Fundus photography with i&r 92250 at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$284.21
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.
$586.00
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.
$43.52 with Noble IPA vs $6,374.00 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 |
|---|---|---|---|
| Noble IPA | Medicaid|< 21 | $43.52 | ↓ -85% |
| Noble IPA | Medicaid|> 21 | $43.52 | ↓ -85% |
| HCLA | Medicaid|Preferred IPA < 21 | $48.35 | ↓ -83% |
| Angeles IPA | Medicare|All Plans | $48.35 | ↓ -83% |
| Preferred IPA | Medicaid|Risk | $48.35 | ↓ -83% |
| Inland Empire Health Plan | Medicaid|All Plans | $48.35 | ↓ -83% |
| Gold Coast Health Plan | Medicaid|All Plans | $48.35 | ↓ -83% |
| HCLA | Medicaid|Preferred IPA > 21 | $48.35 | ↓ -83% |
| Health Net | Medicaid|< 21 | $65.56 | ↓ -77% |
| Health Net | Medicaid|> 21 | $65.56 | ↓ -77% |
| Molina | Medicaid|> 21 | $67.69 | ↓ -76% |
| Molina | Medicaid|< 21 | $67.69 | ↓ -76% |
| Kaiser | Medicaid|< 21 | $72.53 | ↓ -74% |
| Kaiser | Medicaid|> 21 | $72.53 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $75.54 | ↓ -73% |
| DHR | Medicaid|< 21 | $146.50 | ↓ -48% |
| DHR | Medicaid|> 21 | $146.50 | ↓ -48% |
| EasyChoice | Medicare|All Plans | $163.78 | ↓ -42% |
| Aetna | Medicare|All Plans | $163.78 | ↓ -42% |
| Molina | Medicare|All Plans | $163.78 | ↓ -42% |
| United | Medicare|All Plans | $163.78 | ↓ -42% |
| Health Net | Medicare|All Other Plans | $163.78 | ↓ -42% |
| Health Net | Medicare|Senior | $163.78 | ↓ -42% |
| Central Health Plan | Medicare|All Plans | $163.78 | ↓ -42% |
| BCBS - Anthem | Medicare|All Plans | $163.78 | ↓ -42% |
| Blue Shield CA | Medicare|All Other Plans | $163.78 | ↓ -42% |
| Scan Health Plan | Medicare|All Plans | $163.78 | ↓ -42% |
| LA Care | Medicare|All Plans | $163.78 | ↓ -42% |
| GlobalCare | Commercial|All Plans | $163.78 | ↓ -42% |
| HCLA | Medicare|Preferred IPA | $163.78 | ↓ -42% |
| Preferred IPA | Medicare|All Plans | $163.78 | ↓ -42% |
| LA Care | Medicaid|All Plans | $170.19 | ↓ -40% |
| Noble IPA | Medicare|All Plans | $171.97 | ↓ -39% |
| HPN | Medicare|Senior | $180.16 | ↓ -37% |
| Central California Alliance for Health | Medicaid|All Plans | $182.46 | ↓ -36% |
| LA Care | Commercial|All Plans | $204.72 | ↓ -28% |
| HCLA | Commercial|Preferred IPA | $204.72 | ↓ -28% |
| Care 1st | Medicaid|All Plans | $241.75 | ↓ -15% |
| Blue Shield CA | Medicaid|All Plans | $241.75 | ↓ -15% |
| HPN | Commercial|All Plans | $363.32 | ↑ +28% |
| Healthcare Partners | Medicare|All Plans | $375.04 | ↑ +32% |
| First Health | Commercial|All Plans | $404.34 | ↑ +42% |
| Kaiser | Commercial|All Plans | $410.20 | ↑ +44% |
| Blue Shield CA | Medicare|Promise | $439.50 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $451.22 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $462.94 | ↑ +63% |
| Healthcare Partners | Commercial|All Plans | $2,917.00 | ↑ +926% |
| BCBS - Anthem | Commercial|Exchange | $3,417.00 | ↑ +1102% |
| BCBS - Anthem | Commercial|All Other Plans | $5,178.00 | ↑ +1722% |
| BCBS - Anthem | Commercial|MCS | $6,374.00 | ↑ +2143% |
Visitor-reported prices
Comments
Fundus photography with i&r 92250 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $179.30 – $182.96 |
| Queen of The Valley Medical Center | Napa | not published | $188.91 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $171.12 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | not published | $179.26 – $179.26 |
| Redwood Memorial Hospital | Fortuna | not published | $8,222.00 – $8,222.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $185.13 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $145.45 – $316.58 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $129.79 – $316.58 |