Tocilizumab for covid-19 at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$4,250.55
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.
$9,885.00
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.
$100.00 with Health Net vs $5,457.00 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 |
|---|---|---|---|
| Health Net | Commercial|Care Product | $100.00 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $1,091.40 | ↓ -74% |
| DHR | Medicaid|> 21 | $1,364.25 | ↓ -68% |
| DHR | Medicaid|< 21 | $1,364.25 | ↓ -68% |
| HCLA | Medicaid|Preferred IPA > 21 | $1,637.10 | ↓ -61% |
| HCLA | Medicaid|Preferred IPA < 21 | $1,637.10 | ↓ -61% |
| Preferred IPA | Medicaid|Risk | $1,909.95 | ↓ -55% |
| Cigna | Commercial|All Other Plans | $2,510.22 | ↓ -41% |
| Cigna | Commercial|PPO | $2,510.22 | ↓ -41% |
| United | Commercial|Non-Options PPO | $3,165.06 | ↓ -26% |
| BCBS - Anthem | Commercial|Exchange | $3,274.20 | ↓ -23% |
| United | Commercial|All Other Plans | $3,383.34 | ↓ -20% |
| United | Commercial|Options PPO | $3,383.34 | ↓ -20% |
| Blue Shield CA | Medicare|BlueShield Promise | $3,547.05 | ↓ -17% |
| Kaiser | Commercial|All Plans | $3,819.90 | ↓ -10% |
| MultiPlan | Commercial|All Plans | $4,365.60 | ↑ +3% |
| BCBS - Anthem | Commercial|All Other Plans | $4,856.73 | ↑ +14% |
| United | Commercial|HMO | $5,238.72 | ↑ +23% |
| BCBS - Anthem | Commercial|MCS | $5,457.00 | ↑ +28% |
| SMIPA | Medicare|All Plans | $5,457.00 | ↑ +28% |
Visitor-reported prices
Comments
Tocilizumab for covid-19 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | $606.64 | $243.54 – $2,214.00 |
| Petaluma Valley Hospital | Petaluma | not published | $8.11 – $16.28 |
| Queen of The Valley Medical Center | Napa | not published | $8.78 – $16.28 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $10.47 – $16.28 |
| Healdsburg Hospital | Healdsburg | not published | $6.77 – $20.67 |
| Redwood Memorial Hospital | Fortuna | not published | $10.49 – $15.14 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $8.72 – $16.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $10.73 – $16.28 |