Ercp remove duct calculi 43264 at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$3,543.41
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.
?
What you pay up front if you don't use insurance.
$7,306.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$440.46 with HCLA vs $29,023.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $440.46 | ↓ -88% |
| Gold Coast Health Plan | Medicaid|All Plans | $440.46 | ↓ -88% |
| HCLA | Medicaid|Preferred IPA < 21 | $440.46 | ↓ -88% |
| Inland Empire Health Plan | Medicaid|All Plans | $440.46 | ↓ -88% |
| Health Net | Medicaid|> 21 | $599.03 | ↓ -83% |
| Health Net | Medicaid|< 21 | $599.03 | ↓ -83% |
| Noble IPA | Medicaid|< 21 | $624.89 | ↓ -82% |
| Noble IPA | Medicaid|> 21 | $624.89 | ↓ -82% |
| Kaiser | Medicaid|> 21 | $660.69 | ↓ -81% |
| Kaiser | Medicaid|< 21 | $660.69 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $688.23 | ↓ -81% |
| Preferred IPA | Medicaid|Risk | $694.32 | ↓ -80% |
| Angeles IPA | Medicare|All Plans | $694.32 | ↓ -80% |
| Molina | Medicaid|< 21 | $972.05 | ↓ -73% |
| Molina | Medicaid|> 21 | $972.05 | ↓ -73% |
| HCLA | Medicaid|All Other Plans > 21 | $1,508.13 | ↓ -57% |
| HCLA | Medicaid|All Other Plans < 21 | $1,508.13 | ↓ -57% |
| LA Care | Medicaid|All Plans | $1,550.42 | ↓ -56% |
| DHR | Medicaid|< 21 | $1,826.50 | ↓ -48% |
| DHR | Medicaid|> 21 | $1,826.50 | ↓ -48% |
| Care 1st | Medicaid|All Plans | $3,471.60 | ↓ -2% |
| Blue Shield CA | Medicaid|All Plans | $3,471.60 | ↓ -2% |
| Blue Shield CA | Commercial|Exchange | $3,705.00 | ↑ +5% |
| Healthcare Partners | Medicare|All Plans | $4,383.60 | ↑ +24% |
| HPN | Commercial|All Plans | $4,529.72 | ↑ +28% |
| LA Care | Medicare|All Plans | $4,834.04 | ↑ +36% |
| Aetna | Medicare|All Plans | $4,834.04 | ↑ +36% |
| Molina | Medicare|All Plans | $4,834.04 | ↑ +36% |
| United | Medicare|All Plans | $4,834.04 | ↑ +36% |
| Health Net | Medicare|All Other Plans | $4,834.04 | ↑ +36% |
| Health Net | Medicare|Senior | $4,834.04 | ↑ +36% |
| Central Health Plan | Medicare|All Plans | $4,834.04 | ↑ +36% |
| BCBS - Anthem | Medicare|All Plans | $4,834.04 | ↑ +36% |
| Blue Shield CA | Medicare|All Other Plans | $4,834.04 | ↑ +36% |
| Scan Health Plan | Medicare|All Plans | $4,834.04 | ↑ +36% |
| EasyChoice | Medicare|All Plans | $4,834.04 | ↑ +36% |
| GlobalCare | Commercial|All Plans | $4,834.04 | ↑ +36% |
| HCLA | Medicare|Preferred IPA | $4,834.04 | ↑ +36% |
| Preferred IPA | Medicare|All Plans | $4,834.04 | ↑ +36% |
| Healthcare Partners | Commercial|All Plans | $4,895.02 | ↑ +38% |
| First Health | Commercial|All Plans | $5,041.14 | ↑ +42% |
| Noble IPA | Medicare|All Plans | $5,075.74 | ↑ +43% |
| Kaiser | Commercial|All Plans | $5,114.20 | ↑ +44% |
| HPN | Medicare|Senior | $5,317.44 | ↑ +50% |
| Central California Alliance for Health | Medicaid|All Plans | $5,385.13 | ↑ +52% |
| Blue Shield CA | Medicare|Promise | $5,479.50 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $5,625.62 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $5,771.74 | ↑ +63% |
| LA Care | Commercial|All Plans | $6,042.55 | ↑ +71% |
| HCLA | Commercial|Preferred IPA | $6,042.55 | ↑ +71% |
| Health Net | Commercial|All Other Plans | $11,062.00 | ↑ +212% |
| BCBS - Anthem | Commercial|Exchange | $15,561.00 | ↑ +339% |
| BCBS - Anthem | Commercial|All Other Plans | $23,577.00 | ↑ +565% |
| BCBS - Anthem | Commercial|MCS | $29,023.00 | ↑ +719% |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,990.28 | $541.77 – $8,184.34 |
| Mark Twain Medical Center | San Andreas | $1,010.33 | $392.45 – $1,486.66 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $440.46 – $4,834.04 |
| French Hospital | San Luis Obispo | not published | $440.46 – $4,834.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $440.46 – $4,834.04 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $440.46 – $4,834.04 |
| Queen of The Valley Medical Center | Napa | not published | $5,474.24 – $16,652.00 |