Biopsy of salivary gland 42400 at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$1,027.72
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.
$2,119.00
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.
$57.67 with HCLA vs $6,374.00 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 | $57.67 | ↓ -94% |
| Gold Coast Health Plan | Medicaid|All Plans | $57.67 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|All Plans | $57.67 | ↓ -94% |
| HCLA | Medicaid|Preferred IPA > 21 | $57.67 | ↓ -94% |
| Health Net | Medicaid|> 21 | $78.43 | ↓ -92% |
| Health Net | Medicaid|< 21 | $78.43 | ↓ -92% |
| Noble IPA | Medicaid|> 21 | $81.82 | ↓ -92% |
| Noble IPA | Medicaid|< 21 | $81.82 | ↓ -92% |
| Kaiser | Medicaid|< 21 | $86.50 | ↓ -92% |
| Kaiser | Medicaid|> 21 | $86.50 | ↓ -92% |
| HCLA | Medicaid|All Other Plans < 21 | $86.68 | ↓ -92% |
| HCLA | Medicaid|All Other Plans > 21 | $86.68 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $90.11 | ↓ -91% |
| Angeles IPA | Medicare|All Plans | $90.91 | ↓ -91% |
| Preferred IPA | Medicaid|Risk | $90.91 | ↓ -91% |
| Molina | Medicaid|> 21 | $127.27 | ↓ -88% |
| Molina | Medicaid|< 21 | $127.27 | ↓ -88% |
| LA Care | Medicaid|All Plans | $203.00 | ↓ -80% |
| Blue Shield CA | Medicaid|All Plans | $454.55 | ↓ -56% |
| Care 1st | Medicaid|All Plans | $454.55 | ↓ -56% |
| DHR | Medicaid|> 21 | $529.75 | ↓ -48% |
| DHR | Medicaid|< 21 | $529.75 | ↓ -48% |
| Blue Shield CA | Commercial|Exchange | $855.00 | ↓ -17% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -13% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -13% |
| Molina | Medicare|All Plans | $893.98 | ↓ -13% |
| United | Medicare|All Plans | $893.98 | ↓ -13% |
| Health Net | Medicare|All Other Plans | $893.98 | ↓ -13% |
| Health Net | Medicare|Senior | $893.98 | ↓ -13% |
| Central Health Plan | Medicare|All Plans | $893.98 | ↓ -13% |
| Blue Shield CA | Medicare|All Other Plans | $893.98 | ↓ -13% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -13% |
| LA Care | Medicare|All Plans | $893.98 | ↓ -13% |
| EasyChoice | Medicare|All Plans | $893.98 | ↓ -13% |
| GlobalCare | Commercial|All Plans | $893.98 | ↓ -13% |
| HCLA | Medicare|Preferred IPA | $893.98 | ↓ -13% |
| Preferred IPA | Medicare|All Plans | $893.98 | ↓ -13% |
| Noble IPA | Medicare|All Plans | $938.68 | ↓ -9% |
| HPN | Medicare|Senior | $983.38 | ↓ -4% |
| Central California Alliance for Health | Medicaid|All Plans | $995.90 | ↓ -3% |
| HCLA | Commercial|Preferred IPA | $1,117.47 | ↑ +9% |
| LA Care | Commercial|All Plans | $1,117.47 | ↑ +9% |
| Healthcare Partners | Medicare|All Plans | $1,271.40 | ↑ +24% |
| HPN | Commercial|All Plans | $1,313.78 | ↑ +28% |
| Healthcare Partners | Commercial|All Plans | $1,419.73 | ↑ +38% |
| First Health | Commercial|All Plans | $1,462.11 | ↑ +42% |
| Kaiser | Commercial|All Plans | $1,483.30 | ↑ +44% |
| Blue Shield CA | Medicare|Promise | $1,589.25 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $1,631.63 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $1,674.01 | ↑ +63% |
| BCBS - Anthem | Commercial|Exchange | $3,417.00 | ↑ +232% |
| Health Net | Commercial|EPPO | $4,131.00 | ↑ +302% |
| BCBS - Anthem | Commercial|All Other Plans | $5,178.00 | ↑ +404% |
| Health Net | Commercial|All Other Plans | $5,603.00 | ↑ +445% |
| BCBS - Anthem | Commercial|MCS | $6,374.00 | ↑ +520% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $723.14 | $70.93 – $1,628.92 |
| Banner Lassen Medical Center | Susanville | $854.51 | $82.93 – $1,587.89 |
| Arroyo Grande Hospital | Santa Maria | $1,322.95 | $57.67 – $2,940.98 |
| Mark Twain Medical Center | San Andreas | $1,341.99 | $57.67 – $864.36 |
| French Hospital | San Luis Obispo | $1,087.41 | $57.67 – $1,940.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $912.66 | $57.67 – $1,968.00 |
| Bakersfield Memorial Hospital | Bakersfield | $902.82 | $57.67 – $1,943.40 |
| Queen of The Valley Medical Center | Napa | $843.03 | $1,005.45 – $6,200.00 |