Pre-tibial shell molded to p at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$1,206.15
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.
$2,805.00
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.
$338.48 with Noble IPA vs $2,155.00 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 | $338.48 | ↓ -72% |
| Noble IPA | Medicaid|< 21 | $338.48 | ↓ -72% |
| Partnership Health Plan | Medicaid|> 21 | $376.09 | ↓ -69% |
| HCLA | Medicaid|Preferred IPA > 21 | $376.09 | ↓ -69% |
| Preferred IPA | Medicaid|Risk | $376.09 | ↓ -69% |
| HCLA | Medicaid|Preferred IPA < 21 | $376.09 | ↓ -69% |
| Angeles IPA | Medicare|All Plans | $376.09 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $376.09 | ↓ -69% |
| Inland Empire Health Plan | Medicaid|All Plans | $376.09 | ↓ -69% |
| Partnership Health Plan | Medicaid|< 21 | $376.09 | ↓ -69% |
| Molina | Medicaid|All Plans | $495.65 | ↓ -59% |
| Health Net | Medicaid|< 21 | $501.33 | ↓ -58% |
| Health Net | Medicaid|> 21 | $501.33 | ↓ -58% |
| DHR | Medicaid|< 21 | $538.75 | ↓ -55% |
| DHR | Medicaid|> 21 | $538.75 | ↓ -55% |
| HPN | Commercial|All Plans | $560.30 | ↓ -54% |
| Kaiser | Medicaid|> 21 | $564.13 | ↓ -53% |
| Kaiser | Medicaid|< 21 | $564.13 | ↓ -53% |
| Cigna | Commercial|PPO | $646.50 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $646.50 | ↓ -46% |
| BCBS - Anthem | Commercial|Exchange | $732.70 | ↓ -39% |
| Health Net | Commercial|EPPO | $797.35 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $883.55 | ↓ -27% |
| Health Net | Commercial|Care Product | $969.75 | ↓ -20% |
| United | Commercial|Non-Options PPO | $1,012.85 | ↓ -16% |
| BCBS - Anthem | Commercial|All Other Plans | $1,077.50 | ↓ -11% |
| United | Commercial|All Other Plans | $1,077.50 | ↓ -11% |
| BCBS - Anthem | Commercial|MCS | $1,077.50 | ↓ -11% |
| United | Commercial|Options PPO | $1,077.50 | ↓ -11% |
| Health Net | Commercial|All Other Plans | $1,120.60 | ↓ -7% |
| United | Commercial|HMO | $1,120.60 | ↓ -7% |
| Blue Shield CA | Commercial|All Other Plans | $1,185.25 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $1,249.90 | ↑ +4% |
| Aetna | Commercial|HMO | $1,249.90 | ↑ +4% |
| Aetna | Commercial|PPO | $1,249.90 | ↑ +4% |
| Blue Shield CA | Medicare|BlueShield Promise | $1,400.75 | ↑ +16% |
| Kaiser | Commercial|All Plans | $1,508.50 | ↑ +25% |
| LA Care | Medicaid|All Plans | $1,549.49 | ↑ +28% |
| MultiPlan | Commercial|All Plans | $1,724.00 | ↑ +43% |
| Care 1st | Medicaid|All Plans | $1,880.45 | ↑ +56% |
| Blue Shield CA | Medicaid|All Plans | $1,880.45 | ↑ +56% |
| SMIPA | Medicare|All Plans | $2,155.00 | ↑ +79% |
Visitor-reported prices
Comments
Pre-tibial shell molded to p at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $751.17 | $411.60 – $1,337.70 |
| Community Hospital San Bernardino | San Bernardino | $1,096.76 | $376.09 – $2,155.00 |
| Glendale Memorial Hospital Health Center | Glendale | $914.43 | $40.00 – $2,133.45 |
| Mercy San Juan Medical Center | Carmichael | $768.57 | $308.55 – $2,384.25 |
| St. Bernardine Medical Center | San Bernardino | $934.07 | $376.09 – $1,880.45 |
| Mercy General Hospital | Sacramento | $611.49 | $376.09 – $2,496.45 |
| Mercy Hospital of Folsom | Folsom | $1,091.15 | $308.55 – $2,692.80 |
| Woodland Memorial Hospital | Woodland | $768.57 | $308.55 – $2,805.00 |