Ophthalmic mitomycin at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$742.18
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.
$1,726.00
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.
$319.92 with Health Net vs $2,150.00 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 |
|---|---|---|---|
| Health Net | Commercial|EPPO | $319.92 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $345.20 | ↓ -53% |
| Noble IPA | Medicaid|> 21 | $387.00 | ↓ -48% |
| Noble IPA | Medicaid|< 21 | $387.00 | ↓ -48% |
| Health Net | Commercial|Care Product | $392.16 | ↓ -47% |
| Angeles IPA | Medicare|All Plans | $430.00 | ↓ -42% |
| HCLA | Medicaid|Preferred IPA < 21 | $430.00 | ↓ -42% |
| Partnership Health Plan | Medicaid|< 21 | $430.00 | ↓ -42% |
| Partnership Health Plan | Medicaid|> 21 | $430.00 | ↓ -42% |
| HCLA | Medicaid|Preferred IPA > 21 | $430.00 | ↓ -42% |
| Inland Empire Health Plan | Medicaid|All Plans | $430.00 | ↓ -42% |
| Preferred IPA | Medicaid|Risk | $430.00 | ↓ -42% |
| DHR | Medicaid|< 21 | $431.50 | ↓ -42% |
| DHR | Medicaid|> 21 | $431.50 | ↓ -42% |
| Health Net | Commercial|All Other Plans | $448.92 | ↓ -40% |
| Blue Shield CA | Commercial|Exchange | $516.00 | ↓ -30% |
| Blue Shield CA | Commercial|All Other Plans | $516.00 | ↓ -30% |
| Health Net | Medicaid|< 21 | $573.19 | ↓ -23% |
| Health Net | Medicaid|> 21 | $573.19 | ↓ -23% |
| Molina | Medicaid|All Plans | $602.00 | ↓ -19% |
| Kaiser | Medicaid|< 21 | $645.00 | ↓ -13% |
| Kaiser | Medicaid|> 21 | $645.00 | ↓ -13% |
| Cigna | Commercial|All Other Plans | $793.96 | ↑ +7% |
| Cigna | Commercial|PPO | $793.96 | ↑ +7% |
| BCBS - Anthem | Commercial|Exchange | $798.56 | ↑ +8% |
| United | Commercial|Non-Options PPO | $1,001.08 | ↑ +35% |
| United | Commercial|Options PPO | $1,070.12 | ↑ +44% |
| United | Commercial|All Other Plans | $1,070.12 | ↑ +44% |
| Aetna | Commercial|HMO | $1,072.76 | ↑ +45% |
| Aetna | Commercial|PPO | $1,072.76 | ↑ +45% |
| Aetna | Commercial|All Other Plans | $1,072.76 | ↑ +45% |
| Blue Shield CA | Medicare|BlueShield Promise | $1,121.90 | ↑ +51% |
| BCBS - Anthem | Commercial|All Other Plans | $1,191.88 | ↑ +61% |
| Kaiser | Commercial|All Plans | $1,208.20 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $1,380.80 | ↑ +86% |
| United | Commercial|HMO | $1,656.96 | ↑ +123% |
| SMIPA | Medicare|All Plans | $1,726.00 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $1,726.00 | ↑ +133% |
| LA Care | Medicaid|All Plans | $1,771.60 | ↑ +139% |
| Care 1st | Medicaid|All Plans | $2,150.00 | ↑ +190% |
| Blue Shield CA | Medicaid|All Plans | $2,150.00 | ↑ +190% |
Visitor-reported prices
Comments
Ophthalmic mitomycin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,269.22 | $162.93 – $162.93 |
| French Hospital | San Luis Obispo | $686.00 | $410.00 – $1,715.00 |
| Queen of The Valley Medical Center | Napa | $1,269.22 | $176.37 – $176.37 |
| Providence St Joseph Hospital Eureka | Eureka | $1,269.22 | $210.38 – $210.38 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,269.22 | $175.18 – $175.18 |
| Glendale Memorial Hospital Health Center | Glendale | $590.06 | $289.60 – $1,818.90 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $1,509.46 | $438.60 – $872.81 |
| Healdsburg Hospital | Healdsburg | not published | $415.44 – $856.56 |