M/phmtrc alys ishquant/semiq at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$827.75
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.
$1,925.00
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.
$33.75 with DHR vs $960.40 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 →
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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 |
|---|---|---|---|
| DHR | Medicaid|> 21 | $33.75 | ↓ -96% |
| DHR | Medicaid|< 21 | $33.75 | ↓ -96% |
| BCBS - Anthem | Commercial|Exchange | $78.30 | ↓ -91% |
| Blue Shield CA | Medicare|BlueShield Promise | $87.75 | ↓ -89% |
| Kaiser | Commercial|All Plans | $94.50 | ↓ -89% |
| MultiPlan | Commercial|All Plans | $108.00 | ↓ -87% |
| BCBS - Anthem | Commercial|All Other Plans | $117.45 | ↓ -86% |
| Noble IPA | Medicaid|< 21 | $121.50 | ↓ -85% |
| Noble IPA | Medicaid|> 21 | $121.50 | ↓ -85% |
| United | Commercial|Options PPO | $135.00 | ↓ -84% |
| United | Commercial|Non-Options PPO | $135.00 | ↓ -84% |
| Health Net | Medicare|All Other Plans | $135.00 | ↓ -84% |
| Health Net | Medicaid|< 21 | $135.00 | ↓ -84% |
| Health Net | Medicaid|> 21 | $135.00 | ↓ -84% |
| Cigna | Medicare|All Plans | $135.00 | ↓ -84% |
| Kaiser | Medicare|All Plans | $135.00 | ↓ -84% |
| Central Health Plan | Medicare|All Plans | $135.00 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $135.00 | ↓ -84% |
| BCBS - Anthem | Medicare|All Plans | $135.00 | ↓ -84% |
| HCLA | Medicaid|Preferred IPA > 21 | $135.00 | ↓ -84% |
| Humana | Medicare|All Plans | $135.00 | ↓ -84% |
| Aetna | Commercial|All Other Plans | $135.00 | ↓ -84% |
| Aetna | Commercial|PPO | $135.00 | ↓ -84% |
| Aetna | Commercial|HMO | $135.00 | ↓ -84% |
| Molina | Medicaid|All Plans | $135.00 | ↓ -84% |
| Molina | Medicare|All Plans | $135.00 | ↓ -84% |
| United | Commercial|All Other Plans | $135.00 | ↓ -84% |
| United | Commercial|HMO | $135.00 | ↓ -84% |
| BCBS - Anthem | Commercial|MCS | $135.00 | ↓ -84% |
| Partnership Health Plan | Medicaid|< 21 | $135.00 | ↓ -84% |
| Partnership Health Plan | Medicaid|> 21 | $135.00 | ↓ -84% |
| Scan Health Plan | Medicare|All Plans | $135.00 | ↓ -84% |
| LA Care | Medicare|All Plans | $135.00 | ↓ -84% |
| Inland Empire Health Plan | Medicaid|All Plans | $135.00 | ↓ -84% |
| Angeles IPA | Medicare|All Plans | $135.00 | ↓ -84% |
| HCLA | Medicaid|Preferred IPA < 21 | $135.00 | ↓ -84% |
| HCLA | Medicare|Preferred IPA | $135.00 | ↓ -84% |
| Preferred IPA | Medicaid|Risk | $135.00 | ↓ -84% |
| SMIPA | Medicare|All Plans | $135.00 | ↓ -84% |
| United | Medicare|All Plans | $137.70 | ↓ -83% |
| HPN | Medicare|Senior | $148.50 | ↓ -82% |
| HCLA | Commercial|Preferred IPA | $168.75 | ↓ -80% |
| LA Care | Commercial|All Plans | $168.75 | ↓ -80% |
| Blue Shield CA | Medicare|Trauma | $168.75 | ↓ -80% |
| Kaiser | Medicaid|> 21 | $202.50 | ↓ -76% |
| Kaiser | Medicaid|< 21 | $202.50 | ↓ -76% |
| SevenCorners | Medicare|All Plans | $216.00 | ↓ -74% |
| Blue Shield CA | Medicare|All Other Plans | $217.73 | ↓ -74% |
| Health Net | Medicare|HMO | $217.73 | ↓ -74% |
| EasyChoice | Medicare|All Plans | $217.73 | ↓ -74% |
| LA Care | Medicaid|All Plans | $556.20 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $776.40 | ↓ -6% |
| Cigna | Commercial|PPO | $776.40 | ↓ -6% |
| Care 1st | Medicaid|All Plans | $960.40 | ↑ +16% |
| Blue Shield CA | Medicaid|All Plans | $960.40 | ↑ +16% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $220.76 | $70.20 – $923.72 |
| Banner Lassen Medical Center | Susanville | $109.30 | $34.27 – $316.93 |
| Arroyo Grande Hospital | Santa Maria | $2,354.00 | $22.50 – $897.01 |
| Mark Twain Medical Center | San Andreas | $229.47 | $72.44 – $274.40 |
| French Hospital | San Luis Obispo | $2,156.00 | $12.15 – $1,054.51 |
| Mercy Hospitals – Bakersfield | Bakersfield | $103.88 | $125.00 – $1,000.43 |
| Bakersfield Memorial Hospital | Bakersfield | $102.76 | $125.00 – $1,000.43 |
| St. Joseph's Behavioral Health Center | Stockton | $159.88 | $28.00 – $224.00 |