Oth resp proc, group at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$316.48
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.
$736.00
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.
$39.28 with SMIPA vs $6,343.00 with United — 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 |
|---|---|---|---|
| SMIPA | Medicare|All Plans | $39.28 | ↓ -88% |
| Humana | Medicare|All Plans | $49.87 | ↓ -84% |
| Molina | Medicare|All Plans | $49.87 | ↓ -84% |
| Health Net | Medicare|All Other Plans | $49.87 | ↓ -84% |
| Health Net | Medicare|HMO | $49.87 | ↓ -84% |
| Cigna | Medicare|All Plans | $49.87 | ↓ -84% |
| Kaiser | Medicare|All Plans | $49.87 | ↓ -84% |
| Central Health Plan | Medicare|All Plans | $49.87 | ↓ -84% |
| BCBS - Anthem | Medicare|All Plans | $49.87 | ↓ -84% |
| Blue Shield CA | Medicare|All Other Plans | $49.87 | ↓ -84% |
| Scan Health Plan | Medicare|All Plans | $49.87 | ↓ -84% |
| LA Care | Medicare|All Plans | $49.87 | ↓ -84% |
| EasyChoice | Medicare|All Plans | $49.87 | ↓ -84% |
| HCLA | Medicare|Preferred IPA | $49.87 | ↓ -84% |
| United | Medicare|All Plans | $50.87 | ↓ -84% |
| HPN | Medicare|Senior | $54.86 | ↓ -83% |
| HCLA | Commercial|Preferred IPA | $62.34 | ↓ -80% |
| LA Care | Commercial|All Plans | $62.34 | ↓ -80% |
| Blue Shield CA | Medicare|Trauma | $62.34 | ↓ -80% |
| Aetna | Commercial|All Other Plans | $76.34 | ↓ -76% |
| Aetna | Commercial|HMO | $76.34 | ↓ -76% |
| Aetna | Commercial|PPO | $76.34 | ↓ -76% |
| SevenCorners | Medicare|All Plans | $79.79 | ↓ -75% |
| DHR | Medicaid|> 21 | $83.25 | ↓ -74% |
| DHR | Medicaid|< 21 | $83.25 | ↓ -74% |
| United | Commercial|Non-Options PPO | $193.14 | ↓ -39% |
| Blue Shield CA | Medicare|BlueShield Promise | $216.45 | ↓ -32% |
| HPN | Commercial|All Plans | $223.00 | ↓ -30% |
| Kaiser | Commercial|All Plans | $233.10 | ↓ -26% |
| MultiPlan | Commercial|All Plans | $266.40 | ↓ -16% |
| BCBS - Anthem | Commercial|Exchange | $328.00 | ↑ +4% |
| BCBS - Anthem | Commercial|MCS | $333.00 | ↑ +5% |
| BCBS - Anthem | Commercial|All Other Plans | $333.00 | ↑ +5% |
| Blue Shield CA | Commercial|Exchange | $400.00 | ↑ +26% |
| Blue Shield CA | Commercial|All Other Plans | $522.00 | ↑ +65% |
| Cigna | Commercial|All Other Plans | $570.00 | ↑ +80% |
| Cigna | Commercial|PPO | $570.00 | ↑ +80% |
| United | Commercial|HMO | $6,243.00 | ↑ +1873% |
| United | Commercial|All Other Plans | $6,343.00 | ↑ +1904% |
| United | Commercial|Options PPO | $6,343.00 | ↑ +1904% |
Visitor-reported prices
Comments
Oth resp proc, group at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $67.89 | $41.85 – $1,834.00 |
| Arroyo Grande Hospital | Santa Maria | $290.62 | $49.87 – $746.00 |
| Mark Twain Medical Center | San Andreas | $247.76 | $41.66 – $157.78 |
| French Hospital | San Luis Obispo | $266.17 | $33.75 – $1,149.00 |
| Bakersfield Memorial Hospital | Bakersfield | $143.13 | $49.87 – $236.72 |
| St. Joseph's Medical Center Stockton | Stockton | $112.61 | $20.16 – $684.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $130.08 | $40.83 – $88.87 |
| Mercy Medical Center Merced | Merced | $644.78 | $43.92 – $745.00 |