Kit lead specify 5-6-5 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$21,676.30
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.
$50,410.00
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.
$115.00 with BCBS - Anthem vs $575.00 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 | $115.00 | ↓ -99% |
| Preferred IPA | Medicaid|Risk | $120.75 | ↓ -99% |
| Molina | Medicaid|All Plans | $132.25 | ↓ -99% |
| DHR | Medicaid|> 21 | $143.75 | ↓ -99% |
| DHR | Medicaid|< 21 | $143.75 | ↓ -99% |
| HPN | Commercial|All Plans | $149.50 | ↓ -99% |
| HCLA | Medicaid|Preferred IPA > 21 | $172.50 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $172.50 | ↓ -99% |
| Cigna | Commercial|PPO | $172.50 | ↓ -99% |
| HCLA | Medicaid|Preferred IPA < 21 | $172.50 | ↓ -99% |
| BCBS - Anthem | Commercial|Exchange | $195.50 | ↓ -99% |
| Angeles IPA | Medicare|All Plans | $201.25 | ↓ -99% |
| Health Net | Commercial|EPPO | $212.75 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $235.75 | ↓ -99% |
| Health Net | Commercial|Care Product | $258.75 | ↓ -99% |
| United | Commercial|Non-Options PPO | $270.25 | ↓ -99% |
| United | Commercial|Options PPO | $287.50 | ↓ -99% |
| United | Commercial|All Other Plans | $287.50 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $287.50 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $287.50 | ↓ -99% |
| Health Net | Commercial|All Other Plans | $299.00 | ↓ -99% |
| United | Commercial|HMO | $299.00 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $316.25 | ↓ -99% |
| Aetna | Commercial|HMO | $333.50 | ↓ -98% |
| Aetna | Commercial|PPO | $333.50 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $333.50 | ↓ -98% |
| Blue Shield CA | Medicare|BlueShield Promise | $373.75 | ↓ -98% |
| Kaiser | Commercial|All Plans | $402.50 | ↓ -98% |
| MultiPlan | Commercial|All Plans | $460.00 | ↓ -98% |
| SMIPA | Medicare|All Plans | $575.00 | ↓ -97% |
Visitor-reported prices
Comments
Kit lead specify 5-6-5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,578.26 | $535.68 – $1,740.96 |
| Banner Lassen Medical Center | Susanville | $18,613.05 | $2,849.50 – $6,741.50 |
| Petaluma Valley Hospital | Petaluma | $57,757.50 | not published |
| Arroyo Grande Hospital | Santa Maria | $13,212.36 | $36.34 – $154.84 |
| Mark Twain Medical Center | San Andreas | $17,820.17 | $6,922.04 – $26,221.86 |
| French Hospital | San Luis Obispo | $12,101.04 | $30.02 – $154.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12,725.30 | $281.25 – $1,012.50 |
| Bakersfield Memorial Hospital | Bakersfield | $12,588.10 | $281.25 – $1,091.25 |