Ortho elbow w/lock w/ft&adj at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$926.65
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.
$2,155.00
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.
$257.49 with Noble IPA vs $1,655.00 with SMIPA — 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 |
|---|---|---|---|
| Noble IPA | Medicaid|> 21 | $257.49 | ↓ -72% |
| Noble IPA | Medicaid|< 21 | $257.49 | ↓ -72% |
| Partnership Health Plan | Medicaid|> 21 | $286.10 | ↓ -69% |
| HCLA | Medicaid|Preferred IPA > 21 | $286.10 | ↓ -69% |
| Preferred IPA | Medicaid|Risk | $286.10 | ↓ -69% |
| HCLA | Medicaid|Preferred IPA < 21 | $286.10 | ↓ -69% |
| Angeles IPA | Medicare|All Plans | $286.10 | ↓ -69% |
| Inland Empire Health Plan | Medicaid|All Plans | $286.10 | ↓ -69% |
| Partnership Health Plan | Medicaid|< 21 | $286.10 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $331.00 | ↓ -64% |
| Molina | Medicaid|All Plans | $380.65 | ↓ -59% |
| Health Net | Medicaid|< 21 | $381.37 | ↓ -59% |
| Health Net | Medicaid|> 21 | $381.37 | ↓ -59% |
| DHR | Medicaid|> 21 | $413.75 | ↓ -55% |
| DHR | Medicaid|< 21 | $413.75 | ↓ -55% |
| Kaiser | Medicaid|> 21 | $429.15 | ↓ -54% |
| Kaiser | Medicaid|< 21 | $429.15 | ↓ -54% |
| HPN | Commercial|All Plans | $430.30 | ↓ -54% |
| Cigna | Commercial|PPO | $496.50 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $496.50 | ↓ -46% |
| BCBS - Anthem | Commercial|Exchange | $562.70 | ↓ -39% |
| Health Net | Commercial|EPPO | $612.35 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $678.55 | ↓ -27% |
| Health Net | Commercial|Care Product | $744.75 | ↓ -20% |
| United | Commercial|Non-Options PPO | $777.85 | ↓ -16% |
| BCBS - Anthem | Commercial|MCS | $827.50 | ↓ -11% |
| United | Commercial|All Other Plans | $827.50 | ↓ -11% |
| BCBS - Anthem | Commercial|All Other Plans | $827.50 | ↓ -11% |
| United | Commercial|Options PPO | $827.50 | ↓ -11% |
| Health Net | Commercial|All Other Plans | $860.60 | ↓ -7% |
| United | Commercial|HMO | $860.60 | ↓ -7% |
| Blue Shield CA | Commercial|All Other Plans | $910.25 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $959.90 | ↑ +4% |
| Aetna | Commercial|HMO | $959.90 | ↑ +4% |
| Aetna | Commercial|PPO | $959.90 | ↑ +4% |
| Blue Shield CA | Medicare|BlueShield Promise | $1,075.75 | ↑ +16% |
| Kaiser | Commercial|All Plans | $1,158.50 | ↑ +25% |
| LA Care | Medicaid|All Plans | $1,178.73 | ↑ +27% |
| MultiPlan | Commercial|All Plans | $1,324.00 | ↑ +43% |
| Care 1st | Medicaid|All Plans | $1,430.50 | ↑ +54% |
| Blue Shield CA | Medicaid|All Plans | $1,430.50 | ↑ +54% |
| SMIPA | Medicare|All Plans | $1,655.00 | ↑ +79% |
Visitor-reported prices
Comments
Ortho elbow w/lock w/ft&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $977.62 | $432.84 – $1,740.96 |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $286.10 – $587.02 |
| French Hospital | San Luis Obispo | $234.81 | $113.81 – $587.02 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,643.92 | $507.12 – $2,070.74 |
| Dominican Hospital | Santa Cruz | $1,111.95 | $286.10 – $2,471.00 |
| Community Hospital San Bernardino | San Bernardino | $842.61 | $286.10 – $1,655.00 |
| Glendale Memorial Hospital Health Center | Glendale | $702.53 | $40.00 – $1,638.45 |
| Mercy San Juan Medical Center | Carmichael | $590.47 | $237.05 – $1,831.75 |