Replace aortic valve w/byp prq aprch 33367 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
not published by hospital
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.
not published by hospital
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.
$446.65 with Noble IPA vs $14,575.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Noble IPA | Medicaid|< 21 | $446.65 | — |
| Noble IPA | Medicaid|> 21 | $446.65 | — |
| Preferred IPA | Medicaid|Risk | $496.28 | — |
| Partnership Health Plan | Medicaid|< 21 | $496.28 | — |
| HCLA | Medicaid|Preferred IPA > 21 | $496.28 | — |
| HCLA | Medicaid|Preferred IPA < 21 | $496.28 | — |
| Angeles IPA | Medicare|All Plans | $496.28 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $496.28 | — |
| BCBS - Anthem | Medicaid|All Plans | $496.28 | — |
| Partnership Health Plan | Medicaid|> 21 | $496.28 | — |
| Health Net | Medicaid|< 21 | $661.54 | — |
| Health Net | Medicaid|> 21 | $661.54 | — |
| Molina | Medicaid|All Plans | $694.79 | — |
| Kaiser | Medicaid|< 21 | $744.42 | — |
| Kaiser | Medicaid|> 21 | $744.42 | — |
| LA Care | Medicaid|All Plans | $2,044.67 | — |
| Care 1st | Medicaid|All Plans | $2,481.40 | — |
| Blue Shield CA | Medicaid|All Plans | $2,481.40 | — |
| BCBS - Anthem | Commercial|Exchange | $6,300.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,403.00 | — |
| BCBS - Anthem | Commercial|MCS | $14,575.00 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| DHR | Medicaid|< 21 | not published by hospital | — |
| DHR | Medicaid|> 21 | not published by hospital | — |
Visitor-reported prices
Comments
Replace aortic valve w/byp prq aprch 33367 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $25,533.20 | $496.28 – $58,463.86 |
| French Hospital | San Luis Obispo | $23,385.94 | $496.28 – $58,464.84 |
| Bakersfield Memorial Hospital | Bakersfield | $26,687.14 | $496.28 – $71,989.83 |
| St. Joseph's Medical Center Stockton | Stockton | $1,125.44 | $496.28 – $3,215.52 |
| Mercy Medical Center Merced | Merced | $36,460.46 | $496.28 – $70,089.03 |
| Dominican Hospital | Santa Cruz | $1,929.15 | $496.28 – $3,858.30 |
| Northridge Hospital Medical Center | Northridge | $7,279.95 | $496.28 – $26,093.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,807.70 | $1,807.00 – $7,764.00 |