California Hospital Medical Center
1401 S Grand Ave, Los Angeles, CA · CommonSpirit Health · · NPI 1114081056
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $208.01 – $4,500.46 | 20 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $339.50 – $6,987.29 | 20 |
| Hysteroscopy remove fb CPT 58562 | $5,878.20 | $12,120.00 | $235.48 – $9,574.80 | 24 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $491.25 – $6,987.29 | 20 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $354.54 – $6,987.29 | 20 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $915.78 – $6,987.29 | 20 |
| I-123 iobenguane diag HCPCS A9582 | $4,760.28 | $9,815.00 | $2,453.75 – $7,753.85 | 23 |
| I-123 ioflupane diag HCPCS A9584 | $6,581.45 | $13,570.00 | $1,763.62 – $10,720.30 | 23 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $108.16 | $223.00 | $41.68 – $446.65 | 20 |
| I131 iodide cap, rx HCPCS A9517 | $461.72 | $952.00 | $29.39 – $761.40 | 26 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $15.77 | $32.50 | $7.80 – $223.70 | 26 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,442.39 | $2,974.00 | $222.91 – $2,349.46 | 22 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $63,411.33 | $130,745.00 | $8,142.75 – $30,632.25 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $69,752.70 | $143,820.00 | $10,586.10 – $39,823.90 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $26,893.25 | $55,450.00 | $4,817.40 – $18,122.60 | 16 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $11,125.90 | $22,940.00 | $2,191.35 – $8,243.65 | 17 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $747.07 – $4,150.40 | 13 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $4,590.40 | 20 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $141.41 – $2,293.37 | 20 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $4,592.58 | 20 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $3,881.72 | 20 |
| I&d lacrimal gland CPT 68400 | not published | not published | $209.34 – $1,650.00 | 20 |
| I&d lacrimal sac CPT 68420 | not published | not published | $229.42 – $3,302.19 | 20 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $4,051.09 | 20 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,148.11 – $4,051.09 | 14 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $1,148.11 – $4,051.09 | 14 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $181.88 | $375.00 | $54.56 – $303.10 | 21 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $229.41 | $473.00 | $69.44 – $385.80 | 26 |
| Ikbkap gene CPT 81260 | $135.51 | $279.40 | $28.30 – $220.73 | 26 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $5,529.05 | 13 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $18,021.50 | 13 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,230.45 | $2,537.00 | $75.02 – $2,004.23 | 9 |
| Iliac revasc add-on 37222 CPT 37222 | $6,472.81 | $13,346.00 | $144.41 – $10,543.34 | 19 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $991.16 – $7,812.05 | 13 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $123.68 | $255.00 | $40.95 – $637.25 | 21 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $41.23 | $85.00 | $9.45 – $503.75 | 21 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $9,230.80 | 20 |
| Immune complex assay CPT 86332 | $7.85 | $16.17 | $3.89 – $155.35 | 26 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $105.73 | $218.00 | $2.64 – $92.50 | 26 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $111.07 | $229.00 | $1.68 – $92.50 | 26 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $2.74 | $5.63 | $1.36 – $42.30 | 26 |
| Immunofixation electrophoresis serum CPT 86334 | $4.05 | $8.34 | $2.01 – $142.45 | 26 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $51.74 | $106.68 | $26.67 – $323.30 | 21 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $51.74 | $106.68 | $26.67 – $402.00 | 26 |
| Immunoglobulin assay CPT 86023 | $12.29 | $25.33 | $3.26 – $79.40 | 26 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,611.91 – $12,704.60 | 13 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $8,498.95 | 13 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $10,502.45 | 13 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,137.69 – $8,967.00 | 13 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $63,411.33 | $130,745.00 | $1,685.25 – $6,339.75 | 17 |
| Implant cochlear device CPT 69930 | not published | not published | $1,293.62 – $45,022.34 | 20 |
| Implant eye drug system CPT 67027 | not published | not published | $675.01 – $21,748.13 | 20 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $88.44 – $697.05 | 20 |
| Implant nerve end CPT 64787 | not published | not published | $264.45 – $2,084.35 | 13 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $300.43 – $1,669.05 | 13 |
| Implant neuroelectrode CPT 61867 | not published | not published | $906.37 – $5,035.40 | 13 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $891.19 – $30,353.43 | 20 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $161.41 – $17,651.09 | 20 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $5,410.86 – $9,289.45 | 14 |
| Implant neuroelectrodes CPT 64561 | $9,743.65 | $20,090.00 | $607.82 – $15,871.10 | 24 |
| Implant neurostim arrays CPT 61886 | not published | not published | $434.49 – $43,133.80 | 20 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,192.80 – $9,401.35 | 13 |
| Implant spinal canal cath CPT 62351 | not published | not published | $442.60 – $10,111.58 | 20 |
| Implant spine infusion pump CPT 62361 | not published | not published | $229.85 – $25,016.81 | 20 |
| Implant spine infusion pump CPT 62362 | not published | not published | $300.76 – $25,016.81 | 20 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,004.54 – $5,580.80 | 13 |
| Implant ureter in bowel CPT 50800 | not published | not published | $939.89 – $7,407.95 | 13 |
| Implant ureth bulk agent HCPCS L8606 | $1,045.18 | $2,155.00 | $131.48 – $1,702.45 | 21 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $500.71 – $9,289.45 | 20 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $156.14 – $867.45 | 13 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $299.48 – $9,064.63 | 20 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $453.39 – $18,212.32 | 19 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $38.87 – $215.95 | 13 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,751.74 – $9,731.90 | 20 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $860.09 – $4,590.40 | 14 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $942.18 – $4,590.40 | 14 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,218.23 – $4,590.40 | 14 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $807.17 – $4,590.40 | 14 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $873.42 – $8,373.32 | 14 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $860.09 – $8,373.32 | 14 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $118.80 – $328.70 | 14 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,143.87 – $8,373.32 | 14 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $824.66 – $4,590.40 | 14 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $813.00 – $4,590.40 | 14 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $911.76 – $4,590.40 | 14 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $471.29 – $2,096.68 | 14 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,956.56 | $6,096.00 | $1,310.48 – $4,815.84 | 23 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,295.44 | $2,671.00 | $209.96 – $2,110.09 | 26 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,441.49 | $5,034.00 | $702.78 – $3,976.86 | 26 |
| In-111 pentetreotide HCPCS A9572 | $1,498.17 | $3,089.00 | $772.25 – $3,089.00 | 23 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $501.13 – $3,949.75 | 13 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $415.69 – $10,111.58 | 20 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $622.04 – $4,902.70 | 20 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,202.62 – $9,478.80 | 13 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,114.20 – $8,781.85 | 13 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,186.40 – $9,350.85 | 13 |
| Incis addl spine segment CPT 22216 | not published | not published | $352.04 – $2,774.65 | 13 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $860.42 – $6,781.65 | 13 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $241.81 – $2,764.05 | 20 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $79.17 – $1,370.93 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.