical Center | Carmichael | $13.70 | $5.50 – $50.00 |
| Mercy Medical Center Redding | Redding | $24.34 | $19.76 – $25.48 |
| Mercy General Hospital | Sacramento | $10.90 | $12.50 – $50.00 |
| Mercy Hospital of Folsom | Folsom | $19.45 | $5.50 – $50.00 |
| Woodland Memorial Hospital | Woodland | $13.70 | $5.50 – $50.00 |