In-111 pentetate dtpa / 0.5 mci 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

$2,441.49

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.

$5,034.00

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.

$702.78 with Noble IPA vs $3,976.86 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 $702.78 ↓ -71%
Noble IPA Medicaid|< 21 $702.78 ↓ -71%
Angeles IPA Medicare|All Plans $780.87 ↓ -68%
HCLA Medicaid|Preferred IPA < 21 $780.87 ↓ -68%
Preferred IPA Medicaid|Risk $780.87 ↓ -68%
Inland Empire Health Plan Medicaid|All Plans $780.87 ↓ -68%
HCLA Medicaid|Preferred IPA > 21 $780.87 ↓ -68%
Gold Coast Health Plan Medicaid|All Plans $780.87 ↓ -68%
Scan Health Plan Medicare|All Plans $908.85 ↓ -63%
Preferred IPA Medicare|All Plans $908.85 ↓ -63%
Aetna Medicare|All Plans $908.85 ↓ -63%
Molina Medicare|All Plans $908.85 ↓ -63%
United Medicare|All Plans $908.85 ↓ -63%
HCLA Medicare|Preferred IPA $908.85 ↓ -63%
Health Net Medicare|All Other Plans $908.85 ↓ -63%
Health Net Medicare|Senior $908.85 ↓ -63%
GlobalCare Commercial|All Plans $908.85 ↓ -63%
Central Health Plan Medicare|All Plans $908.85 ↓ -63%
EasyChoice Medicare|All Plans $908.85 ↓ -63%
BCBS - Anthem Medicare|All Plans $908.85 ↓ -63%
Blue Shield CA Medicare|All Other Plans $908.85 ↓ -63%
LA Care Medicare|All Plans $908.85 ↓ -63%
Noble IPA Medicare|All Plans $954.29 ↓ -61%
BCBS - Anthem Medicaid|All Plans $976.09 ↓ -60%
HPN Medicare|Senior $999.74 ↓ -59%
Central California Alliance for Health Medicaid|All Plans $1,012.46 ↓ -59%
Health Net Medicaid|> 21 $1,058.86 ↓ -57%
Health Net Medicaid|< 21 $1,058.86 ↓ -57%
Molina Medicaid|< 21 $1,093.22 ↓ -55%
Molina Medicaid|> 21 $1,093.22 ↓ -55%
LA Care Commercial|All Plans $1,136.06 ↓ -53%
HCLA Commercial|Preferred IPA $1,136.06 ↓ -53%
BCBS - Anthem Commercial|Exchange $1,165.44 ↓ -52%
Kaiser Medicaid|> 21 $1,171.31 ↓ -52%
Kaiser Medicaid|< 21 $1,171.31 ↓ -52%
United Commercial|PPO $1,180.23 ↓ -52%
United Commercial|HMO $1,180.23 ↓ -52%
DHR Medicaid|> 21 $1,258.50 ↓ -48%
DHR Medicaid|< 21 $1,258.50 ↓ -48%
BCBS - Anthem Commercial|All Other Plans $1,765.83 ↓ -28%
BCBS - Anthem Commercial|MCS $2,174.96 ↓ -11%
Healthcare Partners Medicare|All Plans $2,622.00 ↑ +7%
LA Care Medicaid|All Plans $2,748.66 ↑ +13%
Healthcare Partners Commercial|All Plans $2,917.00 ↑ +19%
HPN Commercial|All Plans $3,121.08 ↑ +28%
First Health Commercial|All Plans $3,473.46 ↑ +42%
Kaiser Commercial|All Plans $3,523.80 ↑ +44%
Blue Shield CA Medicare|Promise $3,775.50 ↑ +55%
Healthsmart Commercial|All Plans $3,876.18 ↑ +59%
Care 1st Medicaid|All Plans $3,904.35 ↑ +60%
Blue Shield CA Medicaid|All Plans $3,904.35 ↑ +60%
MultiPlan Commercial|All Plans $3,976.86 ↑ +63%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,712.15 $312.91 – $3,049.02
Arroyo Grande Hospital Santa Maria $1,623.41 $205.20 – $3,717.14
Mark Twain Medical Center San Andreas $1,665.00 $551.55 – $2,089.36
French Hospital San Luis Obispo $1,500.97 $205.20 – $3,752.42
Mercy Hospitals – Bakersfield Bakersfield $2,565.10 $312.91 – $5,531.20
Bakersfield Memorial Hospital Bakersfield $2,537.44 $312.91 – $5,462.06
St. Joseph's Medical Center Stockton Stockton $793.80 $312.91 – $2,214.00
Mercy Medical Center Merced Merced $2,487.97 $312.91 – $4,541.14

All California hospitals for this procedure →