Surgical pathology level 6 gross & microscopic examination at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$600.43
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.
$1,238.00
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.
$218.24 with BCBS - Anthem vs $1,330.20 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 →
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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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Exchange | $218.24 | ↓ -64% |
| Noble IPA | Medicaid|> 21 | $239.44 | ↓ -60% |
| Noble IPA | Medicaid|< 21 | $239.44 | ↓ -60% |
| Preferred IPA | Medicaid|Risk | $266.04 | ↓ -56% |
| Gold Coast Health Plan | Medicaid|All Plans | $266.04 | ↓ -56% |
| Inland Empire Health Plan | Medicaid|All Plans | $266.04 | ↓ -56% |
| Angeles IPA | Medicare|All Plans | $266.04 | ↓ -56% |
| HCLA | Medicaid|Preferred IPA < 21 | $266.04 | ↓ -56% |
| HCLA | Medicaid|Preferred IPA > 21 | $266.04 | ↓ -56% |
| DHR | Medicaid|> 21 | $309.50 | ↓ -48% |
| DHR | Medicaid|< 21 | $309.50 | ↓ -48% |
| BCBS - Anthem | Commercial|All Other Plans | $330.40 | ↓ -45% |
| Health Net | Medicaid|> 21 | $360.75 | ↓ -40% |
| Health Net | Medicaid|< 21 | $360.75 | ↓ -40% |
| Molina | Medicaid|> 21 | $372.46 | ↓ -38% |
| Molina | Medicaid|< 21 | $372.46 | ↓ -38% |
| Kaiser | Medicaid|> 21 | $399.06 | ↓ -34% |
| Kaiser | Medicaid|< 21 | $399.06 | ↓ -34% |
| BCBS - Anthem | Commercial|MCS | $406.81 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $426.74 | ↓ -29% |
| Cigna | Commercial|PPO | $589.04 | ↓ -2% |
| Cigna | Commercial|All Other Plans | $589.04 | ↓ -2% |
| LA Care | Medicaid|All Plans | $652.85 | ↑ +9% |
| HPN | Commercial|All Plans | $767.56 | ↑ +28% |
| United | Commercial|HMO | $787.38 | ↑ +31% |
| United | Commercial|PPO | $787.38 | ↑ +31% |
| First Health | Commercial|All Plans | $854.22 | ↑ +42% |
| Kaiser | Commercial|All Plans | $866.60 | ↑ +44% |
| Aetna | Commercial|All Other Plans | $870.46 | ↑ +45% |
| Aetna | Commercial|PPO | $870.46 | ↑ +45% |
| Aetna | Commercial|HMO | $870.46 | ↑ +45% |
| Blue Shield CA | Medicare|Promise | $928.50 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $953.26 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $978.02 | ↑ +63% |
| BCBS - Anthem | Medicare|All Plans | $1,037.95 | ↑ +73% |
| Blue Shield CA | Medicare|All Other Plans | $1,037.95 | ↑ +73% |
| EasyChoice | Medicare|All Plans | $1,037.95 | ↑ +73% |
| GlobalCare | Commercial|All Plans | $1,037.95 | ↑ +73% |
| Preferred IPA | Medicare|All Plans | $1,037.95 | ↑ +73% |
| HCLA | Medicare|Preferred IPA | $1,037.95 | ↑ +73% |
| United | Medicare|All Plans | $1,037.95 | ↑ +73% |
| Aetna | Medicare|All Plans | $1,037.95 | ↑ +73% |
| Molina | Medicare|All Plans | $1,037.95 | ↑ +73% |
| Central Health Plan | Medicare|All Plans | $1,037.95 | ↑ +73% |
| LA Care | Medicare|All Plans | $1,037.95 | ↑ +73% |
| Health Net | Medicare|Senior | $1,037.95 | ↑ +73% |
| Health Net | Medicare|All Other Plans | $1,037.95 | ↑ +73% |
| Scan Health Plan | Medicare|All Plans | $1,037.95 | ↑ +73% |
| Noble IPA | Medicare|All Plans | $1,089.85 | ↑ +82% |
| HPN | Medicare|Senior | $1,141.74 | ↑ +90% |
| Central California Alliance for Health | Medicaid|All Plans | $1,156.28 | ↑ +93% |
| LA Care | Commercial|All Plans | $1,297.44 | ↑ +116% |
| HCLA | Commercial|Preferred IPA | $1,297.44 | ↑ +116% |
| Care 1st | Medicaid|All Plans | $1,330.20 | ↑ +122% |
| Blue Shield CA | Medicaid|All Plans | $1,330.20 | ↑ +122% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $391.58 | $241.38 – $1,788.00 |
| Petaluma Valley Hospital | Petaluma | $1,276.02 | $223.35 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $132.85 | $155.20 – $765.05 |
| Mark Twain Medical Center | San Andreas | $606.73 | $79.03 – $299.38 |
| French Hospital | San Luis Obispo | $121.68 | $83.81 – $899.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.08 | $204.27 – $853.25 |
| Bakersfield Memorial Hospital | Bakersfield | $302.78 | $204.27 – $853.25 |
| Queen of The Valley Medical Center | Napa | $1,407.60 | $282.25 – $1,256.40 |