New Patient Office Visit (level 5) at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$244.67
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.
?
What you pay up front if you don't use insurance.
$569.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$118.62 with BCBS - Anthem vs $736.65 with Care 1st — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $118.62 | ↓ -52% |
| Blue Shield CA | Commercial|Exchange | $128.00 | ↓ -48% |
| Noble IPA | Medicaid|< 21 | $132.60 | ↓ -46% |
| Noble IPA | Medicaid|> 21 | $132.60 | ↓ -46% |
| DHR | Medicaid|> 21 | $142.25 | ↓ -42% |
| DHR | Medicaid|< 21 | $142.25 | ↓ -42% |
| HCLA | Medicaid|Preferred IPA < 21 | $147.33 | ↓ -40% |
| Preferred IPA | Medicaid|Risk | $147.33 | ↓ -40% |
| Partnership Health Plan | Medicaid|< 21 | $147.33 | ↓ -40% |
| Partnership Health Plan | Medicaid|> 21 | $147.33 | ↓ -40% |
| Inland Empire Health Plan | Medicaid|All Plans | $147.33 | ↓ -40% |
| Angeles IPA | Medicare|All Plans | $147.33 | ↓ -40% |
| HCLA | Medicaid|Preferred IPA > 21 | $147.33 | ↓ -40% |
| Blue Shield CA | Commercial|All Other Plans | $170.00 | ↓ -31% |
| Health Net | Medicaid|> 21 | $196.39 | ↓ -20% |
| Health Net | Medicaid|< 21 | $196.39 | ↓ -20% |
| Molina | Medicaid|All Plans | $206.26 | ↓ -16% |
| Kaiser | Medicaid|> 21 | $221.00 | ↓ -10% |
| Kaiser | Medicaid|< 21 | $221.00 | ↓ -10% |
| Cigna | Commercial|All Other Plans | $232.00 | ↓ -5% |
| Cigna | Commercial|PPO | $232.00 | ↓ -5% |
| BCBS - Anthem | Commercial|Exchange | $284.50 | ↑ +16% |
| United | Commercial|Non-Options PPO | $330.02 | ↑ +35% |
| United | Commercial|All Other Plans | $352.78 | ↑ +44% |
| United | Commercial|Options PPO | $352.78 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $369.85 | ↑ +51% |
| Kaiser | Commercial|All Plans | $398.30 | ↑ +63% |
| BCBS - Anthem | Commercial|All Other Plans | $421.06 | ↑ +72% |
| MultiPlan | Commercial|All Plans | $455.20 | ↑ +86% |
| United | Commercial|HMO | $546.24 | ↑ +123% |
| SMIPA | Medicare|All Plans | $569.00 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $569.00 | ↑ +133% |
| LA Care | Medicaid|All Plans | $607.00 | ↑ +148% |
| Blue Shield CA | Medicaid|All Plans | $736.65 | ↑ +201% |
| Care 1st | Medicaid|All Plans | $736.65 | ↑ +201% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $822.12 | $102.00 – $313.56 |
| Banner Lassen Medical Center | Susanville | $3,570.68 | $136.46 – $630.50 |
| Arroyo Grande Hospital | Santa Maria | $291.04 | $118.62 – $567.00 |
| Mark Twain Medical Center | San Andreas | $402.27 | $77.61 – $294.00 |
| French Hospital | San Luis Obispo | $222.27 | $118.62 – $449.82 |
| Bakersfield Memorial Hospital | Bakersfield | $253.60 | $104.00 – $683.10 |
| Healdsburg Hospital | Healdsburg | $970.53 | not published |
| Redwood Memorial Hospital | Fortuna | $164.73 | not published |