Mopath procedure level 5 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$387.00
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.
$900.00
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.
$118.75 with DHR vs $1,374.15 with Care 1st — 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 | $118.75 | ↓ -69% |
| DHR | Medicaid|< 21 | $118.75 | ↓ -69% |
| Noble IPA | Medicaid|> 21 | $247.35 | ↓ -36% |
| Noble IPA | Medicaid|< 21 | $247.35 | ↓ -36% |
| HCLA | Medicaid|Preferred IPA > 21 | $274.83 | ↓ -29% |
| Humana | Medicare|All Plans | $274.83 | ↓ -29% |
| Molina | Medicare|All Plans | $274.83 | ↓ -29% |
| United | Medicare|All Plans | $274.83 | ↓ -29% |
| Health Net | Medicare|All Other Plans | $274.83 | ↓ -29% |
| Health Net | Medicare|HMO | $274.83 | ↓ -29% |
| Cigna | Medicare|All Plans | $274.83 | ↓ -29% |
| Kaiser | Medicare|All Plans | $274.83 | ↓ -29% |
| Central Health Plan | Medicare|All Plans | $274.83 | ↓ -29% |
| BCBS - Anthem | Medicaid|All Plans | $274.83 | ↓ -29% |
| BCBS - Anthem | Medicare|All Plans | $274.83 | ↓ -29% |
| Blue Shield CA | Medicare|All Other Plans | $274.83 | ↓ -29% |
| Partnership Health Plan | Medicaid|< 21 | $274.83 | ↓ -29% |
| Partnership Health Plan | Medicaid|> 21 | $274.83 | ↓ -29% |
| Scan Health Plan | Medicare|All Plans | $274.83 | ↓ -29% |
| HPN | Medicare|Senior | $274.83 | ↓ -29% |
| LA Care | Medicare|All Plans | $274.83 | ↓ -29% |
| Inland Empire Health Plan | Medicaid|All Plans | $274.83 | ↓ -29% |
| Angeles IPA | Medicare|All Plans | $274.83 | ↓ -29% |
| EasyChoice | Medicare|All Plans | $274.83 | ↓ -29% |
| HCLA | Medicaid|Preferred IPA < 21 | $274.83 | ↓ -29% |
| HCLA | Medicare|Preferred IPA | $274.83 | ↓ -29% |
| Preferred IPA | Medicaid|Risk | $274.83 | ↓ -29% |
| SMIPA | Medicare|All Plans | $274.83 | ↓ -29% |
| BCBS - Anthem | Commercial|Exchange | $275.50 | ↓ -29% |
| Blue Shield CA | Medicare|BlueShield Promise | $308.75 | ↓ -20% |
| United | Commercial|HMO | $329.80 | ↓ -15% |
| United | Commercial|All Other Plans | $329.80 | ↓ -15% |
| United | Commercial|Non-Options PPO | $329.80 | ↓ -15% |
| United | Commercial|Options PPO | $329.80 | ↓ -15% |
| Kaiser | Commercial|All Plans | $332.50 | ↓ -14% |
| Blue Shield CA | Medicare|Trauma | $343.54 | ↓ -11% |
| HCLA | Commercial|Preferred IPA | $343.54 | ↓ -11% |
| LA Care | Commercial|All Plans | $343.54 | ↓ -11% |
| Health Net | Medicaid|< 21 | $366.35 | ↓ -5% |
| Health Net | Medicaid|> 21 | $366.35 | ↓ -5% |
| MultiPlan | Commercial|All Plans | $380.00 | ↓ -2% |
| Molina | Medicaid|All Plans | $384.76 | ↓ -1% |
| Kaiser | Medicaid|> 21 | $412.25 | ↑ +7% |
| Kaiser | Medicaid|< 21 | $412.25 | ↑ +7% |
| BCBS - Anthem | Commercial|All Other Plans | $413.25 | ↑ +7% |
| SevenCorners | Medicare|All Plans | $439.73 | ↑ +14% |
| Aetna | Commercial|PPO | $475.00 | ↑ +23% |
| Aetna | Commercial|All Other Plans | $475.00 | ↑ +23% |
| Aetna | Commercial|HMO | $475.00 | ↑ +23% |
| BCBS - Anthem | Commercial|MCS | $475.00 | ↑ +23% |
| Cigna | Commercial|PPO | $612.91 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $612.91 | ↑ +58% |
| LA Care | Medicaid|All Plans | $1,132.30 | ↑ +193% |
| Blue Shield CA | Medicaid|All Plans | $1,374.15 | ↑ +255% |
| Care 1st | Medicaid|All Plans | $1,374.15 | ↑ +255% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $394.20 | $171.00 – $729.21 |
| Banner Lassen Medical Center | Susanville | $342.77 | $54.97 – $453.47 |
| Arroyo Grande Hospital | Santa Maria | $516.17 | $72.77 – $708.13 |
| Mark Twain Medical Center | San Andreas | $599.40 | $202.99 – $367.50 |
| French Hospital | San Luis Obispo | $472.76 | $39.30 – $832.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $333.90 | $153.63 – $789.77 |
| Bakersfield Memorial Hospital | Bakersfield | $330.30 | $153.63 – $789.77 |
| St. Joseph's Behavioral Health Center | Stockton | $513.90 | $30.73 – $245.81 |