Inj, sezaby, 1 mg at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$645.00
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.
$1,500.00
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.
$100.00 with Health Net vs $1,500.00 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 |
|---|---|---|---|
| Health Net | Commercial|Care Product | $100.00 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $300.00 | ↓ -53% |
| DHR | Medicaid|> 21 | $375.00 | ↓ -42% |
| DHR | Medicaid|< 21 | $375.00 | ↓ -42% |
| HCLA | Medicaid|Preferred IPA > 21 | $450.00 | ↓ -30% |
| HCLA | Medicaid|Preferred IPA < 21 | $450.00 | ↓ -30% |
| Preferred IPA | Medicaid|Risk | $525.00 | ↓ -19% |
| Cigna | Commercial|All Other Plans | $690.00 | ↑ +7% |
| Cigna | Commercial|PPO | $690.00 | ↑ +7% |
| United | Commercial|Non-Options PPO | $870.00 | ↑ +35% |
| BCBS - Anthem | Commercial|Exchange | $900.00 | ↑ +40% |
| United | Commercial|All Other Plans | $930.00 | ↑ +44% |
| United | Commercial|Options PPO | $930.00 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $975.00 | ↑ +51% |
| Kaiser | Commercial|All Plans | $1,050.00 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $1,200.00 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $1,335.00 | ↑ +107% |
| United | Commercial|HMO | $1,440.00 | ↑ +123% |
| BCBS - Anthem | Commercial|MCS | $1,500.00 | ↑ +133% |
| SMIPA | Medicare|All Plans | $1,500.00 | ↑ +133% |
Visitor-reported prices
Comments
Inj, sezaby, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $1.11 – $2.28 |
| Queen of The Valley Medical Center | Napa | not published | $1.13 – $2.28 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1.13 – $2.34 |
| Healdsburg Hospital | Healdsburg | not published | $1.13 – $4.62 |
| Redwood Memorial Hospital | Fortuna | not published | $2.34 – $2.34 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $1.11 – $2.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $0.92 – $2.28 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $0.92 – $2.71 |