Treat thigh fracture at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
not published by hospital
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.
not published by hospital
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.
$395.61 with HCLA vs $15,788.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| HCLA | Medicaid|Preferred IPA < 21 | $395.61 | — |
| Partnership Health Plan | Medicaid|< 21 | $395.61 | — |
| Partnership Health Plan | Medicaid|> 21 | $395.61 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $395.61 | — |
| HCLA | Medicaid|Preferred IPA > 21 | $395.61 | — |
| BCBS - Anthem | Medicaid|All Plans | $494.51 | — |
| Health Net | Medicaid|> 21 | $526.16 | — |
| Health Net | Medicaid|< 21 | $526.16 | — |
| Noble IPA | Medicaid|< 21 | $561.26 | — |
| Noble IPA | Medicaid|> 21 | $561.26 | — |
| Kaiser | Medicaid|< 21 | $593.41 | — |
| Kaiser | Medicaid|> 21 | $593.41 | — |
| Preferred IPA | Medicaid|Risk | $623.62 | — |
| Angeles IPA | Medicare|All Plans | $623.62 | — |
| Molina | Medicaid|All Plans | $873.07 | — |
| LA Care | Medicaid|All Plans | $1,629.91 | — |
| Care 1st | Medicaid|All Plans | $3,118.10 | — |
| Blue Shield CA | Medicaid|All Plans | $3,118.10 | — |
| BCBS - Anthem | Commercial|Exchange | $6,825.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $10,186.00 | — |
| BCBS - Anthem | Commercial|MCS | $15,788.00 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| DHR | Medicaid|< 21 | not published by hospital | — |
| DHR | Medicaid|> 21 | not published by hospital | — |
Visitor-reported prices
Comments
Treat thigh fracture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,305.36 | $395.61 – $1,920.80 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $490.77 | $21.57 – $1,547.13 |
| ST HELENA HOSPITAL | Vallejo | $430.05 | $344.75 – $1,766.59 |
| HANFORD COMMUNITY HOSPITAL | Selma | $490.77 | $40.00 – $9,332.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $387.45 | $344.75 – $9,332.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,704.78 | $65.00 – $1,236.73 |
| WILLITS HOSPITAL INC | Willits | $774.90 | $65.00 – $1,605.75 |
| SONORA COMMUNITY HOSPITAL | Sonora | $439.11 | $65.00 – $1,605.75 |