Tc-99m mertiatide at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$242.52
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.
$564.00
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.
$141.00 with DHR vs $1,534.90 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 | $141.00 | ↓ -42% |
| DHR | Medicaid|> 21 | $141.00 | ↓ -42% |
| Noble IPA | Medicaid|> 21 | $276.28 | ↑ +14% |
| Noble IPA | Medicaid|< 21 | $276.28 | ↑ +14% |
| Healthcare Partners | Medicare|All Plans | $287.64 | ↑ +19% |
| Preferred IPA | Medicaid|Risk | $306.98 | ↑ +27% |
| BCBS - Anthem | Medicaid|All Plans | $306.98 | ↑ +27% |
| Partnership Health Plan | Medicaid|< 21 | $306.98 | ↑ +27% |
| Partnership Health Plan | Medicaid|> 21 | $306.98 | ↑ +27% |
| Inland Empire Health Plan | Medicaid|All Plans | $306.98 | ↑ +27% |
| Angeles IPA | Medicare|All Plans | $306.98 | ↑ +27% |
| HCLA | Medicaid|Preferred IPA < 21 | $306.98 | ↑ +27% |
| HCLA | Medicaid|Preferred IPA > 21 | $306.98 | ↑ +27% |
| Healthcare Partners | Commercial|All Plans | $321.48 | ↑ +33% |
| BCBS - Anthem | Commercial|Exchange | $338.40 | ↑ +40% |
| Blue Shield CA | Medicare|BlueShield Promise | $366.60 | ↑ +51% |
| Kaiser | Commercial|All Plans | $394.80 | ↑ +63% |
| Health Net | Medicaid|< 21 | $409.20 | ↑ +69% |
| Health Net | Medicaid|> 21 | $409.20 | ↑ +69% |
| Molina | Medicaid|All Plans | $429.77 | ↑ +77% |
| MultiPlan | Commercial|All Plans | $451.20 | ↑ +86% |
| Kaiser | Medicaid|> 21 | $460.47 | ↑ +90% |
| Kaiser | Medicaid|< 21 | $460.47 | ↑ +90% |
| BCBS - Anthem | Commercial|All Other Plans | $501.96 | ↑ +107% |
| United | Commercial|Options PPO | $564.00 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $564.00 | ↑ +133% |
| SMIPA | Medicare|All Plans | $564.00 | ↑ +133% |
| United | Commercial|All Other Plans | $564.00 | ↑ +133% |
| United | Commercial|HMO | $564.00 | ↑ +133% |
| United | Commercial|Non-Options PPO | $564.00 | ↑ +133% |
| LA Care | Medicaid|All Plans | $1,264.76 | ↑ +422% |
| Blue Shield CA | Medicaid|All Plans | $1,534.90 | ↑ +533% |
| Care 1st | Medicaid|All Plans | $1,534.90 | ↑ +533% |
Visitor-reported prices
Comments
Tc-99m mertiatide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $262.80 | $160.38 – $528.01 |
| Banner Lassen Medical Center | Susanville | $307.38 | $180.81 – $506.52 |
| Arroyo Grande Hospital | Santa Maria | $743.01 | $306.98 – $1,701.28 |
| Mark Twain Medical Center | San Andreas | $546.12 | $180.84 – $685.02 |
| French Hospital | San Luis Obispo | $299.88 | $206.55 – $765.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $282.71 | $306.98 – $762.00 |
| Bakersfield Memorial Hospital | Bakersfield | $279.66 | $306.98 – $762.00 |
| St. Joseph's Medical Center Stockton | Stockton | $260.49 | $186.06 – $886.00 |