Microdissection 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

$64.25

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.

$149.40

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.

$37.35 with DHR vs $564.15 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 $37.35 ↓ -42%
DHR Medicaid|< 21 $37.35 ↓ -42%
BCBS - Anthem Commercial|Exchange $86.66 ↑ +35%
Blue Shield CA Medicare|BlueShield Promise $97.11 ↑ +51%
Noble IPA Medicaid|> 21 $101.55 ↑ +58%
Noble IPA Medicaid|< 21 $101.55 ↑ +58%
Kaiser Commercial|All Plans $104.58 ↑ +63%
Preferred IPA Medicaid|Risk $112.83 ↑ +76%
HCLA Medicaid|Preferred IPA > 21 $112.83 ↑ +76%
BCBS - Anthem Medicaid|All Plans $112.83 ↑ +76%
HCLA Medicaid|Preferred IPA < 21 $112.83 ↑ +76%
Partnership Health Plan Medicaid|< 21 $112.83 ↑ +76%
Partnership Health Plan Medicaid|> 21 $112.83 ↑ +76%
Angeles IPA Medicare|All Plans $112.83 ↑ +76%
Inland Empire Health Plan Medicaid|All Plans $112.83 ↑ +76%
MultiPlan Commercial|All Plans $119.52 ↑ +86%
BCBS - Anthem Commercial|All Other Plans $129.98 ↑ +102%
SMIPA Medicare|All Plans $149.40 ↑ +133%
Aetna Commercial|All Other Plans $149.40 ↑ +133%
Aetna Commercial|PPO $149.40 ↑ +133%
Aetna Commercial|HMO $149.40 ↑ +133%
Molina Medicaid|All Plans $149.40 ↑ +133%
United Commercial|All Other Plans $149.40 ↑ +133%
United Commercial|HMO $149.40 ↑ +133%
United Commercial|Options PPO $149.40 ↑ +133%
United Commercial|Non-Options PPO $149.40 ↑ +133%
Health Net Medicaid|< 21 $149.40 ↑ +133%
Health Net Medicaid|> 21 $149.40 ↑ +133%
BCBS - Anthem Commercial|MCS $149.40 ↑ +133%
Kaiser Medicaid|< 21 $169.25 ↑ +163%
Kaiser Medicaid|> 21 $169.25 ↑ +163%
Cigna Commercial|PPO $423.69 ↑ +559%
Cigna Commercial|All Other Plans $423.69 ↑ +559%
LA Care Medicaid|All Plans $464.86 ↑ +624%
Care 1st Medicaid|All Plans $564.15 ↑ +778%
Blue Shield CA Medicaid|All Plans $564.15 ↑ +778%

Visitor-reported prices

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Microdissection manual at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $69.45 $81.13 – $489.51
French Hospital San Luis Obispo $63.61 $43.82 – $575.46
Mercy Medical Center Mt. Shasta Mt Shasta $431.79 $102.24 – $417.48
Community Hospital San Bernardino San Bernardino $58.42 $82.17 – $564.15
Glendale Memorial Hospital Health Center Glendale $48.71 $37.35 – $477.27
Mercy Medical Center Redding Redding $281.39 $112.83 – $426.00
St. Bernardine Medical Center San Bernardino $49.76 $43.33 – $564.15
St. Elizabeth Community Hospital Red Bluff $324.12 $112.83 – $417.48

All California hospitals for this procedure →