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 |
|---|---|---|---|---|
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $416.88 – $416.88 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $476.80 – $4,455.12 | 14 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $484.05 – $4,455.12 | 20 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $886.91 – $6,990.40 | 13 |
| Ligation of femoral vein CPT 37650 | not published | not published | $598.11 – $4,714.15 | 20 |
| Ligation of inf vena cava CPT 37619 | $5,266.62 | $10,859.00 | $1,194.86 – $8,578.61 | 25 |
| Ligation of neck artery CPT 37606 | not published | not published | $427.22 – $4,455.12 | 20 |
| Ligation of salivary duct CPT 42665 | not published | not published | $223.01 – $4,590.40 | 20 |
| Ligation of shunt CPT 49428 | not published | not published | $122.61 – $966.45 | 13 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $739.52 – $5,828.70 | 20 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $216.17 – $4,455.12 | 20 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $312.72 – $4,455.12 | 20 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $513.09 – $4,455.12 | 20 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $239.67 – $1,889.05 | 13 |
| Limited autopsy CPT 88036 | $75.66 | $156.00 | $39.00 – $210.07 | 10 |
| Limited autopsy CPT 88037 | $114.46 | $236.00 | $59.00 – $236.00 | 10 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $153.75 | $317.00 | $3.12 – $250.43 | 19 |
| Lipase CPT 83690 | $161.51 | $333.00 | $6.89 – $247.27 | 26 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $448.59 – $4,590.40 | 20 |
| Lipoprotein direct measurement hdl CPT 83718 | $92.64 | $191.00 | $8.19 – $150.89 | 26 |
| Lipoprotein direct measurement ldl CPT 83721 | $15.52 | $32.00 | $7.68 – $58.95 | 26 |
| Lip surgery procedure CPT 40799 | not published | not published | $295.06 – $328.70 | 14 |
| Lithium therapeutic drug level CPT 80178 | $84.88 | $175.00 | $6.61 – $138.25 | 26 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,504.76 | $25,783.00 | $6,445.75 – $20,368.57 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $4,986.90 | 13 |
| Liver Function Test CPT 80076 | $219.71 | $453.00 | $8.17 – $335.75 | 26 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $4,751.15 | 13 |
| Liver/spleen imag static only CPT 78215 | $1,157.70 | $2,387.00 | $111.69 – $1,885.73 | 27 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,283.31 | $2,646.00 | $146.91 – $2,090.34 | 27 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $4,592.58 | 20 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $45.35 | $93.50 | $1.34 – $26.86 | 20 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $319.13 | $658.00 | $0.78 – $30.15 | 19 |
| Low back disk surgery CPT 63030 | not published | not published | $1,153.50 – $10,111.58 | 20 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,027.03 | $10,365.00 | $226.19 – $8,188.35 | 27 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,460.55 | $9,197.00 | $210.53 – $7,265.63 | 27 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,264.47 | $4,669.00 | $135.12 – $3,688.51 | 27 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,672.01 | $9,633.00 | $403.15 – $7,610.07 | 27 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,056.54 | $8,364.00 | $342.79 – $6,607.56 | 27 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,797.48 | $5,768.00 | $240.12 – $4,556.72 | 27 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $499.07 | $1,029.00 | $39.11 – $812.91 | 27 |
| Lower jaw bone graft CPT 21215 | not published | not published | $854.44 – $8,373.32 | 20 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $639.81 – $14,736.55 | 20 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $720.07 – $14,736.55 | 20 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $628.87 – $14,736.55 | 20 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $779.36 – $14,736.55 | 20 |
| Lumbar diskogram s&i CPT 72295 | $1,851.25 | $3,817.00 | $112.93 – $6,355.58 | 27 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,539.44 – $26,030.17 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $178.48 | $368.00 | $28.23 – $290.72 | 24 |
| Lung perfusion imaging CPT 78580 | $1,101.44 | $2,271.00 | $145.23 – $1,794.09 | 27 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $24,149.90 | 13 |
| Lung transplant single CPT 32851 | not published | not published | $2,624.34 – $2,624.34 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $21,004.90 | 13 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $25,510.30 | 13 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $909.38 – $5,052.10 | 13 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $97.70 | 20 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $704.16 – $704.16 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $849.72 | $1,752.00 | $244.70 – $1,771.23 | 27 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $720.82 | 20 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $97.47 – $4,500.46 | 20 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $169.54 – $2,899.57 | 20 |
| Macroscopic exam arthropod CPT 87168 | $63.54 | $131.00 | $3.42 – $103.49 | 26 |
| Magnesium CPT 83735 | $119.80 | $247.00 | $2.19 – $42.75 | 26 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $32.01 | $66.00 | $0.37 – $24.75 | 19 |
| Male sling procedure CPT 53440 | not published | not published | $854.44 – $18,390.11 | 20 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $13,229.95 | 13 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $206.41 – $2,265.30 | 20 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $268.39 – $2,265.30 | 20 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $89.24 | $184.00 | $18.76 – $2,113.00 | 26 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $124.65 | $257.00 | $31.91 – $2,113.00 | 26 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $2,265.30 | 20 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $2,265.30 | 20 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.25 – $401.40 | 20 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $12.61 | $26.00 | $2.03 – $20.54 | 19 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $100.19 – $556.60 | 13 |
| Map tachycard site(s) CPT 93609 | $6,390.36 | $13,176.00 | $337.32 – $10,409.04 | 19 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,992.45 | $6,170.00 | $31.50 – $118.50 | 17 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $4,882.55 | 13 |
| Mastectomy partial CPT 19301 | not published | not published | $300.22 – $5,420.15 | 20 |
| Mast mod rad CPT 19307 | not published | not published | $827.29 – $9,230.80 | 20 |
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $8,373.32 | 20 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $8,373.32 | 20 |
| Mastoids complete CPT 70130 | $418.56 | $863.00 | $59.17 – $681.77 | 27 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $8,373.32 | 20 |
| Mastopexy CPT 19316 | not published | not published | $426.88 – $9,230.80 | 20 |
| Mast radical CPT 19305 | not published | not published | $783.40 – $4,352.20 | 13 |
| Mast rad urban type CPT 19306 | not published | not published | $818.58 – $4,547.65 | 13 |
| Mast simple complete CPT 19303 | not published | not published | $686.56 – $9,230.80 | 20 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $11,125.90 | $22,940.00 | $16.70 – $2,883.50 | 21 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $8,373.32 | 20 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $7.76 | $15.98 | $3.84 – $92.25 | 26 |
| Mayo aathr protein s free CPT 85306 | $14.55 | $30.00 | $7.20 – $97.70 | 26 |
| Mayo activated protein c resistance assay CPT 85307 | $10.19 | $21.00 | $5.04 – $68.10 | 26 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $7.60 | $15.66 | $1.20 – $94.25 | 26 |
| Mayo alpha 1 antitrypsin CPT 82103 | $4.37 | $9.00 | $2.16 – $85.65 | 26 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $22.80 | $47.00 | $11.04 – $96.10 | 26 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $33.95 | $70.00 | $17.50 – $331.50 | 26 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $388.00 | $800.00 | $96.04 – $2,301.21 | 22 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $2.43 | $5.00 | $1.20 – $93.10 | 26 |
| Mayo antithrombin iii antigen CPT 85301 | $9.05 | $18.64 | $3.80 – $68.90 | 26 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $4.71 | $9.71 | $1.30 – $95.95 | 26 |
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.