Biopsy skin incisional single lesion at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$581.03
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.
$1,198.00
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.
$97.84 with Noble IPA 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 |
|---|---|---|---|
| Noble IPA | Medicaid|< 21 | $97.84 | ↓ -83% |
| Noble IPA | Medicaid|> 21 | $97.84 | ↓ -83% |
| Preferred IPA | Medicaid|Risk | $108.71 | ↓ -81% |
| Gold Coast Health Plan | Medicaid|All Plans | $108.71 | ↓ -81% |
| HCLA | Medicaid|Preferred IPA < 21 | $108.71 | ↓ -81% |
| Inland Empire Health Plan | Medicaid|All Plans | $108.71 | ↓ -81% |
| HCLA | Medicaid|Preferred IPA > 21 | $108.71 | ↓ -81% |
| Angeles IPA | Medicare|All Plans | $108.71 | ↓ -81% |
| HCLA | Medicaid|All Other Plans > 21 | $134.18 | ↓ -77% |
| HCLA | Medicaid|All Other Plans < 21 | $134.18 | ↓ -77% |
| Health Net | Medicaid|> 21 | $147.41 | ↓ -75% |
| Health Net | Medicaid|< 21 | $147.41 | ↓ -75% |
| Molina | Medicaid|> 21 | $152.19 | ↓ -74% |
| Molina | Medicaid|< 21 | $152.19 | ↓ -74% |
| Kaiser | Medicaid|> 21 | $163.06 | ↓ -72% |
| Kaiser | Medicaid|< 21 | $163.06 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $169.86 | ↓ -71% |
| DHR | Medicaid|> 21 | $299.50 | ↓ -48% |
| DHR | Medicaid|< 21 | $299.50 | ↓ -48% |
| LA Care | Medicaid|All Plans | $382.66 | ↓ -34% |
| Blue Shield CA | Medicaid|All Plans | $543.55 | ↓ -6% |
| Care 1st | Medicaid|All Plans | $543.55 | ↓ -6% |
| Healthcare Partners | Medicare|All Plans | $718.80 | ↑ +24% |
| HPN | Commercial|All Plans | $742.76 | ↑ +28% |
| BCBS - Anthem | Medicare|All Plans | $777.77 | ↑ +34% |
| Aetna | Medicare|All Plans | $777.77 | ↑ +34% |
| Molina | Medicare|All Plans | $777.77 | ↑ +34% |
| United | Medicare|All Plans | $777.77 | ↑ +34% |
| Health Net | Medicare|All Other Plans | $777.77 | ↑ +34% |
| Health Net | Medicare|Senior | $777.77 | ↑ +34% |
| Central Health Plan | Medicare|All Plans | $777.77 | ↑ +34% |
| Blue Shield CA | Medicare|All Other Plans | $777.77 | ↑ +34% |
| Scan Health Plan | Medicare|All Plans | $777.77 | ↑ +34% |
| LA Care | Medicare|All Plans | $777.77 | ↑ +34% |
| EasyChoice | Medicare|All Plans | $777.77 | ↑ +34% |
| GlobalCare | Commercial|All Plans | $777.77 | ↑ +34% |
| HCLA | Medicare|Preferred IPA | $777.77 | ↑ +34% |
| Preferred IPA | Medicare|All Plans | $777.77 | ↑ +34% |
| Healthcare Partners | Commercial|All Plans | $802.66 | ↑ +38% |
| Noble IPA | Medicare|All Plans | $816.66 | ↑ +41% |
| First Health | Commercial|All Plans | $826.62 | ↑ +42% |
| Kaiser | Commercial|All Plans | $838.60 | ↑ +44% |
| HPN | Medicare|Senior | $855.55 | ↑ +47% |
| Central California Alliance for Health | Medicaid|All Plans | $866.44 | ↑ +49% |
| Blue Shield CA | Medicare|Promise | $898.50 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $922.46 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $946.42 | ↑ +63% |
| LA Care | Commercial|All Plans | $972.21 | ↑ +67% |
| HCLA | Commercial|Preferred IPA | $972.21 | ↑ +67% |
| Health Net | Commercial|EPPO | $3,293.00 | ↑ +467% |
| BCBS - Anthem | Commercial|Exchange | $3,417.00 | ↑ +488% |
| Blue Shield CA | Commercial|Exchange | $3,705.00 | ↑ +538% |
| Health Net | Commercial|All Other Plans | $4,466.00 | ↑ +669% |
| BCBS - Anthem | Commercial|All Other Plans | $5,178.00 | ↑ +791% |
| BCBS - Anthem | Commercial|MCS | $6,374.00 | ↑ +997% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $552.37 | $164.46 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $114.56 | $42.17 – $159.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $148.40 | $108.71 – $400.00 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $108.71 – $400.00 |
| Queen of The Valley Medical Center | Napa | $1,308.15 | $1,049.38 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,315.80 | $950.57 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $808.35 | $995.78 – $3,982.87 |