Biliary endo perq dx w/speci at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$6,999.52
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.
$14,432.00
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.
$190.55 with HCLA vs $29,023.00 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 | $190.55 | ↓ -97% |
| Gold Coast Health Plan | Medicaid|All Plans | $190.55 | ↓ -97% |
| HCLA | Medicaid|Preferred IPA < 21 | $190.55 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|All Plans | $190.55 | ↓ -97% |
| Health Net | Medicaid|< 21 | $259.15 | ↓ -96% |
| Health Net | Medicaid|> 21 | $259.15 | ↓ -96% |
| Noble IPA | Medicaid|> 21 | $270.32 | ↓ -96% |
| Noble IPA | Medicaid|< 21 | $270.32 | ↓ -96% |
| Kaiser | Medicaid|< 21 | $285.83 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $285.83 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $297.73 | ↓ -96% |
| Angeles IPA | Medicare|All Plans | $300.36 | ↓ -96% |
| Preferred IPA | Medicaid|Risk | $300.36 | ↓ -96% |
| Molina | Medicaid|> 21 | $420.50 | ↓ -94% |
| Molina | Medicaid|< 21 | $420.50 | ↓ -94% |
| LA Care | Medicaid|All Plans | $670.74 | ↓ -90% |
| Blue Shield CA | Medicaid|All Plans | $1,501.80 | ↓ -79% |
| Care 1st | Medicaid|All Plans | $1,501.80 | ↓ -79% |
| HCLA | Medicaid|All Other Plans > 21 | $1,590.20 | ↓ -77% |
| HCLA | Medicaid|All Other Plans < 21 | $1,590.20 | ↓ -77% |
| DHR | Medicaid|> 21 | $3,608.00 | ↓ -48% |
| DHR | Medicaid|< 21 | $3,608.00 | ↓ -48% |
| Blue Shield CA | Commercial|Exchange | $3,705.00 | ↓ -47% |
| LA Care | Medicare|All Plans | $7,928.23 | ↑ +13% |
| Aetna | Medicare|All Plans | $7,928.23 | ↑ +13% |
| Molina | Medicare|All Plans | $7,928.23 | ↑ +13% |
| United | Medicare|All Plans | $7,928.23 | ↑ +13% |
| Health Net | Medicare|All Other Plans | $7,928.23 | ↑ +13% |
| Health Net | Medicare|Senior | $7,928.23 | ↑ +13% |
| Central Health Plan | Medicare|All Plans | $7,928.23 | ↑ +13% |
| BCBS - Anthem | Medicare|All Plans | $7,928.23 | ↑ +13% |
| Blue Shield CA | Medicare|All Other Plans | $7,928.23 | ↑ +13% |
| Scan Health Plan | Medicare|All Plans | $7,928.23 | ↑ +13% |
| EasyChoice | Medicare|All Plans | $7,928.23 | ↑ +13% |
| GlobalCare | Commercial|All Plans | $7,928.23 | ↑ +13% |
| HCLA | Medicare|Preferred IPA | $7,928.23 | ↑ +13% |
| Preferred IPA | Medicare|All Plans | $7,928.23 | ↑ +13% |
| Noble IPA | Medicare|All Plans | $8,324.64 | ↑ +19% |
| Healthcare Partners | Medicare|All Plans | $8,659.20 | ↑ +24% |
| HPN | Medicare|Senior | $8,721.05 | ↑ +25% |
| Central California Alliance for Health | Medicaid|All Plans | $8,832.05 | ↑ +26% |
| HPN | Commercial|All Plans | $8,947.84 | ↑ +28% |
| Healthcare Partners | Commercial|All Plans | $9,669.44 | ↑ +38% |
| HCLA | Commercial|Preferred IPA | $9,910.29 | ↑ +42% |
| LA Care | Commercial|All Plans | $9,910.29 | ↑ +42% |
| First Health | Commercial|All Plans | $9,958.08 | ↑ +42% |
| Kaiser | Commercial|All Plans | $10,102.40 | ↑ +44% |
| Blue Shield CA | Medicare|Promise | $10,824.00 | ↑ +55% |
| Health Net | Commercial|All Other Plans | $11,062.00 | ↑ +58% |
| Healthsmart | Commercial|All Plans | $11,112.64 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $11,401.28 | ↑ +63% |
| BCBS - Anthem | Commercial|Exchange | $15,561.00 | ↑ +122% |
| BCBS - Anthem | Commercial|All Other Plans | $23,577.00 | ↑ +237% |
| BCBS - Anthem | Commercial|MCS | $29,023.00 | ↑ +315% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,333.23 | $234.38 – $8,890.24 |
| St. Joseph's Medical Center Stockton | Stockton | $1,506.75 | $0.80 – $5,125.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $4,702.24 | $323.92 – $5,923.12 |
| Mercy Medical Center Redding | Redding | $4,223.31 | $378.71 – $8,163.40 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $190.55 – $7,928.23 |
| Mark Twain Medical Center | San Andreas | not published | $190.55 – $190.55 |
| French Hospital | San Luis Obispo | not published | $190.55 – $7,928.23 |