Complx repair enel addl 5cm/< 13153 at Northridge Hospital Medical Center
18300 Roscoe Blvd, Northridge, CA · CommonSpirit Health · · NPI 1417089350
$287.37
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.
$1,030.00
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.
$109.37 with Gold Coast Health Plan vs $4,316.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Gold Coast Health Plan | Medicaid|All Plans | $109.37 | ↓ -62% |
| HCLA | Medicaid|Preferred IPA > 21 | $109.37 | ↓ -62% |
| Kaiser | Medicaid|< 21 | $109.37 | ↓ -62% |
| Kaiser | Medicaid|> 21 | $109.37 | ↓ -62% |
| HCLA | Medicaid|Preferred IPA < 21 | $109.37 | ↓ -62% |
| Health Net | Medicaid|< 21 | $146.56 | ↓ -49% |
| Health Net | Medicaid|> 21 | $146.56 | ↓ -49% |
| BCBS - Anthem | Medicaid|> 21 | $181.82 | ↓ -37% |
| BCBS - Anthem | Medicaid|< 21 | $181.82 | ↓ -37% |
| United | Commercial|All Other Plans | $236.90 | ↓ -18% |
| Molina | Medicaid|< 21 | $241.36 | ↓ -16% |
| Molina | Medicaid|> 21 | $241.36 | ↓ -16% |
| DHR | Medicaid|> 21 | $257.50 | ↓ -10% |
| DHR | Medicaid|< 21 | $257.50 | ↓ -10% |
| LA Care | Medicaid|All Plans | $502.01 | ↑ +75% |
| Blue Shield CA | Medicare|BlueShield Promise | $669.50 | ↑ +133% |
| MultiPlan | Commercial|All Plans | $824.00 | ↑ +187% |
| Blue Shield CA | Medicaid|All Plans | $862.00 | ↑ +200% |
| Healthsmart | Commercial|All Plans | $896.10 | ↑ +212% |
| United | Commercial|HMO | $978.50 | ↑ +241% |
| US Behavioral Health | Commercial|All Plans | $1,030.00 | ↑ +258% |
| BCBS - Anthem | Commercial|Vivity | $1,718.00 | ↑ +498% |
| Blue Shield CA | Commercial|Exchange | $2,114.00 | ↑ +636% |
| Blue Shield CA | Commercial|All Other Plans | $2,642.00 | ↑ +819% |
| BCBS - Anthem | Commercial|All Other Plans | $3,150.00 | ↑ +996% |
| BCBS - Anthem | Commercial|MCS | $4,316.00 | ↑ +1402% |
Visitor-reported prices
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Complx repair enel addl 5cm/< 13153 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $777.24 | $1,687.00 – $14,372.00 |
| Queen of The Valley Medical Center | Napa | $1,826.82 | $2,747.00 – $12,159.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,221.05 | $2,699.00 – $37,308.00 |
| Healdsburg Hospital | Healdsburg | $1,048.05 | $2,335.00 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $2,462.79 | $5,981.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $890.97 | $1,716.00 – $19,505.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,512.48 | $1,200.00 – $8,912.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $156.80 | $1,142.00 – $4,776.00 |