Revita, 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

$2,301.33

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.

$4,745.00

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.

$149.52 with Noble IPA vs $3,748.55 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 $149.52 ↓ -94%
Noble IPA Medicaid|< 21 $149.52 ↓ -94%
HCLA Medicaid|Preferred IPA > 21 $166.13 ↓ -93%
HCLA Medicaid|Preferred IPA < 21 $166.13 ↓ -93%
Preferred IPA Medicaid|Risk $166.13 ↓ -93%
Gold Coast Health Plan Medicaid|All Plans $166.13 ↓ -93%
Angeles IPA Medicare|All Plans $166.13 ↓ -93%
Inland Empire Health Plan Medicaid|All Plans $166.13 ↓ -93%
BCBS - Anthem Medicaid|All Plans $207.66 ↓ -91%
Health Net Medicaid|> 21 $225.27 ↓ -90%
Health Net Medicaid|< 21 $225.27 ↓ -90%
Molina Medicaid|< 21 $232.58 ↓ -90%
Molina Medicaid|> 21 $232.58 ↓ -90%
Kaiser Medicaid|< 21 $249.19 ↓ -89%
Kaiser Medicaid|> 21 $249.19 ↓ -89%
LA Care Medicaid|All Plans $584.78 ↓ -75%
BCBS - Anthem Commercial|Exchange $651.24 ↓ -72%
Care 1st Medicaid|All Plans $830.65 ↓ -64%
Blue Shield CA Medicaid|All Plans $830.65 ↓ -64%
BCBS - Anthem Commercial|All Other Plans $986.74 ↓ -57%
DHR Medicaid|< 21 $1,186.25 ↓ -48%
DHR Medicaid|> 21 $1,186.25 ↓ -48%
BCBS - Anthem Commercial|MCS $1,215.36 ↓ -47%
HPN Commercial|All Plans $1,233.70 ↓ -46%
HCLA Medicaid|All Other Plans > 21 $1,660.75 ↓ -28%
HCLA Medicaid|All Other Plans < 21 $1,660.75 ↓ -28%
Cigna Commercial|All Other Plans $1,945.45 ↓ -15%
Cigna Commercial|PPO $1,945.45 ↓ -15%
Blue Shield CA Commercial|Exchange $2,087.80 ↓ -9%
Health Net Commercial|EPPO $2,372.50 ↑ +3%
Aetna Commercial|All Other Plans $2,514.85 ↑ +9%
Aetna Commercial|HMO $2,514.85 ↑ +9%
Aetna Commercial|PPO $2,514.85 ↑ +9%
United Commercial|HMO $2,752.53 ↑ +20%
United Commercial|PPO $2,752.53 ↑ +20%
Health Net Commercial|All Other Plans $3,226.60 ↑ +40%
First Health Commercial|All Plans $3,274.05 ↑ +42%
Kaiser Commercial|All Plans $3,321.50 ↑ +44%
Blue Shield CA Medicare|Promise $3,558.75 ↑ +55%
Healthsmart Commercial|All Plans $3,653.65 ↑ +59%
MultiPlan Commercial|All Plans $3,748.55 ↑ +63%

Visitor-reported prices

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Revita, per sq cm at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $955.30 $166.13 – $2,187.36
French Hospital San Luis Obispo $874.95 $166.13 – $2,187.36
Bakersfield Memorial Hospital Bakersfield $9,683.30 $166.13 – $1,421.05
St. Joseph's Medical Center Stockton Stockton $3,878.75 $166.13 – $1,364.00
Mercy Medical Center Merced Merced $5,435.31 $166.13 – $952.32
Glendale Memorial Hospital Health Center Glendale $9,722.95 $40.00 – $1,638.45
Mercy San Juan Medical Center Carmichael $6,285.56 $166.13 – $4,033.25
Mercy General Hospital Sacramento $5,000.92 $166.13 – $4,223.05

All California hospitals for this procedure →