Biopsy abdominal mass at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$1,347.82
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.
$2,779.00
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.
$286.66 with HCLA vs $8,818.00 with Health Net — 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 | $286.66 | ↓ -79% |
| Inland Empire Health Plan | Medicaid|All Plans | $286.66 | ↓ -79% |
| Gold Coast Health Plan | Medicaid|All Plans | $286.66 | ↓ -79% |
| HCLA | Medicaid|Preferred IPA < 21 | $286.66 | ↓ -79% |
| Health Net | Medicaid|< 21 | $389.86 | ↓ -71% |
| Health Net | Medicaid|> 21 | $389.86 | ↓ -71% |
| Noble IPA | Medicaid|< 21 | $406.69 | ↓ -70% |
| Noble IPA | Medicaid|> 21 | $406.69 | ↓ -70% |
| Kaiser | Medicaid|< 21 | $429.99 | ↓ -68% |
| Kaiser | Medicaid|> 21 | $429.99 | ↓ -68% |
| BCBS - Anthem | Medicaid|All Plans | $447.91 | ↓ -67% |
| Preferred IPA | Medicaid|Risk | $451.88 | ↓ -66% |
| Angeles IPA | Medicare|All Plans | $451.88 | ↓ -66% |
| Molina | Medicaid|< 21 | $632.63 | ↓ -53% |
| Molina | Medicaid|> 21 | $632.63 | ↓ -53% |
| HCLA | Medicaid|All Other Plans < 21 | $665.53 | ↓ -51% |
| HCLA | Medicaid|All Other Plans > 21 | $665.53 | ↓ -51% |
| DHR | Medicaid|> 21 | $694.75 | ↓ -48% |
| DHR | Medicaid|< 21 | $694.75 | ↓ -48% |
| LA Care | Medicaid|All Plans | $1,009.04 | ↓ -25% |
| Healthcare Partners | Medicare|All Plans | $1,667.40 | ↑ +24% |
| HPN | Commercial|All Plans | $1,722.98 | ↑ +28% |
| Healthcare Partners | Commercial|All Plans | $1,861.93 | ↑ +38% |
| First Health | Commercial|All Plans | $1,917.51 | ↑ +42% |
| Kaiser | Commercial|All Plans | $1,945.30 | ↑ +44% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +53% |
| Blue Shield CA | Medicare|All Other Plans | $2,058.68 | ↑ +53% |
| Scan Health Plan | Medicare|All Plans | $2,058.68 | ↑ +53% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↑ +53% |
| LA Care | Medicare|All Plans | $2,058.68 | ↑ +53% |
| Central Health Plan | Medicare|All Plans | $2,058.68 | ↑ +53% |
| Health Net | Medicare|Senior | $2,058.68 | ↑ +53% |
| EasyChoice | Medicare|All Plans | $2,058.68 | ↑ +53% |
| GlobalCare | Commercial|All Plans | $2,058.68 | ↑ +53% |
| Health Net | Medicare|All Other Plans | $2,058.68 | ↑ +53% |
| Preferred IPA | Medicare|All Plans | $2,058.68 | ↑ +53% |
| United | Medicare|All Plans | $2,058.68 | ↑ +53% |
| Molina | Medicare|All Plans | $2,058.68 | ↑ +53% |
| HCLA | Medicare|Preferred IPA | $2,058.68 | ↑ +53% |
| Blue Shield CA | Medicare|Promise | $2,084.25 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $2,139.83 | ↑ +59% |
| Noble IPA | Medicare|All Plans | $2,161.61 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $2,195.41 | ↑ +63% |
| Care 1st | Medicaid|All Plans | $2,259.40 | ↑ +68% |
| Blue Shield CA | Medicaid|All Plans | $2,259.40 | ↑ +68% |
| HPN | Medicare|Senior | $2,264.55 | ↑ +68% |
| Central California Alliance for Health | Medicaid|All Plans | $2,293.37 | ↑ +70% |
| HCLA | Commercial|Preferred IPA | $2,573.35 | ↑ +91% |
| LA Care | Commercial|All Plans | $2,573.35 | ↑ +91% |
| Blue Shield CA | Commercial|Exchange | $2,768.00 | ↑ +105% |
| BCBS - Anthem | Commercial|Exchange | $3,417.00 | ↑ +154% |
| BCBS - Anthem | Commercial|All Other Plans | $5,178.00 | ↑ +284% |
| BCBS - Anthem | Commercial|MCS | $6,374.00 | ↑ +373% |
| Health Net | Commercial|EPPO | $6,502.00 | ↑ +382% |
| Health Net | Commercial|All Other Plans | $8,818.00 | ↑ +554% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $352.59 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $286.66 – $3,120.32 |
| Mark Twain Medical Center | San Andreas | $2,021.31 | $286.66 – $1,300.46 |
| French Hospital | San Luis Obispo | $1,842.40 | $286.66 – $3,317.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,941.45 | $286.66 – $4,186.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,920.52 | $286.66 – $4,134.07 |
| Queen of The Valley Medical Center | Napa | $4,687.92 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $2,124.23 – $9,858.00 |