Removal of breast lesion at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$2,752.38
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.
$5,675.00
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.
$272.03 with Noble IPA vs $29,023.00 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 | $272.03 | ↓ -90% |
| Noble IPA | Medicaid|< 21 | $272.03 | ↓ -90% |
| HCLA | Medicaid|Preferred IPA > 21 | $302.26 | ↓ -89% |
| HCLA | Medicaid|Preferred IPA < 21 | $302.26 | ↓ -89% |
| Angeles IPA | Medicare|All Plans | $302.26 | ↓ -89% |
| Inland Empire Health Plan | Medicaid|All Plans | $302.26 | ↓ -89% |
| Preferred IPA | Medicaid|Risk | $302.26 | ↓ -89% |
| Gold Coast Health Plan | Medicaid|All Plans | $302.26 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $377.83 | ↓ -86% |
| Health Net | Medicaid|> 21 | $409.86 | ↓ -85% |
| Health Net | Medicaid|< 21 | $409.86 | ↓ -85% |
| Molina | Medicaid|< 21 | $423.16 | ↓ -85% |
| Molina | Medicaid|> 21 | $423.16 | ↓ -85% |
| Kaiser | Medicaid|< 21 | $453.39 | ↓ -84% |
| Kaiser | Medicaid|> 21 | $453.39 | ↓ -84% |
| LA Care | Medicaid|All Plans | $1,063.96 | ↓ -61% |
| HCLA | Medicaid|All Other Plans > 21 | $1,291.41 | ↓ -53% |
| HCLA | Medicaid|All Other Plans < 21 | $1,291.41 | ↓ -53% |
| DHR | Medicaid|> 21 | $1,418.75 | ↓ -48% |
| DHR | Medicaid|< 21 | $1,418.75 | ↓ -48% |
| Care 1st | Medicaid|All Plans | $1,511.30 | ↓ -45% |
| Blue Shield CA | Medicaid|All Plans | $1,511.30 | ↓ -45% |
| HPN | Commercial|All Plans | $3,518.50 | ↑ +28% |
| First Health | Commercial|All Plans | $3,915.75 | ↑ +42% |
| Kaiser | Commercial|All Plans | $3,972.50 | ↑ +44% |
| Blue Shield CA | Commercial|Exchange | $4,234.00 | ↑ +54% |
| Blue Shield CA | Medicare|Promise | $4,256.25 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $4,369.75 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $4,483.25 | ↑ +63% |
| Blue Shield CA | Medicare|All Other Plans | $4,865.48 | ↑ +77% |
| Scan Health Plan | Medicare|All Plans | $4,865.48 | ↑ +77% |
| BCBS - Anthem | Medicare|All Plans | $4,865.48 | ↑ +77% |
| Health Net | Medicare|All Other Plans | $4,865.48 | ↑ +77% |
| EasyChoice | Medicare|All Plans | $4,865.48 | ↑ +77% |
| GlobalCare | Commercial|All Plans | $4,865.48 | ↑ +77% |
| Central Health Plan | Medicare|All Plans | $4,865.48 | ↑ +77% |
| Molina | Medicare|All Plans | $4,865.48 | ↑ +77% |
| Health Net | Medicare|Senior | $4,865.48 | ↑ +77% |
| HCLA | Medicare|Preferred IPA | $4,865.48 | ↑ +77% |
| Aetna | Medicare|All Plans | $4,865.48 | ↑ +77% |
| Preferred IPA | Medicare|All Plans | $4,865.48 | ↑ +77% |
| LA Care | Medicare|All Plans | $4,865.48 | ↑ +77% |
| United | Medicare|All Plans | $4,865.48 | ↑ +77% |
| Noble IPA | Medicare|All Plans | $5,108.75 | ↑ +86% |
| HPN | Medicare|Senior | $5,352.03 | ↑ +94% |
| Central California Alliance for Health | Medicaid|All Plans | $5,420.15 | ↑ +97% |
| HCLA | Commercial|Preferred IPA | $6,081.85 | ↑ +121% |
| LA Care | Commercial|All Plans | $6,081.85 | ↑ +121% |
| Health Net | Commercial|EPPO | $8,158.00 | ↑ +196% |
| Health Net | Commercial|All Other Plans | $11,062.00 | ↑ +302% |
| BCBS - Anthem | Commercial|Exchange | $15,561.00 | ↑ +465% |
| BCBS - Anthem | Commercial|All Other Plans | $23,577.00 | ↑ +757% |
| BCBS - Anthem | Commercial|MCS | $29,023.00 | ↑ +954% |
Visitor-reported prices
Comments
Removal of breast lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,357.31 | $281.73 – $1,067.22 |
| Providence St Joseph Hospital Orange | Orange | $6,502.56 | $4,280.52 – $9,316.42 |
| Providence Holy Cross Medical Center | Mission Hills | $3,510.50 | $1,747.00 – $7,332.00 |
| Providence Saint John's Health Center | Santa Monica | $3,583.65 | $1,746.72 – $10,103.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $457.29 – $8,628.88 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $302.26 – $4,865.48 |
| French Hospital | San Luis Obispo | not published | $302.26 – $4,865.48 |