Bx breast perq without image 19100 at Northridge Hospital Medical Center
18300 Roscoe Blvd, Northridge, CA · CommonSpirit Health · · NPI 1417089350
not published by hospital
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.
not published by hospital
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.
$87.15 with Kaiser vs $5,798.00 with Health Net — 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $87.15 | — |
| Kaiser | Medicaid|> 21 | $87.15 | — |
| HCLA | Medicaid|Preferred IPA < 21 | $87.15 | — |
| Gold Coast Health Plan | Medicaid|All Plans | $87.15 | — |
| HCLA | Medicaid|Preferred IPA > 21 | $87.15 | — |
| Health Net | Medicaid|< 21 | $116.78 | — |
| Health Net | Medicaid|> 21 | $116.78 | — |
| BCBS - Anthem | Medicaid|< 21 | $144.89 | — |
| BCBS - Anthem | Medicaid|> 21 | $144.89 | — |
| Molina | Medicaid|> 21 | $192.35 | — |
| Molina | Medicaid|< 21 | $192.35 | — |
| LA Care | Medicaid|All Plans | $400.02 | — |
| Blue Shield CA | Medicaid|All Plans | $686.95 | — |
| BCBS - Anthem | Commercial|Vivity | $1,718.00 | — |
| United | Medicare|All Plans | $2,058.68 | — |
| Humana | Medicare|All Plans | $2,058.68 | — |
| Aetna | Medicare|All Plans | $2,058.68 | — |
| First Health | Commercial|All Plans | $2,058.68 | — |
| Molina | Medicare|All Plans | $2,058.68 | — |
| Humana | Commercial|All Plans | $2,058.68 | — |
| Health Net | Medicare|All Plans | $2,058.68 | — |
| Kaiser | Medicare|All Plans | $2,058.68 | — |
| Central Health Plan | Commercial|All Plans | $2,058.68 | — |
| Central Health Plan | Medicare|All Plans | $2,058.68 | — |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | — |
| Blue Shield CA | Medicare|All Other Plans | $2,058.68 | — |
| Scan Health Plan | Medicare|All Plans | $2,058.68 | — |
| LA Care | Medicare|All Plans | $2,058.68 | — |
| HCLA | Medicare|Preferred IPA | $2,058.68 | — |
| MHN | Commercial|All Plans | $2,058.68 | — |
| Blue Shield CA | Commercial|Exchange | $2,114.00 | — |
| LA Care | Commercial|All Plans | $2,573.35 | — |
| Blue Shield CA | Commercial|All Other Plans | $2,642.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $3,150.00 | — |
| BCBS - Anthem | Commercial|MCS | $4,316.00 | — |
| Health Net | Commercial|EPPO | $4,319.00 | — |
| Health Net | Commercial|Care Product | $5,156.00 | — |
| Health Net | Commercial|All Other Plans | $5,798.00 | — |
| US Behavioral Health | Commercial|All Plans | not published by hospital | — |
| DHR | Medicaid|< 21 | not published by hospital | — |
| DHR | Medicaid|> 21 | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast perq without image 19100 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $107.19 – $3,763.88 |
| Mark Twain Medical Center | San Andreas | $1,661.67 | $49.68 – $188.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $963.86 | $87.15 – $2,078.40 |
| Bakersfield Memorial Hospital | Bakersfield | $953.47 | $87.15 – $2,058.68 |
| St. Joseph's Medical Center Stockton | Stockton | $325.46 | $0.80 – $1,107.00 |
| Mercy Medical Center Merced | Merced | $1,360.12 | $87.15 – $1,137.00 |
| California Hospital Medical Center | Los Angeles | $991.83 | $87.15 – $2,278.13 |
| Providence Saint John's Health Center | Santa Monica | $1,288.70 | $789.04 – $5,977.00 |