Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at California Hospital Medical Center

1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$6,581.45

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$13,570.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$120.65 with Noble IPA vs $1,702.45 with MultiPlan — 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 →

Payer
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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
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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 $120.65 ↓ -98%
Noble IPA Medicaid|< 21 $120.65 ↓ -98%
HCLA Medicaid|Preferred IPA > 21 $134.06 ↓ -98%
HCLA Medicaid|Preferred IPA < 21 $134.06 ↓ -98%
Angeles IPA Medicare|All Plans $134.06 ↓ -98%
Inland Empire Health Plan Medicaid|All Plans $134.06 ↓ -98%
Gold Coast Health Plan Medicaid|All Plans $134.06 ↓ -98%
Preferred IPA Medicaid|Risk $134.06 ↓ -98%
BCBS - Anthem Medicaid|All Plans $167.58 ↓ -97%
Health Net Medicaid|< 21 $181.79 ↓ -97%
Health Net Medicaid|> 21 $181.79 ↓ -97%
Molina Medicaid|< 21 $187.68 ↓ -97%
Molina Medicaid|> 21 $187.68 ↓ -97%
Kaiser Medicaid|< 21 $201.09 ↓ -97%
Kaiser Medicaid|> 21 $201.09 ↓ -97%
United Commercial|PPO $228.94 ↓ -97%
United Commercial|HMO $228.94 ↓ -97%
LA Care Medicaid|All Plans $471.89 ↓ -93%
DHR Medicaid|> 21 $538.75 ↓ -92%
DHR Medicaid|< 21 $538.75 ↓ -92%
HPN Commercial|All Plans $560.30 ↓ -91%
Care 1st Medicaid|All Plans $670.30 ↓ -90%
Blue Shield CA Medicaid|All Plans $670.30 ↓ -90%
BCBS - Anthem Commercial|Exchange $680.01 ↓ -90%
HCLA Medicaid|All Other Plans < 21 $754.25 ↓ -89%
HCLA Medicaid|All Other Plans > 21 $754.25 ↓ -89%
Cigna Commercial|PPO $883.55 ↓ -87%
Cigna Commercial|All Other Plans $883.55 ↓ -87%
Blue Shield CA Commercial|Exchange $948.20 ↓ -86%
BCBS - Anthem Commercial|All Other Plans $1,030.33 ↓ -84%
Health Net Commercial|EPPO $1,077.50 ↓ -84%
Aetna Commercial|PPO $1,142.15 ↓ -83%
Aetna Commercial|HMO $1,142.15 ↓ -83%
Aetna Commercial|All Other Plans $1,142.15 ↓ -83%
BCBS - Anthem Commercial|MCS $1,269.05 ↓ -81%
Health Net Commercial|All Other Plans $1,465.40 ↓ -78%
First Health Commercial|All Plans $1,486.95 ↓ -77%
Kaiser Commercial|All Plans $1,508.50 ↓ -77%
Blue Shield CA Medicare|Promise $1,616.25 ↓ -75%
Healthsmart Commercial|All Plans $1,659.35 ↓ -75%
MultiPlan Commercial|All Plans $1,702.45 ↓ -74%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $4,624.54 $134.06 – $10,588.90
French Hospital San Luis Obispo $4,235.56 $134.06 – $10,588.90
Providence St Joseph Hospital Eureka Eureka $10,924.20 $160.06 – $293.20
Redwood Memorial Hospital Fortuna $10,924.20 $253.32 – $272.35
St. Joseph's Medical Center Stockton Stockton $8,559.23 $134.06 – $1,048.00
Mercy Medical Center Mt. Shasta Mt Shasta $10,345.85 $134.06 – $1,590.54
Dominican Hospital Santa Cruz $5,380.65 $131.79 – $4,184.00
Northridge Hospital Medical Center Northridge $4,240.53 $134.06 – $8,988.00

All California hospitals for this procedure →