Prostate biopsy, any mthd at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$223.60
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.
$520.00
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.
$130.00 with DHR vs $1,711.50 with Blue Shield CA — 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 |
|---|---|---|---|
| DHR | Medicaid|< 21 | $130.00 | ↓ -42% |
| DHR | Medicaid|> 21 | $130.00 | ↓ -42% |
| BCBS - Anthem | Commercial|Exchange | $301.60 | ↑ +35% |
| Noble IPA | Medicaid|> 21 | $308.07 | ↑ +38% |
| Noble IPA | Medicaid|< 21 | $308.07 | ↑ +38% |
| SMIPA | Medicare|All Plans | $333.03 | ↑ +49% |
| Blue Shield CA | Medicare|BlueShield Promise | $338.00 | ↑ +51% |
| Preferred IPA | Medicaid|Risk | $342.30 | ↑ +53% |
| Angeles IPA | Medicare|All Plans | $342.30 | ↑ +53% |
| Partnership Health Plan | Medicaid|> 21 | $342.30 | ↑ +53% |
| Partnership Health Plan | Medicaid|< 21 | $342.30 | ↑ +53% |
| HCLA | Medicaid|Preferred IPA < 21 | $342.30 | ↑ +53% |
| Inland Empire Health Plan | Medicaid|All Plans | $342.30 | ↑ +53% |
| BCBS - Anthem | Medicaid|All Plans | $342.30 | ↑ +53% |
| HCLA | Medicaid|Preferred IPA > 21 | $342.30 | ↑ +53% |
| United | Commercial|All Other Plans | $349.51 | ↑ +56% |
| United | Commercial|HMO | $349.51 | ↑ +56% |
| United | Commercial|Options PPO | $349.51 | ↑ +56% |
| United | Commercial|Non-Options PPO | $349.51 | ↑ +56% |
| Kaiser | Commercial|All Plans | $364.00 | ↑ +63% |
| Cigna | Commercial|PPO | $403.62 | ↑ +81% |
| Cigna | Commercial|All Other Plans | $403.62 | ↑ +81% |
| MultiPlan | Commercial|All Plans | $416.00 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $452.40 | ↑ +102% |
| Health Net | Medicaid|> 21 | $456.29 | ↑ +104% |
| Health Net | Medicaid|< 21 | $456.29 | ↑ +104% |
| HCLA | Medicare|Preferred IPA | $457.06 | ↑ +104% |
| Kaiser | Medicare|All Plans | $457.06 | ↑ +104% |
| Blue Shield CA | Medicare|All Other Plans | $457.06 | ↑ +104% |
| Cigna | Medicare|All Plans | $457.06 | ↑ +104% |
| Health Net | Medicare|HMO | $457.06 | ↑ +104% |
| Scan Health Plan | Medicare|All Plans | $457.06 | ↑ +104% |
| EasyChoice | Medicare|All Plans | $457.06 | ↑ +104% |
| Health Net | Medicare|All Other Plans | $457.06 | ↑ +104% |
| Humana | Medicare|All Plans | $457.06 | ↑ +104% |
| LA Care | Medicare|All Plans | $457.06 | ↑ +104% |
| BCBS - Anthem | Medicare|All Plans | $457.06 | ↑ +104% |
| Molina | Medicare|All Plans | $457.06 | ↑ +104% |
| Central Health Plan | Medicare|All Plans | $457.06 | ↑ +104% |
| United | Medicare|All Plans | $466.21 | ↑ +109% |
| Molina | Medicaid|All Plans | $479.22 | ↑ +114% |
| HPN | Medicare|Senior | $502.77 | ↑ +125% |
| Kaiser | Medicaid|< 21 | $513.45 | ↑ +130% |
| Kaiser | Medicaid|> 21 | $513.45 | ↑ +130% |
| BCBS - Anthem | Commercial|MCS | $520.00 | ↑ +133% |
| Blue Shield CA | Medicare|Trauma | $571.33 | ↑ +156% |
| LA Care | Commercial|All Plans | $571.33 | ↑ +156% |
| HCLA | Commercial|Preferred IPA | $571.33 | ↑ +156% |
| SevenCorners | Medicare|All Plans | $731.30 | ↑ +227% |
| LA Care | Medicaid|All Plans | $1,410.28 | ↑ +531% |
| Care 1st | Medicaid|All Plans | $1,711.50 | ↑ +665% |
| Blue Shield CA | Medicaid|All Plans | $1,711.50 | ↑ +665% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $192.85 | $71.94 – $564.79 |
| Mark Twain Medical Center | San Andreas | $136.12 | $52.88 – $204.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $100.48 | $135.41 – $520.09 |
| Bakersfield Memorial Hospital | Bakersfield | $99.40 | $135.41 – $520.09 |
| St. Joseph's Behavioral Health Center | Stockton | $154.64 | $27.09 – $216.66 |
| St. Joseph's Medical Center Stockton | Stockton | $79.63 | $56.88 – $270.82 |
| Mercy Medical Center Merced | Merced | $139.48 | $162.50 – $297.91 |
| Sierra Nevada Memorial Hospital | Grass Valley | $196.75 | $241.87 – $361.00 |