Surgical pathology level 3 gross & microscopic examination at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$376.25
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.
$875.00
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.
$26.25 with DHR vs $218.60 with Care 1st — 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 | $26.25 | ↓ -93% |
| DHR | Medicaid|< 21 | $26.25 | ↓ -93% |
| Noble IPA | Medicaid|> 21 | $39.35 | ↓ -90% |
| Noble IPA | Medicaid|< 21 | $39.35 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|All Plans | $43.72 | ↓ -88% |
| HCLA | Medicaid|Preferred IPA > 21 | $43.72 | ↓ -88% |
| HCLA | Medicaid|Preferred IPA < 21 | $43.72 | ↓ -88% |
| Angeles IPA | Medicare|All Plans | $43.72 | ↓ -88% |
| Preferred IPA | Medicaid|Risk | $43.72 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $43.72 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $43.72 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $54.51 | ↓ -86% |
| SMIPA | Medicare|All Plans | $58.13 | ↓ -85% |
| Health Net | Medicaid|< 21 | $58.28 | ↓ -85% |
| Health Net | Medicaid|> 21 | $58.28 | ↓ -85% |
| United | Commercial|HMO | $59.71 | ↓ -84% |
| United | Commercial|All Other Plans | $59.71 | ↓ -84% |
| United | Commercial|Options PPO | $59.71 | ↓ -84% |
| United | Commercial|Non-Options PPO | $59.71 | ↓ -84% |
| BCBS - Anthem | Commercial|Exchange | $60.90 | ↓ -84% |
| Molina | Medicaid|All Plans | $61.21 | ↓ -84% |
| Kaiser | Medicaid|> 21 | $65.58 | ↓ -83% |
| Kaiser | Medicaid|< 21 | $65.58 | ↓ -83% |
| Central Health Plan | Medicare|All Plans | $67.89 | ↓ -82% |
| Humana | Medicare|All Plans | $67.89 | ↓ -82% |
| Health Net | Medicare|All Other Plans | $67.89 | ↓ -82% |
| BCBS - Anthem | Medicare|All Plans | $67.89 | ↓ -82% |
| Cigna | Medicare|All Plans | $67.89 | ↓ -82% |
| Health Net | Medicare|HMO | $67.89 | ↓ -82% |
| HCLA | Medicare|Preferred IPA | $67.89 | ↓ -82% |
| Blue Shield CA | Medicare|All Other Plans | $67.89 | ↓ -82% |
| LA Care | Medicare|All Plans | $67.89 | ↓ -82% |
| EasyChoice | Medicare|All Plans | $67.89 | ↓ -82% |
| Scan Health Plan | Medicare|All Plans | $67.89 | ↓ -82% |
| Kaiser | Medicare|All Plans | $67.89 | ↓ -82% |
| Molina | Medicare|All Plans | $67.89 | ↓ -82% |
| Blue Shield CA | Medicare|BlueShield Promise | $68.25 | ↓ -82% |
| Cigna | Commercial|All Other Plans | $68.69 | ↓ -82% |
| Cigna | Commercial|PPO | $68.69 | ↓ -82% |
| United | Medicare|All Plans | $69.25 | ↓ -82% |
| Kaiser | Commercial|All Plans | $73.50 | ↓ -80% |
| HPN | Medicare|Senior | $74.68 | ↓ -80% |
| MultiPlan | Commercial|All Plans | $84.00 | ↓ -78% |
| LA Care | Commercial|All Plans | $84.86 | ↓ -77% |
| Blue Shield CA | Medicare|Trauma | $84.86 | ↓ -77% |
| HCLA | Commercial|Preferred IPA | $84.86 | ↓ -77% |
| BCBS - Anthem | Commercial|All Other Plans | $91.35 | ↓ -76% |
| Aetna | Commercial|All Other Plans | $105.00 | ↓ -72% |
| Aetna | Commercial|HMO | $105.00 | ↓ -72% |
| BCBS - Anthem | Commercial|MCS | $105.00 | ↓ -72% |
| Aetna | Commercial|PPO | $105.00 | ↓ -72% |
| SevenCorners | Medicare|All Plans | $108.62 | ↓ -71% |
| LA Care | Medicaid|All Plans | $125.58 | ↓ -67% |
| Blue Shield CA | Medicaid|All Plans | $218.60 | ↓ -42% |
| Care 1st | Medicaid|All Plans | $218.60 | ↓ -42% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $165.57 | $59.71 – $294.84 |
| Banner Lassen Medical Center | Susanville | $12.66 | $10.69 – $50.29 |
| Petaluma Valley Hospital | Petaluma | $316.71 | $70.23 – $98.94 |
| Arroyo Grande Hospital | Santa Maria | $14.30 | $16.70 – $79.36 |
| Mark Twain Medical Center | San Andreas | $85.25 | $8.65 – $33.41 |
| French Hospital | San Luis Obispo | $13.09 | $9.02 – $93.29 |
| Mercy Hospitals – Bakersfield | Bakersfield | $105.37 | $22.59 – $88.51 |
| Bakersfield Memorial Hospital | Bakersfield | $104.23 | $22.59 – $88.51 |