Insitu hybridization manual at St. Mary Medical Center

1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$529.33

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,231.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$19.60 with DHR vs $457.06 with Blue Shield CA — 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 →

Payer
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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
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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 $19.60 ↓ -96%
DHR Medicaid|< 21 $19.60 ↓ -96%
BCBS - Anthem Commercial|Exchange $45.46 ↓ -91%
Blue Shield CA Medicare|BlueShield Promise $50.95 ↓ -90%
Kaiser Commercial|All Plans $54.86 ↓ -90%
MultiPlan Commercial|All Plans $62.70 ↓ -88%
Noble IPA Medicaid|< 21 $67.87 ↓ -87%
Noble IPA Medicaid|> 21 $67.87 ↓ -87%
BCBS - Anthem Commercial|All Other Plans $68.19 ↓ -87%
Partnership Health Plan Medicaid|< 21 $75.41 ↓ -86%
HCLA Medicaid|Preferred IPA < 21 $75.41 ↓ -86%
Angeles IPA Medicare|All Plans $75.41 ↓ -86%
Preferred IPA Medicaid|Risk $75.41 ↓ -86%
BCBS - Anthem Medicaid|All Plans $75.41 ↓ -86%
Inland Empire Health Plan Medicaid|All Plans $75.41 ↓ -86%
Partnership Health Plan Medicaid|> 21 $75.41 ↓ -86%
HCLA Medicaid|Preferred IPA > 21 $75.41 ↓ -86%
BCBS - Anthem Commercial|MCS $78.37 ↓ -85%
Kaiser Medicare|All Plans $78.37 ↓ -85%
Humana Medicare|All Plans $78.37 ↓ -85%
Aetna Commercial|All Other Plans $78.37 ↓ -85%
Aetna Commercial|PPO $78.37 ↓ -85%
Aetna Commercial|HMO $78.37 ↓ -85%
Molina Medicaid|All Plans $78.37 ↓ -85%
Molina Medicare|All Plans $78.37 ↓ -85%
United Commercial|All Other Plans $78.37 ↓ -85%
United Commercial|HMO $78.37 ↓ -85%
United Commercial|Options PPO $78.37 ↓ -85%
United Commercial|Non-Options PPO $78.37 ↓ -85%
Health Net Medicare|All Other Plans $78.37 ↓ -85%
Health Net Medicaid|< 21 $78.37 ↓ -85%
Health Net Medicaid|> 21 $78.37 ↓ -85%
Cigna Medicare|All Plans $78.37 ↓ -85%
Central Health Plan Medicare|All Plans $78.37 ↓ -85%
BCBS - Anthem Medicare|All Plans $78.37 ↓ -85%
Scan Health Plan Medicare|All Plans $78.37 ↓ -85%
LA Care Medicare|All Plans $78.37 ↓ -85%
HCLA Medicare|Preferred IPA $78.37 ↓ -85%
SMIPA Medicare|All Plans $78.37 ↓ -85%
United Medicare|All Plans $79.94 ↓ -85%
HPN Medicare|Senior $86.21 ↓ -84%
LA Care Commercial|All Plans $97.97 ↓ -81%
HCLA Commercial|Preferred IPA $97.97 ↓ -81%
Blue Shield CA Medicare|Trauma $97.97 ↓ -81%
Kaiser Medicaid|> 21 $113.11 ↓ -79%
Kaiser Medicaid|< 21 $113.11 ↓ -79%
SevenCorners Medicare|All Plans $125.40 ↓ -76%
Cigna Commercial|All Other Plans $216.08 ↓ -59%
Cigna Commercial|PPO $216.08 ↓ -59%
LA Care Medicaid|All Plans $310.69 ↓ -41%
Care 1st Medicaid|All Plans $377.05 ↓ -29%
Blue Shield CA Medicaid|All Plans $377.05 ↓ -29%
EasyChoice Medicare|All Plans $457.06 ↓ -14%
Health Net Medicare|HMO $457.06 ↓ -14%
Blue Shield CA Medicare|All Other Plans $457.06 ↓ -14%

Visitor-reported prices

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Insitu hybridization manual at other California hospitals

Hospital City Cash price Negotiated range
Banner Lassen Medical Center Susanville $321.56 $71.94 – $388.00
Petaluma Valley Hospital Petaluma $756.84 $483.05 – $702.68
Arroyo Grande Hospital Santa Maria $64.20 $35.90 – $249.65
Mark Twain Medical Center San Andreas $76.06 $29.55 – $111.92
French Hospital San Luis Obispo $58.80 $19.39 – $293.49
Mercy Hospitals – Bakersfield Bakersfield $56.34 $75.41 – $278.43
Bakersfield Memorial Hospital Bakersfield $55.73 $75.41 – $278.43
Queen of The Valley Medical Center Napa $611.49 $508.94 – $888.01

All California hospitals for this procedure →