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 |
|---|---|---|---|---|
| X-ray exam entire spi 6/> vw CPT 72084 | $1,376.43 | $2,838.00 | $65.80 – $2,242.02 | 27 |
| X-ray exam of eye sockets CPT 70200 | $556.78 | $1,148.00 | $48.91 – $906.92 | 27 |
| X-ray exam of mastoids CPT 70120 | $210.98 | $435.00 | $33.54 – $394.07 | 27 |
| X-ray exam of middle ear CPT 70134 | $323.01 | $666.00 | $59.17 – $1,748.92 | 27 |
| X-ray exam of sinuses CPT 70210 | $338.53 | $698.00 | $27.91 – $551.42 | 27 |
| X-ray exam of tear duct CPT 70170 | $246.38 | $508.00 | $55.87 – $832.86 | 27 |
| X-ray exam si joints CPT 72200 | $325.44 | $671.00 | $27.91 – $530.09 | 27 |
| X-ray facial bones complete > 3 views CPT 70150 | $634.87 | $1,309.00 | $48.12 – $1,034.11 | 27 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $562.60 | $1,160.00 | $31.32 – $916.40 | 27 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $703.74 | $1,451.00 | $39.47 – $1,146.29 | 27 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $703.74 | $1,451.00 | $45.94 – $1,146.29 | 27 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $683.85 | $1,410.00 | $56.61 – $1,113.90 | 27 |
| X-ray mandible complete > 4 views CPT 70110 | $618.38 | $1,275.00 | $43.95 – $1,007.25 | 27 |
| X-ray mandible ltd <4 views CPT 70100 | $537.87 | $1,109.00 | $32.40 – $876.11 | 27 |
| X-ray nasal bones complete > 3 views CPT 70160 | $374.91 | $773.00 | $32.00 – $610.67 | 27 |
| X-ray neck soft tissue CPT 70360 | $278.88 | $575.00 | $22.34 – $454.25 | 27 |
| X-ray optic foramina CPT 70190 | $203.22 | $419.00 | $33.54 – $331.01 | 27 |
| X-ray pelvis 1-2 views CPT 72170 | $178.00 | $367.00 | $27.91 – $394.07 | 27 |
| X-ray pelvis complete > 3 views CPT 72190 | $263.84 | $544.00 | $40.73 – $429.76 | 27 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $706.16 | $1,456.00 | $72.84 – $1,332.87 | 27 |
| X-ray ribs 3 views bilateral CPT 71110 | $45.11 | $93.00 | $23.25 – $394.07 | 27 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $59.17 | $122.00 | $30.50 – $394.07 | 27 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $383.15 | $790.00 | $38.18 – $624.10 | 27 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $319.13 | $658.00 | $32.30 – $519.82 | 27 |
| X-ray sella turcica CPT 70240 | $277.91 | $573.00 | $27.91 – $452.67 | 27 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $428.74 | $884.00 | $43.06 – $698.36 | 27 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $468.51 | $966.00 | $53.95 – $1,748.92 | 27 |
| X-ray skull < 4 views CPT 70250 | $357.45 | $737.00 | $33.54 – $582.23 | 27 |
| X-ray skull > 4 views complete CPT 70260 | $453.96 | $936.00 | $51.92 – $739.44 | 27 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $642.14 | $1,324.00 | $73.73 – $1,045.96 | 27 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $717.32 | $1,479.00 | $118.28 – $1,168.41 | 27 |
| X-ray small intestine follow-through study CPT 74248 | $279.85 | $577.00 | $67.28 – $455.83 | 20 |
| X-ray spine single view CPT 72020 | $255.60 | $527.00 | $22.34 – $416.33 | 27 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $193.52 | $399.00 | $33.54 – $315.21 | 27 |
| X-ray sternum > 2 views CPT 71120 | $226.98 | $468.00 | $33.54 – $369.72 | 27 |
| X-ray surgical specimen CPT 76098 | $882.22 | $1,819.00 | $18.69 – $1,748.92 | 27 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $355.51 | $733.00 | $67.01 – $646.54 | 27 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $374.42 | $772.00 | $49.18 – $609.88 | 27 |
| X-ray thoracic spine 2 views CPT 72070 | $412.25 | $850.00 | $36.20 – $671.50 | 27 |
| X-ray thoracic spine 3 views CPT 72072 | $463.18 | $955.00 | $39.80 – $754.45 | 27 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $407.40 | $840.00 | $31.25 – $663.60 | 27 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $880.28 | $1,815.00 | $50.68 – $1,433.85 | 27 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $294.88 | $608.00 | $144.06 – $826.55 | 27 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $339.99 | $701.00 | $127.54 – $731.75 | 27 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $431.65 | $890.00 | $49.18 – $703.10 | 27 |
| Xwrap 1 sq cm HCPCS Q4204 | $47,643.98 | $98,235.00 | $3,705.45 – $13,939.55 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $93.12 | $192.00 | $0.01 – $151.68 | 14 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $32.98 | $68.00 | $8.68 – $53.72 | 19 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,562.19 | $3,221.00 | $8.57 – $2,544.59 | 19 |
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.