Closed carpo/metacarpal disl thumb w/manip at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
not published by hospital
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.
not published by hospital
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.
$125.81 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|All Other Plans < 21 | $125.81 | — |
| HCLA | Medicaid|All Other Plans > 21 | $125.81 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $237.54 | — |
| Gold Coast Health Plan | Medicaid|All Plans | $237.54 | — |
| HCLA | Medicaid|Preferred IPA > 21 | $237.54 | — |
| HCLA | Medicaid|Preferred IPA < 21 | $237.54 | — |
| Health Net | Medicare|All Other Plans | $304.79 | — |
| Scan Health Plan | Medicare|All Plans | $304.79 | — |
| Preferred IPA | Medicare|All Plans | $304.79 | — |
| Aetna | Medicare|All Plans | $304.79 | — |
| Molina | Medicare|All Plans | $304.79 | — |
| HCLA | Medicare|Preferred IPA | $304.79 | — |
| United | Medicare|All Plans | $304.79 | — |
| Health Net | Medicare|Senior | $304.79 | — |
| Central Health Plan | Medicare|All Plans | $304.79 | — |
| GlobalCare | Commercial|All Plans | $304.79 | — |
| BCBS - Anthem | Medicare|All Plans | $304.79 | — |
| EasyChoice | Medicare|All Plans | $304.79 | — |
| LA Care | Medicare|All Plans | $304.79 | — |
| Blue Shield CA | Medicare|All Other Plans | $304.79 | — |
| Noble IPA | Medicare|All Plans | $320.03 | — |
| Health Net | Medicaid|> 21 | $323.05 | — |
| Health Net | Medicaid|< 21 | $323.05 | — |
| HPN | Medicare|Senior | $335.27 | — |
| Noble IPA | Medicaid|> 21 | $337.00 | — |
| Noble IPA | Medicaid|< 21 | $337.00 | — |
| Central California Alliance for Health | Medicaid|All Plans | $339.54 | — |
| Kaiser | Medicaid|< 21 | $356.31 | — |
| Kaiser | Medicaid|> 21 | $356.31 | — |
| BCBS - Anthem | Medicaid|All Plans | $371.15 | — |
| Preferred IPA | Medicaid|Risk | $374.44 | — |
| Angeles IPA | Medicare|All Plans | $374.44 | — |
| LA Care | Commercial|All Plans | $380.99 | — |
| HCLA | Commercial|Preferred IPA | $380.99 | — |
| Molina | Medicaid|> 21 | $524.22 | — |
| Molina | Medicaid|< 21 | $524.22 | — |
| LA Care | Medicaid|All Plans | $836.14 | — |
| Blue Shield CA | Commercial|Exchange | $855.00 | — |
| Care 1st | Medicaid|All Plans | $1,872.20 | — |
| Blue Shield CA | Medicaid|All Plans | $1,872.20 | — |
| Health Net | Commercial|EPPO | $3,293.00 | — |
| BCBS - Anthem | Commercial|Exchange | $3,417.00 | — |
| Health Net | Commercial|All Other Plans | $4,466.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $5,178.00 | — |
| BCBS - Anthem | Commercial|MCS | $6,374.00 | — |
| DHR | Medicaid|> 21 | not published by hospital | — |
| HPN | Commercial|All Plans | not published by hospital | — |
| DHR | Medicaid|< 21 | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Blue Shield CA | Medicare|Promise | not published by hospital | — |
Visitor-reported prices
Comments
Closed carpo/metacarpal disl thumb w/manip at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,793.16 | $332.41 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $470.87 | $182.91 – $692.86 |
| Queen of The Valley Medical Center | Napa | $466.14 | $350.23 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,401.48 | $317.26 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $254.49 | $332.35 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $276.93 | $1,333.00 – $8,222.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,446.87 | $343.23 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $643.68 | $269.67 – $1,597.00 |