Icd reliance df4 ib 64cm 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

$11,125.90

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.

$22,940.00

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.

$2,191.35 with Preferred IPA vs $8,243.65 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
Preferred IPA Medicaid|Risk $2,191.35 ↓ -80%
Molina Medicaid|< 21 $2,400.05 ↓ -78%
Molina Medicaid|> 21 $2,400.05 ↓ -78%
DHR Medicaid|> 21 $2,608.75 ↓ -77%
DHR Medicaid|< 21 $2,608.75 ↓ -77%
BCBS - Anthem Medicaid|All Plans $2,608.75 ↓ -77%
Care 1st Medicaid|All Plans $2,713.10 ↓ -76%
Blue Shield CA Medicaid|All Plans $2,713.10 ↓ -76%
HPN Commercial|All Plans $2,713.10 ↓ -76%
HCLA Medicaid|Preferred IPA > 21 $3,130.50 ↓ -72%
HCLA Medicaid|Preferred IPA < 21 $3,130.50 ↓ -72%
HCLA Medicaid|All Other Plans < 21 $3,652.25 ↓ -67%
Angeles IPA Medicare|All Plans $3,652.25 ↓ -67%
HCLA Medicaid|All Other Plans > 21 $3,652.25 ↓ -67%
BCBS - Anthem Commercial|Exchange $3,652.25 ↓ -67%
Cigna Commercial|PPO $4,278.35 ↓ -62%
Cigna Commercial|All Other Plans $4,278.35 ↓ -62%
Blue Shield CA Commercial|Exchange $4,591.40 ↓ -59%
Health Net Commercial|EPPO $5,217.50 ↓ -53%
Aetna Commercial|HMO $5,530.55 ↓ -50%
Aetna Commercial|PPO $5,530.55 ↓ -50%
Aetna Commercial|All Other Plans $5,530.55 ↓ -50%
BCBS - Anthem Commercial|MCS $5,634.90 ↓ -49%
United Commercial|PPO $5,634.90 ↓ -49%
BCBS - Anthem Commercial|All Other Plans $5,634.90 ↓ -49%
United Commercial|HMO $5,843.60 ↓ -47%
Health Net Commercial|All Other Plans $7,095.80 ↓ -36%
First Health Commercial|All Plans $7,200.15 ↓ -35%
Kaiser Commercial|All Plans $7,304.50 ↓ -34%
Blue Shield CA Medicare|Promise $7,826.25 ↓ -30%
Healthsmart Commercial|All Plans $8,034.95 ↓ -28%
MultiPlan Commercial|All Plans $8,243.65 ↓ -26%

Visitor-reported prices

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Icd reliance df4 ib 64cm at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $13,521.06 $1,993.68 – $6,479.46
Banner Lassen Medical Center Susanville $19,942.38 $1,104.95 – $2,614.15
Petaluma Valley Hospital Petaluma $9,267.72 not published
Arroyo Grande Hospital Santa Maria $7,817.85 $1,910.61 – $8,140.86
French Hospital San Luis Obispo $7,160.28 $1,578.33 – $8,140.86
Mercy Hospitals – Bakersfield Bakersfield $7,529.45 $2,307.50 – $8,307.00
Bakersfield Memorial Hospital Bakersfield $9,683.30 $2,307.50 – $8,953.10
Queen of The Valley Medical Center Napa $9,267.72 not published

All California hospitals for this procedure →