Torsion straight knee joint at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$247.25
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.
$575.00
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.
$106.97 with Noble IPA vs $594.25 with Blue Shield CA — 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 | $106.97 | ↓ -57% |
| Noble IPA | Medicaid|> 21 | $106.97 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $115.00 | ↓ -53% |
| Partnership Health Plan | Medicaid|> 21 | $118.85 | ↓ -52% |
| HCLA | Medicaid|Preferred IPA > 21 | $118.85 | ↓ -52% |
| Preferred IPA | Medicaid|Risk | $118.85 | ↓ -52% |
| HCLA | Medicaid|Preferred IPA < 21 | $118.85 | ↓ -52% |
| Angeles IPA | Medicare|All Plans | $118.85 | ↓ -52% |
| Inland Empire Health Plan | Medicaid|All Plans | $118.85 | ↓ -52% |
| Partnership Health Plan | Medicaid|< 21 | $118.85 | ↓ -52% |
| Molina | Medicaid|All Plans | $132.25 | ↓ -47% |
| DHR | Medicaid|< 21 | $143.75 | ↓ -42% |
| DHR | Medicaid|> 21 | $143.75 | ↓ -42% |
| HPN | Commercial|All Plans | $149.50 | ↓ -40% |
| Health Net | Medicaid|> 21 | $158.43 | ↓ -36% |
| Health Net | Medicaid|< 21 | $158.43 | ↓ -36% |
| Cigna | Commercial|All Other Plans | $172.50 | ↓ -30% |
| Cigna | Commercial|PPO | $172.50 | ↓ -30% |
| Kaiser | Medicaid|> 21 | $178.27 | ↓ -28% |
| Kaiser | Medicaid|< 21 | $178.27 | ↓ -28% |
| BCBS - Anthem | Commercial|Exchange | $195.50 | ↓ -21% |
| Health Net | Commercial|EPPO | $212.75 | ↓ -14% |
| Blue Shield CA | Commercial|Exchange | $235.75 | ↓ -5% |
| Health Net | Commercial|Care Product | $258.75 | ↑ +5% |
| United | Commercial|Non-Options PPO | $270.25 | ↑ +9% |
| United | Commercial|All Other Plans | $287.50 | ↑ +16% |
| BCBS - Anthem | Commercial|MCS | $287.50 | ↑ +16% |
| United | Commercial|Options PPO | $287.50 | ↑ +16% |
| BCBS - Anthem | Commercial|All Other Plans | $287.50 | ↑ +16% |
| Health Net | Commercial|All Other Plans | $299.00 | ↑ +21% |
| United | Commercial|HMO | $299.00 | ↑ +21% |
| Blue Shield CA | Commercial|All Other Plans | $316.25 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $333.50 | ↑ +35% |
| Aetna | Commercial|HMO | $333.50 | ↑ +35% |
| Aetna | Commercial|PPO | $333.50 | ↑ +35% |
| Blue Shield CA | Medicare|BlueShield Promise | $373.75 | ↑ +51% |
| Kaiser | Commercial|All Plans | $402.50 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $460.00 | ↑ +86% |
| LA Care | Medicaid|All Plans | $489.66 | ↑ +98% |
| SMIPA | Medicare|All Plans | $575.00 | ↑ +133% |
| Care 1st | Medicaid|All Plans | $594.25 | ↑ +140% |
| Blue Shield CA | Medicaid|All Plans | $594.25 | ↑ +140% |
Visitor-reported prices
Comments
Torsion straight knee joint at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $224.83 | $118.85 – $594.25 |
| Glendale Memorial Hospital Health Center | Glendale | $187.45 | $40.00 – $569.25 |
| St. Bernardine Medical Center | San Bernardino | $191.48 | $115.00 – $594.25 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $188.63 – $348.97 |
| Providence Saint Joseph Medical Center | Burbank | not published | $188.63 – $348.97 |
| Providence St Joseph Hospital Orange | Orange | not published | $160.34 – $348.97 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $188.63 – $348.97 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | not published | $188.63 – $348.97 |