Indigotindisulfonate 8 mg/ml soln 5 ml ampule at Glendale Memorial Hospital Health Center
1420 S Central Ave, Glendale, CA · CommonSpirit Health · · NPI 1477610640
$1,618.27
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.
$4,964.00
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.
$794.24 with HPN vs $4,964.00 with United — 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 |
|---|---|---|---|
| HPN | Medicare|All Plans | $794.24 | ↓ -51% |
| Health Net | Medicaid|DHR | $1,241.00 | ↓ -23% |
| BCBS - Anthem | Medicaid|All Plans | $1,241.00 | ↓ -23% |
| HPN | Medicaid|< 21 | $1,277.74 | ↓ -21% |
| HPN | Medicaid|> 21 | $1,277.74 | ↓ -21% |
| HCLA | Medicaid|Preferred IPA < 21 | $1,489.20 | ↓ -8% |
| HCLA | Medicaid|Preferred IPA > 21 | $1,489.20 | ↓ -8% |
| Health Net | Medicaid|Preferred IPA | $1,737.40 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $2,283.44 | ↑ +41% |
| Cigna | Commercial|PPO | $2,283.44 | ↑ +41% |
| Kaiser | Commercial|All Plans | $2,779.84 | ↑ +72% |
| Blue Shield CA | Commercial|Magellan | $2,978.40 | ↑ +84% |
| SCAN | Medicare|All Plans | $3,077.68 | ↑ +90% |
| First Health | Commercial|All Plans | $3,226.60 | ↑ +99% |
| Care 1st | Medicare|BlueShield Promise | $3,723.00 | ↑ +130% |
| United | Commercial|PPO | $3,772.64 | ↑ +133% |
| MultiPlan | Commercial|All Plans | $3,971.20 | ↑ +145% |
| United | Commercial|Options PPO | $4,467.60 | ↑ +176% |
| BCBS - Anthem | Commercial|Non-MCS | $4,566.88 | ↑ +182% |
| United | Commercial|HMO | $4,666.16 | ↑ +188% |
| BCBS - Anthem | Commercial|MCS | $4,964.00 | ↑ +207% |
| United | Commercial|Navigate | $4,964.00 | ↑ +207% |
Visitor-reported prices
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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,054.40 | $2,160.00 – $4,704.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $505.70 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,241.65 | not published |
| Dominican Hospital | Santa Cruz | $1,728.00 | $1,113.60 – $3,494.40 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,222.04 | $9.30 – $17.21 |
| Sequoia Hospital | Redwood City | $1,397.76 | $844.80 – $3,340.80 |
| Providence Saint Joseph Medical Center | Burbank | $1,448.59 | $9.30 – $17.21 |
| St Jude Medical Center | Fullerton | $488.98 | not published |