Vaccine pneumococcal conjugate 13 valent (pcv13) im at California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
$720.23
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.
$1,485.00
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.
$165.66 with Health Net vs $1,312.25 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 |
|---|---|---|---|
| Health Net | Commercial|EPPO | $165.66 | ↓ -77% |
| Preferred IPA | Medicare|All Plans | $222.75 | ↓ -69% |
| Aetna | Medicare|All Plans | $222.75 | ↓ -69% |
| BCBS - Anthem | Medicare|All Plans | $222.75 | ↓ -69% |
| LA Care | Medicare|All Plans | $222.75 | ↓ -69% |
| Health Net | Medicare|Senior | $222.75 | ↓ -69% |
| Scan Health Plan | Medicare|All Plans | $222.75 | ↓ -69% |
| Blue Shield CA | Medicare|Promise | $222.75 | ↓ -69% |
| Central Health Plan | Medicare|All Plans | $222.75 | ↓ -69% |
| Blue Shield CA | Medicare|All Other Plans | $222.75 | ↓ -69% |
| Molina | Medicare|All Plans | $222.75 | ↓ -69% |
| HCLA | Medicare|Preferred IPA | $222.75 | ↓ -69% |
| GlobalCare | Commercial|All Plans | $222.75 | ↓ -69% |
| United | Medicare|All Plans | $222.75 | ↓ -69% |
| EasyChoice | Medicare|All Plans | $222.75 | ↓ -69% |
| Health Net | Medicare|All Other Plans | $222.75 | ↓ -69% |
| Health Net | Commercial|All Other Plans | $225.40 | ↓ -69% |
| Noble IPA | Medicare|All Plans | $233.89 | ↓ -68% |
| Noble IPA | Medicaid|< 21 | $236.21 | ↓ -67% |
| Noble IPA | Medicaid|> 21 | $236.21 | ↓ -67% |
| HPN | Medicare|Senior | $245.03 | ↓ -66% |
| Central California Alliance for Health | Medicaid|All Plans | $248.15 | ↓ -66% |
| Preferred IPA | Medicaid|Risk | $262.45 | ↓ -64% |
| Angeles IPA | Medicare|All Plans | $262.45 | ↓ -64% |
| HCLA | Medicaid|Preferred IPA < 21 | $262.45 | ↓ -64% |
| HCLA | Medicaid|Preferred IPA > 21 | $262.45 | ↓ -64% |
| Blue Shield CA | Commercial|Exchange | $271.57 | ↓ -62% |
| LA Care | Commercial|All Plans | $278.44 | ↓ -61% |
| HCLA | Commercial|Preferred IPA | $278.44 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $328.06 | ↓ -54% |
| Health Net | Medicaid|> 21 | $355.88 | ↓ -51% |
| Health Net | Medicaid|< 21 | $355.88 | ↓ -51% |
| Molina | Medicaid|> 21 | $367.43 | ↓ -49% |
| Molina | Medicaid|< 21 | $367.43 | ↓ -49% |
| DHR | Medicaid|> 21 | $371.25 | ↓ -48% |
| DHR | Medicaid|< 21 | $371.25 | ↓ -48% |
| United | Commercial|HMO | $425.68 | ↓ -41% |
| United | Commercial|PPO | $425.68 | ↓ -41% |
| HCLA | Medicaid|All Other Plans > 21 | $519.75 | ↓ -28% |
| HCLA | Medicaid|All Other Plans < 21 | $519.75 | ↓ -28% |
| BCBS - Anthem | Commercial|Exchange | $568.06 | ↓ -21% |
| BCBS - Anthem | Commercial|All Other Plans | $860.70 | ↑ +20% |
| HPN | Commercial|All Plans | $920.70 | ↑ +28% |
| LA Care | Medicaid|All Plans | $923.82 | ↑ +28% |
| Cigna | Commercial|PPO | $1,024.65 | ↑ +42% |
| First Health | Commercial|All Plans | $1,024.65 | ↑ +42% |
| Cigna | Commercial|All Other Plans | $1,024.65 | ↑ +42% |
| Kaiser | Commercial|All Plans | $1,039.50 | ↑ +44% |
| BCBS - Anthem | Commercial|MCS | $1,060.11 | ↑ +47% |
| Healthsmart | Commercial|All Plans | $1,143.45 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $1,173.15 | ↑ +63% |
| Care 1st | Medicaid|All Plans | $1,312.25 | ↑ +82% |
| Blue Shield CA | Medicaid|All Plans | $1,312.25 | ↑ +82% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $378.37 | $166.27 – $829.30 |
| Mark Twain Medical Center | San Andreas | $736.49 | $286.08 – $1,083.72 |
| French Hospital | San Luis Obispo | $1,061.93 | $245.84 – $2,654.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $399.94 | $99.59 – $368.74 |
| Queen of The Valley Medical Center | Napa | $656.72 | $165.16 – $554.68 |
| Providence St Joseph Hospital Eureka | Eureka | $656.72 | $197.01 – $554.68 |
| St. Joseph's Behavioral Health Center | Stockton | $471.65 | $33.20 – $265.60 |
| Healdsburg Hospital | Healdsburg | $326.40 | $230.83 – $389.05 |