Valvuloplasty mitral at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$10,851.48
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.
$25,236.00
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.
$1,197.84 with Partnership Health Plan vs $25,236.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $1,197.84 | ↓ -89% |
| Partnership Health Plan | Medicaid|> 21 | $1,197.84 | ↓ -89% |
| HCLA | Medicaid|Preferred IPA < 21 | $1,197.84 | ↓ -89% |
| Inland Empire Health Plan | Medicaid|All Plans | $1,197.84 | ↓ -89% |
| HCLA | Medicaid|Preferred IPA > 21 | $1,197.84 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $1,497.30 | ↓ -86% |
| Health Net | Medicaid|> 21 | $1,593.13 | ↓ -85% |
| Health Net | Medicaid|< 21 | $1,593.13 | ↓ -85% |
| Noble IPA | Medicaid|> 21 | $1,709.12 | ↓ -84% |
| Noble IPA | Medicaid|< 21 | $1,709.12 | ↓ -84% |
| Kaiser | Medicaid|> 21 | $1,796.76 | ↓ -83% |
| Kaiser | Medicaid|< 21 | $1,796.76 | ↓ -83% |
| Angeles IPA | Medicare|All Plans | $1,899.02 | ↓ -82% |
| Preferred IPA | Medicaid|Risk | $1,899.02 | ↓ -82% |
| Molina | Medicaid|All Plans | $2,658.63 | ↓ -75% |
| LA Care | Medicaid|All Plans | $4,935.10 | ↓ -55% |
| DHR | Medicaid|< 21 | $6,309.00 | ↓ -42% |
| DHR | Medicaid|> 21 | $6,309.00 | ↓ -42% |
| BCBS - Anthem | Commercial|Exchange | $7,079.00 | ↓ -35% |
| Care 1st | Medicaid|All Plans | $9,495.10 | ↓ -12% |
| Blue Shield CA | Medicaid|All Plans | $9,495.10 | ↓ -12% |
| BCBS - Anthem | Commercial|All Other Plans | $10,566.00 | ↓ -3% |
| Healthcare Partners | Medicare|All Plans | $11,608.56 | ↑ +7% |
| Healthcare Partners | Commercial|All Plans | $13,122.72 | ↑ +21% |
| Health Net | Medicare|HMO | $14,409.33 | ↑ +33% |
| Cigna | Medicare|All Plans | $14,409.33 | ↑ +33% |
| Health Net | Medicare|All Other Plans | $14,409.33 | ↑ +33% |
| Blue Shield CA | Medicare|All Other Plans | $14,409.33 | ↑ +33% |
| Humana | Medicare|All Plans | $14,409.33 | ↑ +33% |
| Molina | Medicare|All Plans | $14,409.33 | ↑ +33% |
| Central Health Plan | Medicare|All Plans | $14,409.33 | ↑ +33% |
| Kaiser | Medicare|All Plans | $14,409.33 | ↑ +33% |
| Scan Health Plan | Medicare|All Plans | $14,409.33 | ↑ +33% |
| HCLA | Medicare|Preferred IPA | $14,409.33 | ↑ +33% |
| EasyChoice | Medicare|All Plans | $14,409.33 | ↑ +33% |
| BCBS - Anthem | Medicare|All Plans | $14,409.33 | ↑ +33% |
| LA Care | Medicare|All Plans | $14,409.33 | ↑ +33% |
| United | Commercial|Non-Options PPO | $14,636.88 | ↑ +35% |
| United | Medicare|All Plans | $14,697.52 | ↑ +35% |
| United | Commercial|Options PPO | $15,646.32 | ↑ +44% |
| United | Commercial|All Other Plans | $15,646.32 | ↑ +44% |
| HPN | Medicare|Senior | $15,850.26 | ↑ +46% |
| HPN | Commercial|All Plans | $15,898.68 | ↑ +47% |
| BCBS - Anthem | Commercial|MCS | $16,377.00 | ↑ +51% |
| Blue Shield CA | Medicare|BlueShield Promise | $16,403.40 | ↑ +51% |
| Kaiser | Commercial|All Plans | $17,665.20 | ↑ +63% |
| HCLA | Commercial|Preferred IPA | $18,011.66 | ↑ +66% |
| LA Care | Commercial|All Plans | $18,011.66 | ↑ +66% |
| Blue Shield CA | Medicare|Trauma | $18,011.66 | ↑ +66% |
| MultiPlan | Commercial|All Plans | $20,188.80 | ↑ +86% |
| SevenCorners | Medicare|All Plans | $23,054.93 | ↑ +112% |
| United | Commercial|HMO | $24,226.56 | ↑ +123% |
| SMIPA | Medicare|All Plans | $25,236.00 | ↑ +133% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $16,335.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $5,950.23 | $1,473.34 – $26,644.42 |
| Antioch Medical Center | ANTIOCH | $16,335.20 | not published |
| Redwood City Medical Center | Redwood City | $16,335.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $16,335.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $11,377.60 | not published |
| Riverside Medical Center | RIVERSIDE | $11,377.60 | not published |
| Fremont Medical Center | FREMONT | $16,335.20 | not published |