Tc-99m diag per dose at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$33.11
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.
$77.00
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.
$19.25 with DHR vs $77.00 with SMIPA — 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 | $19.25 | ↓ -42% |
| DHR | Medicaid|> 21 | $19.25 | ↓ -42% |
| Care 1st | Medicaid|All Plans | $20.02 | ↓ -40% |
| Blue Shield CA | Medicaid|All Plans | $20.02 | ↓ -40% |
| Healthcare Partners | Medicare|All Plans | $39.27 | ↑ +19% |
| Healthcare Partners | Commercial|All Plans | $43.89 | ↑ +33% |
| United | Commercial|Non-Options PPO | $44.66 | ↑ +35% |
| United | Commercial|Options PPO | $47.74 | ↑ +44% |
| United | Commercial|All Other Plans | $47.74 | ↑ +44% |
| Blue Shield CA | Medicare|BlueShield Promise | $50.05 | ↑ +51% |
| Kaiser | Commercial|All Plans | $53.90 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $61.60 | ↑ +86% |
| United | Commercial|HMO | $73.92 | ↑ +123% |
| SMIPA | Medicare|All Plans | $77.00 | ↑ +133% |
Visitor-reported prices
Comments
Tc-99m diag per dose at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $470.40 | not published |
| Santa Clara Medical Center | SANTA CLARA | $470.40 | not published |
| Sacramento Medical Center | SACRAMENTO | $470.40 | not published |
| Oakland Medical Center | Oakland | $470.40 | not published |
| Arroyo Grande Hospital | Santa Maria | $137.82 | $161.00 – $315.56 |
| Mark Twain Medical Center | San Andreas | $256.41 | $84.86 – $321.44 |
| French Hospital | San Luis Obispo | $1,399.44 | $14.58 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $23.75 | $32.00 – $51.20 |