Tc-99m mebrofenin at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$70.95
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.
$165.00
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.
$40.82 with Noble IPA vs $226.80 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 |
|---|---|---|---|
| Noble IPA | Medicaid|> 21 | $40.82 | ↓ -42% |
| Noble IPA | Medicaid|< 21 | $40.82 | ↓ -42% |
| DHR | Medicaid|< 21 | $41.25 | ↓ -42% |
| DHR | Medicaid|> 21 | $41.25 | ↓ -42% |
| Preferred IPA | Medicaid|Risk | $45.36 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $45.36 | ↓ -36% |
| Partnership Health Plan | Medicaid|< 21 | $45.36 | ↓ -36% |
| Partnership Health Plan | Medicaid|> 21 | $45.36 | ↓ -36% |
| Inland Empire Health Plan | Medicaid|All Plans | $45.36 | ↓ -36% |
| Angeles IPA | Medicare|All Plans | $45.36 | ↓ -36% |
| HCLA | Medicaid|Preferred IPA < 21 | $45.36 | ↓ -36% |
| HCLA | Medicaid|Preferred IPA > 21 | $45.36 | ↓ -36% |
| Health Net | Medicaid|> 21 | $60.46 | ↓ -15% |
| Health Net | Medicaid|< 21 | $60.46 | ↓ -15% |
| Molina | Medicaid|All Plans | $63.50 | ↓ -11% |
| Kaiser | Medicaid|> 21 | $68.04 | ↓ -4% |
| Kaiser | Medicaid|< 21 | $68.04 | ↓ -4% |
| Healthcare Partners | Medicare|All Plans | $84.15 | ↑ +19% |
| Healthcare Partners | Commercial|All Plans | $94.05 | ↑ +33% |
| BCBS - Anthem | Commercial|Exchange | $99.00 | ↑ +40% |
| Blue Shield CA | Medicare|BlueShield Promise | $107.25 | ↑ +51% |
| Kaiser | Commercial|All Plans | $115.50 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $132.00 | ↑ +86% |
| United | Commercial|Non-Options PPO | $138.60 | ↑ +95% |
| BCBS - Anthem | Commercial|All Other Plans | $146.85 | ↑ +107% |
| SMIPA | Medicare|All Plans | $165.00 | ↑ +133% |
| United | Commercial|All Other Plans | $165.00 | ↑ +133% |
| United | Commercial|Options PPO | $165.00 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $165.00 | ↑ +133% |
| United | Commercial|HMO | $165.00 | ↑ +133% |
| LA Care | Medicaid|All Plans | $186.88 | ↑ +163% |
| Blue Shield CA | Medicaid|All Plans | $226.80 | ↑ +220% |
| Care 1st | Medicaid|All Plans | $226.80 | ↑ +220% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $136.66 | $68.62 – $243.36 |
| Redwood City Medical Center | Redwood City | $680.40 | $65.00 – $65.00 |
| Santa Clara Medical Center | SANTA CLARA | $680.40 | $65.00 – $65.00 |
| Banner Lassen Medical Center | Susanville | $533.20 | $74.84 – $742.05 |
| Sacramento Medical Center | SACRAMENTO | $680.40 | $65.00 – $65.00 |
| Oakland Medical Center | Oakland | $680.40 | $65.00 – $65.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $680.40 | $65.00 – $65.00 |
| Arroyo Grande Hospital | Santa Maria | $485.36 | $45.36 – $1,111.32 |