Prgrmg dev eval pm/ldls pm at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$163.83
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.
$381.00
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.
$42.60 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 | $42.60 | ↓ -74% |
| Noble IPA | Medicaid|< 21 | $43.91 | ↓ -73% |
| Noble IPA | Medicaid|> 21 | $43.91 | ↓ -73% |
| Scan Health Plan | Medicare|All Plans | $47.38 | ↓ -71% |
| Humana | Medicare|All Plans | $47.38 | ↓ -71% |
| Molina | Medicare|All Plans | $47.38 | ↓ -71% |
| HCLA | Medicare|Preferred IPA | $47.38 | ↓ -71% |
| Health Net | Medicare|All Other Plans | $47.38 | ↓ -71% |
| Health Net | Medicare|HMO | $47.38 | ↓ -71% |
| Cigna | Medicare|All Plans | $47.38 | ↓ -71% |
| EasyChoice | Medicare|All Plans | $47.38 | ↓ -71% |
| Kaiser | Medicare|All Plans | $47.38 | ↓ -71% |
| Central Health Plan | Medicare|All Plans | $47.38 | ↓ -71% |
| BCBS - Anthem | Medicare|All Plans | $47.38 | ↓ -71% |
| LA Care | Medicare|All Plans | $47.38 | ↓ -71% |
| Blue Shield CA | Medicare|All Other Plans | $47.38 | ↓ -71% |
| United | Medicare|All Plans | $48.33 | ↓ -70% |
| Partnership Health Plan | Medicaid|< 21 | $48.79 | ↓ -70% |
| Partnership Health Plan | Medicaid|> 21 | $48.79 | ↓ -70% |
| Inland Empire Health Plan | Medicaid|All Plans | $48.79 | ↓ -70% |
| Angeles IPA | Medicare|All Plans | $48.79 | ↓ -70% |
| Preferred IPA | Medicaid|Risk | $48.79 | ↓ -70% |
| BCBS - Anthem | Medicaid|All Plans | $48.79 | ↓ -70% |
| HCLA | Medicaid|Preferred IPA > 21 | $48.79 | ↓ -70% |
| HCLA | Medicaid|Preferred IPA < 21 | $48.79 | ↓ -70% |
| HPN | Medicare|Senior | $52.12 | ↓ -68% |
| HCLA | Commercial|Preferred IPA | $59.23 | ↓ -64% |
| Blue Shield CA | Medicare|Trauma | $59.23 | ↓ -64% |
| LA Care | Commercial|All Plans | $59.23 | ↓ -64% |
| Health Net | Medicaid|< 21 | $65.04 | ↓ -60% |
| Health Net | Medicaid|> 21 | $65.04 | ↓ -60% |
| Molina | Medicaid|All Plans | $68.31 | ↓ -58% |
| Kaiser | Medicaid|< 21 | $73.19 | ↓ -55% |
| Kaiser | Medicaid|> 21 | $73.19 | ↓ -55% |
| SevenCorners | Medicare|All Plans | $75.81 | ↓ -54% |
| DHR | Medicaid|> 21 | $95.25 | ↓ -42% |
| DHR | Medicaid|< 21 | $95.25 | ↓ -42% |
| BCBS - Anthem | Commercial|Exchange | $131.48 | ↓ -20% |
| BCBS - Anthem | Commercial|All Other Plans | $196.04 | ↑ +20% |
| LA Care | Medicaid|All Plans | $201.01 | ↑ +23% |
| United | Commercial|Non-Options PPO | $220.98 | ↑ +35% |
| Care 1st | Medicaid|All Plans | $243.95 | ↑ +49% |
| Blue Shield CA | Medicaid|All Plans | $243.95 | ↑ +49% |
| Blue Shield CA | Medicare|BlueShield Promise | $247.65 | ↑ +51% |
| Kaiser | Commercial|All Plans | $266.70 | ↑ +63% |
| BCBS - Anthem | Commercial|MCS | $303.94 | ↑ +86% |
| MultiPlan | Commercial|All Plans | $304.80 | ↑ +86% |
| Health Net | Commercial|EPPO | $2,417.00 | ↑ +1375% |
| Health Net | Commercial|Care Product | $2,936.00 | ↑ +1692% |
| Health Net | Commercial|All Other Plans | $3,375.00 | ↑ +1960% |
| United | Commercial|HMO | $6,243.00 | ↑ +3711% |
| United | Commercial|Options PPO | $6,343.00 | ↑ +3772% |
| United | Commercial|All Other Plans | $6,343.00 | ↑ +3772% |
Visitor-reported prices
Comments
Prgrmg dev eval pm/ldls pm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $229.52 | $23.22 – $87.86 |
| Arroyo Grande Hospital | Santa Maria | $235.40 | $47.38 – $539.00 |
| French Hospital | San Luis Obispo | $208.94 | $47.38 – $522.34 |
| Bakersfield Memorial Hospital | Bakersfield | $40.74 | $47.38 – $111.00 |
| St. Joseph's Medical Center Stockton | Stockton | $32.64 | $23.31 – $111.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $171.87 | $51.93 – $162.55 |
| Mercy Medical Center Merced | Merced | $57.17 | $47.38 – $111.00 |
| Northridge Hospital Medical Center | Northridge | $159.87 | $47.38 – $4,018.00 |