Surgical pathology level 4 gross & microscopic examination 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

$135.32

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.

$279.00

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.

$52.92 with Noble IPA vs $294.00 with Blue Shield CA — 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 $52.92 ↓ -61%
Noble IPA Medicaid|< 21 $52.92 ↓ -61%
HCLA Medicaid|Preferred IPA > 21 $58.80 ↓ -57%
Angeles IPA Medicare|All Plans $58.80 ↓ -57%
HCLA Medicaid|Preferred IPA < 21 $58.80 ↓ -57%
Inland Empire Health Plan Medicaid|All Plans $58.80 ↓ -57%
Gold Coast Health Plan Medicaid|All Plans $58.80 ↓ -57%
Preferred IPA Medicaid|Risk $58.80 ↓ -57%
United Commercial|HMO $59.71 ↓ -56%
United Commercial|PPO $59.71 ↓ -56%
Blue Shield CA Medicare|All Other Plans $67.89 ↓ -50%
LA Care Medicare|All Plans $67.89 ↓ -50%
Preferred IPA Medicare|All Plans $67.89 ↓ -50%
Aetna Medicare|All Plans $67.89 ↓ -50%
HCLA Medicare|Preferred IPA $67.89 ↓ -50%
Molina Medicare|All Plans $67.89 ↓ -50%
United Medicare|All Plans $67.89 ↓ -50%
Health Net Medicare|All Other Plans $67.89 ↓ -50%
Scan Health Plan Medicare|All Plans $67.89 ↓ -50%
Health Net Medicare|Senior $67.89 ↓ -50%
Central Health Plan Medicare|All Plans $67.89 ↓ -50%
GlobalCare Commercial|All Plans $67.89 ↓ -50%
BCBS - Anthem Medicare|All Plans $67.89 ↓ -50%
EasyChoice Medicare|All Plans $67.89 ↓ -50%
Cigna Commercial|PPO $68.64 ↓ -49%
Cigna Commercial|All Other Plans $68.64 ↓ -49%
DHR Medicaid|< 21 $69.75 ↓ -48%
DHR Medicaid|> 21 $69.75 ↓ -48%
Noble IPA Medicare|All Plans $71.28 ↓ -47%
HPN Medicare|Senior $74.68 ↓ -45%
Central California Alliance for Health Medicaid|All Plans $75.63 ↓ -44%
Health Net Medicaid|> 21 $79.73 ↓ -41%
Health Net Medicaid|< 21 $79.73 ↓ -41%
Molina Medicaid|> 21 $82.32 ↓ -39%
Molina Medicaid|< 21 $82.32 ↓ -39%
HCLA Commercial|Preferred IPA $84.86 ↓ -37%
LA Care Commercial|All Plans $84.86 ↓ -37%
Kaiser Medicaid|< 21 $88.20 ↓ -35%
Kaiser Medicaid|> 21 $88.20 ↓ -35%
BCBS - Anthem Commercial|Exchange $107.61 ↓ -20%
BCBS - Anthem Medicaid|All Plans $108.03 ↓ -20%
LA Care Medicaid|All Plans $144.28 ↑ +7%
BCBS - Anthem Commercial|All Other Plans $162.93 ↑ +20%
HPN Commercial|All Plans $172.98 ↑ +28%
First Health Commercial|All Plans $192.51 ↑ +42%
Kaiser Commercial|All Plans $195.30 ↑ +44%
BCBS - Anthem Commercial|MCS $200.60 ↑ +48%
Blue Shield CA Medicare|Promise $209.25 ↑ +55%
Healthsmart Commercial|All Plans $214.83 ↑ +59%
MultiPlan Commercial|All Plans $220.41 ↑ +63%
Aetna Commercial|HMO $279.00 ↑ +106%
Aetna Commercial|PPO $279.00 ↑ +106%
Aetna Commercial|All Other Plans $279.00 ↑ +106%
Care 1st Medicaid|All Plans $294.00 ↑ +117%
Blue Shield CA Medicaid|All Plans $294.00 ↑ +117%

Visitor-reported prices

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Surgical pathology level 4 gross & microscopic examination at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $190.10 $59.71 – $338.52
Petaluma Valley Hospital Petaluma $504.39 $70.23 – $110.13
Arroyo Grande Hospital Santa Maria $170.18 $16.70 – $89.15
Mark Twain Medical Center San Andreas $115.22 $9.75 – $37.66
French Hospital San Luis Obispo $155.86 $9.02 – $104.80
Mercy Hospitals – Bakersfield Bakersfield $135.79 $18.93 – $99.43
Bakersfield Memorial Hospital Bakersfield $134.33 $18.93 – $99.43
Queen of The Valley Medical Center Napa $379.44 $73.99 – $139.18

All California hospitals for this procedure →