Pr biopsy skin punch single lesion at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$369.09
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.
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What you pay up front if you don't use insurance.
$761.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$80.69 with Noble IPA vs $6,374.00 with BCBS - Anthem — 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 →
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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 ?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 | $80.69 | ↓ -78% |
| Noble IPA | Medicaid|< 21 | $80.69 | ↓ -78% |
| Preferred IPA | Medicaid|Risk | $89.65 | ↓ -76% |
| Gold Coast Health Plan | Medicaid|All Plans | $89.65 | ↓ -76% |
| HCLA | Medicaid|Preferred IPA < 21 | $89.65 | ↓ -76% |
| Inland Empire Health Plan | Medicaid|All Plans | $89.65 | ↓ -76% |
| HCLA | Medicaid|Preferred IPA > 21 | $89.65 | ↓ -76% |
| Angeles IPA | Medicare|All Plans | $89.65 | ↓ -76% |
| HCLA | Medicaid|All Other Plans > 21 | $101.94 | ↓ -72% |
| HCLA | Medicaid|All Other Plans < 21 | $101.94 | ↓ -72% |
| Health Net | Medicaid|> 21 | $121.57 | ↓ -67% |
| Health Net | Medicaid|< 21 | $121.57 | ↓ -67% |
| Molina | Medicaid|< 21 | $125.51 | ↓ -66% |
| Molina | Medicaid|> 21 | $125.51 | ↓ -66% |
| Kaiser | Medicaid|< 21 | $134.48 | ↓ -64% |
| Kaiser | Medicaid|> 21 | $134.48 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $140.08 | ↓ -62% |
| DHR | Medicaid|> 21 | $190.25 | ↓ -48% |
| DHR | Medicaid|< 21 | $190.25 | ↓ -48% |
| LA Care | Medicaid|All Plans | $315.57 | ↓ -15% |
| Care 1st | Medicaid|All Plans | $448.25 | ↑ +21% |
| Blue Shield CA | Medicaid|All Plans | $448.25 | ↑ +21% |
| Healthcare Partners | Medicare|All Plans | $456.60 | ↑ +24% |
| HPN | Commercial|All Plans | $471.82 | ↑ +28% |
| BCBS - Anthem | Medicare|All Plans | $507.64 | ↑ +38% |
| Molina | Medicare|All Plans | $507.64 | ↑ +38% |
| United | Medicare|All Plans | $507.64 | ↑ +38% |
| Health Net | Medicare|All Other Plans | $507.64 | ↑ +38% |
| Health Net | Medicare|Senior | $507.64 | ↑ +38% |
| Central Health Plan | Medicare|All Plans | $507.64 | ↑ +38% |
| Aetna | Medicare|All Plans | $507.64 | ↑ +38% |
| Blue Shield CA | Medicare|All Other Plans | $507.64 | ↑ +38% |
| Scan Health Plan | Medicare|All Plans | $507.64 | ↑ +38% |
| LA Care | Medicare|All Plans | $507.64 | ↑ +38% |
| EasyChoice | Medicare|All Plans | $507.64 | ↑ +38% |
| GlobalCare | Commercial|All Plans | $507.64 | ↑ +38% |
| HCLA | Medicare|Preferred IPA | $507.64 | ↑ +38% |
| Preferred IPA | Medicare|All Plans | $507.64 | ↑ +38% |
| Healthcare Partners | Commercial|All Plans | $509.87 | ↑ +38% |
| First Health | Commercial|All Plans | $525.09 | ↑ +42% |
| Kaiser | Commercial|All Plans | $532.70 | ↑ +44% |
| Noble IPA | Medicare|All Plans | $533.02 | ↑ +44% |
| HPN | Medicare|Senior | $558.40 | ↑ +51% |
| Central California Alliance for Health | Medicaid|All Plans | $565.52 | ↑ +53% |
| Blue Shield CA | Medicare|Promise | $570.75 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $585.97 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $601.19 | ↑ +63% |
| LA Care | Commercial|All Plans | $634.55 | ↑ +72% |
| HCLA | Commercial|Preferred IPA | $634.55 | ↑ +72% |
| Health Net | Commercial|EPPO | $3,293.00 | ↑ +792% |
| BCBS - Anthem | Commercial|Exchange | $3,417.00 | ↑ +826% |
| Blue Shield CA | Commercial|Exchange | $3,705.00 | ↑ +904% |
| Health Net | Commercial|All Other Plans | $4,466.00 | ↑ +1110% |
| BCBS - Anthem | Commercial|All Other Plans | $5,178.00 | ↑ +1303% |
| BCBS - Anthem | Commercial|MCS | $6,374.00 | ↑ +1627% |
Visitor-reported prices
Comments
Pr biopsy skin punch single lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $303.78 | $135.63 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $755.82 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $1,110.24 | $89.65 – $2,542.12 |
| Mark Twain Medical Center | San Andreas | $93.24 | $34.67 – $131.32 |
| French Hospital | San Luis Obispo | $869.46 | $89.65 – $2,173.64 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $89.65 – $418.00 |
| Queen of The Valley Medical Center | Napa | $839.97 | $577.20 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $578.34 | $522.85 – $8,018.00 |