Russell viper venom diluted at St. Mary Medical Center

1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$13.25

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$30.80

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.67 with DHR vs $60.60 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 →

Payer
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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
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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 $1.67 ↓ -87%
DHR Medicaid|> 21 $1.67 ↓ -87%
Blue Shield CA Commercial|Exchange $2.54 ↓ -81%
Blue Shield CA Commercial|All Other Plans $3.27 ↓ -75%
BCBS - Anthem Commercial|Exchange $3.87 ↓ -71%
Blue Shield CA Medicare|BlueShield Promise $4.33 ↓ -67%
Kaiser Commercial|All Plans $4.67 ↓ -65%
MultiPlan Commercial|All Plans $5.33 ↓ -60%
BCBS - Anthem Commercial|All Other Plans $5.80 ↓ -56%
Noble IPA Medicaid|< 21 $6.00 ↓ -55%
Noble IPA Medicaid|> 21 $6.00 ↓ -55%
United Commercial|Non-Options PPO $6.66 ↓ -50%
Health Net Medicare|All Other Plans $6.66 ↓ -50%
Health Net Medicaid|< 21 $6.66 ↓ -50%
Health Net Medicaid|> 21 $6.66 ↓ -50%
Health Net Medicare|HMO $6.66 ↓ -50%
Cigna Medicare|All Plans $6.66 ↓ -50%
Kaiser Medicare|All Plans $6.66 ↓ -50%
Central Health Plan Medicare|All Plans $6.66 ↓ -50%
BCBS - Anthem Medicaid|All Plans $6.66 ↓ -50%
BCBS - Anthem Medicare|All Plans $6.66 ↓ -50%
BCBS - Anthem Commercial|MCS $6.66 ↓ -50%
Blue Shield CA Medicare|All Other Plans $6.66 ↓ -50%
LA Care Medicare|All Plans $6.66 ↓ -50%
Humana Medicare|All Plans $6.66 ↓ -50%
Aetna Commercial|All Other Plans $6.66 ↓ -50%
Aetna Commercial|PPO $6.66 ↓ -50%
Aetna Commercial|HMO $6.66 ↓ -50%
Molina Medicaid|All Plans $6.66 ↓ -50%
Molina Medicare|All Plans $6.66 ↓ -50%
United Commercial|All Other Plans $6.66 ↓ -50%
United Medicare|All Plans $6.66 ↓ -50%
United Commercial|HMO $6.66 ↓ -50%
United Commercial|Options PPO $6.66 ↓ -50%
Partnership Health Plan Medicaid|> 21 $6.66 ↓ -50%
Scan Health Plan Medicare|All Plans $6.66 ↓ -50%
HPN Medicare|Senior $6.66 ↓ -50%
Inland Empire Health Plan Medicaid|All Plans $6.66 ↓ -50%
Angeles IPA Medicare|All Plans $6.66 ↓ -50%
EasyChoice Medicare|All Plans $6.66 ↓ -50%
HCLA Medicaid|Preferred IPA < 21 $6.66 ↓ -50%
HCLA Medicaid|Preferred IPA > 21 $6.66 ↓ -50%
HCLA Medicare|Preferred IPA $6.66 ↓ -50%
Preferred IPA Medicaid|Risk $6.66 ↓ -50%
SMIPA Medicare|All Plans $6.66 ↓ -50%
Partnership Health Plan Medicaid|< 21 $6.66 ↓ -50%
LA Care Commercial|All Plans $8.33 ↓ -37%
HCLA Commercial|Preferred IPA $8.33 ↓ -37%
Blue Shield CA Medicare|Trauma $8.33 ↓ -37%
Kaiser Medicaid|> 21 $9.99 ↓ -25%
Kaiser Medicaid|< 21 $9.99 ↓ -25%
SevenCorners Medicare|All Plans $10.66 ↓ -20%
Cigna Commercial|All Other Plans $21.38 ↑ +61%
Cigna Commercial|PPO $21.38 ↑ +61%
LA Care Medicaid|All Plans $27.44 ↑ +107%
Care 1st Medicaid|All Plans $60.60 ↑ +357%
Blue Shield CA Medicaid|All Plans $60.60 ↑ +357%

Visitor-reported prices

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Russell viper venom diluted at other California hospitals

Hospital City Cash price Negotiated range
Banner Lassen Medical Center Susanville $4.17 $1.92 – $13.94
Petaluma Valley Hospital Petaluma $22.95 $9.39 – $78.09
Arroyo Grande Hospital Santa Maria $93.30 $3.33 – $24.70
Mark Twain Medical Center San Andreas $20.52 $3.62 – $6.67
French Hospital San Luis Obispo $85.45 $1.80 – $29.03
Mercy Hospitals – Bakersfield Bakersfield $156.20 $3.33 – $27.54
Bakersfield Memorial Hospital Bakersfield $154.51 $3.33 – $27.54
Queen of The Valley Medical Center Napa $22.95 $9.58 – $98.69

All California hospitals for this procedure →