Prgrmg eval implantable dfb at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$113.52
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.
?
What you pay up front if you don't use insurance.
$264.00
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.
?
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
?
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 →
?
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 | ↓ -62% |
| Scan Health Plan | Medicare|All Plans | $47.38 | ↓ -58% |
| Molina | Medicare|All Plans | $47.38 | ↓ -58% |
| HCLA | Medicare|Preferred IPA | $47.38 | ↓ -58% |
| Health Net | Medicare|All Other Plans | $47.38 | ↓ -58% |
| Health Net | Medicare|HMO | $47.38 | ↓ -58% |
| Cigna | Medicare|All Plans | $47.38 | ↓ -58% |
| Kaiser | Medicare|All Plans | $47.38 | ↓ -58% |
| EasyChoice | Medicare|All Plans | $47.38 | ↓ -58% |
| Humana | Medicare|All Plans | $47.38 | ↓ -58% |
| Central Health Plan | Medicare|All Plans | $47.38 | ↓ -58% |
| BCBS - Anthem | Medicare|All Plans | $47.38 | ↓ -58% |
| Blue Shield CA | Medicare|All Other Plans | $47.38 | ↓ -58% |
| LA Care | Medicare|All Plans | $47.38 | ↓ -58% |
| United | Medicare|All Plans | $48.33 | ↓ -57% |
| HPN | Medicare|Senior | $52.12 | ↓ -54% |
| Noble IPA | Medicaid|< 21 | $56.12 | ↓ -51% |
| Noble IPA | Medicaid|> 21 | $56.12 | ↓ -51% |
| HCLA | Commercial|Preferred IPA | $59.23 | ↓ -48% |
| Blue Shield CA | Medicare|Trauma | $59.23 | ↓ -48% |
| LA Care | Commercial|All Plans | $59.23 | ↓ -48% |
| Partnership Health Plan | Medicaid|< 21 | $62.35 | ↓ -45% |
| HCLA | Medicaid|Preferred IPA < 21 | $62.35 | ↓ -45% |
| Inland Empire Health Plan | Medicaid|All Plans | $62.35 | ↓ -45% |
| Partnership Health Plan | Medicaid|> 21 | $62.35 | ↓ -45% |
| HCLA | Medicaid|Preferred IPA > 21 | $62.35 | ↓ -45% |
| Angeles IPA | Medicare|All Plans | $62.35 | ↓ -45% |
| Preferred IPA | Medicaid|Risk | $62.35 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $62.35 | ↓ -45% |
| DHR | Medicaid|< 21 | $66.00 | ↓ -42% |
| DHR | Medicaid|> 21 | $66.00 | ↓ -42% |
| SevenCorners | Medicare|All Plans | $75.81 | ↓ -33% |
| Health Net | Medicaid|> 21 | $83.11 | ↓ -27% |
| Health Net | Medicaid|< 21 | $83.11 | ↓ -27% |
| Molina | Medicaid|All Plans | $87.29 | ↓ -23% |
| Kaiser | Medicaid|< 21 | $93.53 | ↓ -18% |
| Kaiser | Medicaid|> 21 | $93.53 | ↓ -18% |
| BCBS - Anthem | Commercial|Exchange | $138.84 | ↑ +22% |
| United | Commercial|Non-Options PPO | $153.12 | ↑ +35% |
| Blue Shield CA | Medicare|BlueShield Promise | $171.60 | ↑ +51% |
| Kaiser | Commercial|All Plans | $184.80 | ↑ +63% |
| BCBS - Anthem | Commercial|All Other Plans | $207.01 | ↑ +82% |
| MultiPlan | Commercial|All Plans | $211.20 | ↑ +86% |
| LA Care | Medicaid|All Plans | $256.88 | ↑ +126% |
| BCBS - Anthem | Commercial|MCS | $264.00 | ↑ +133% |
| Blue Shield CA | Medicaid|All Plans | $311.75 | ↑ +175% |
| Care 1st | Medicaid|All Plans | $311.75 | ↑ +175% |
| Health Net | Commercial|EPPO | $2,417.00 | ↑ +2029% |
| Health Net | Commercial|Care Product | $2,936.00 | ↑ +2486% |
| Health Net | Commercial|All Other Plans | $3,375.00 | ↑ +2873% |
| United | Commercial|HMO | $6,243.00 | ↑ +5399% |
| United | Commercial|Options PPO | $6,343.00 | ↑ +5488% |
| United | Commercial|All Other Plans | $6,343.00 | ↑ +5488% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $33.77 | $46.00 – $92.00 |
| St. Joseph's Medical Center Stockton | Stockton | $38.22 | $27.30 – $130.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $184.11 | $51.93 – $171.65 |
| Mercy Medical Center Merced | Merced | $50.47 | $47.38 – $98.00 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |
| Glendale Memorial Hospital Health Center | Glendale | $40.43 | $30.50 – $97.60 |
| Mercy San Juan Medical Center | Carmichael | $102.21 | $41.03 – $309.59 |
| St. Bernardine Medical Center | San Bernardino | $35.30 | $30.74 – $6,210.00 |