Skin Biopsy at Northridge Hospital Medical Center
18300 Roscoe Blvd, Northridge, CA · CommonSpirit Health · · NPI 1417089350
$380.84
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.
$1,365.00
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.
$71.48 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 | $71.48 | ↓ -81% |
| Kaiser | Medicaid|< 21 | $71.48 | ↓ -81% |
| HCLA | Medicaid|Preferred IPA > 21 | $71.48 | ↓ -81% |
| Kaiser | Medicaid|> 21 | $71.48 | ↓ -81% |
| HCLA | Medicaid|Preferred IPA < 21 | $71.48 | ↓ -81% |
| Health Net | Medicaid|> 21 | $95.85 | ↓ -75% |
| Health Net | Medicaid|< 21 | $95.85 | ↓ -75% |
| Molina | Medicaid|< 21 | $100.07 | ↓ -74% |
| Molina | Medicaid|> 21 | $100.07 | ↓ -74% |
| BCBS - Anthem | Medicaid|> 21 | $118.84 | ↓ -69% |
| BCBS - Anthem | Medicaid|< 21 | $118.84 | ↓ -69% |
| Humana | Commercial|All Plans | $252.47 | ↓ -34% |
| Humana | Medicare|All Plans | $252.47 | ↓ -34% |
| Aetna | Medicare|All Plans | $252.47 | ↓ -34% |
| First Health | Commercial|All Plans | $252.47 | ↓ -34% |
| Molina | Medicare|All Plans | $252.47 | ↓ -34% |
| United | Medicare|All Plans | $252.47 | ↓ -34% |
| Health Net | Medicare|All Plans | $252.47 | ↓ -34% |
| Kaiser | Medicare|All Plans | $252.47 | ↓ -34% |
| Central Health Plan | Commercial|All Plans | $252.47 | ↓ -34% |
| Central Health Plan | Medicare|All Plans | $252.47 | ↓ -34% |
| BCBS - Anthem | Medicare|All Plans | $252.47 | ↓ -34% |
| Blue Shield CA | Medicare|All Other Plans | $252.47 | ↓ -34% |
| Scan Health Plan | Medicare|All Plans | $252.47 | ↓ -34% |
| LA Care | Medicare|All Plans | $252.47 | ↓ -34% |
| HCLA | Medicare|Preferred IPA | $252.47 | ↓ -34% |
| MHN | Commercial|All Plans | $252.47 | ↓ -34% |
| United | Commercial|All Other Plans | $313.95 | ↓ -18% |
| LA Care | Commercial|All Plans | $315.59 | ↓ -17% |
| LA Care | Medicaid|All Plans | $328.09 | ↓ -14% |
| DHR | Medicaid|> 21 | $341.25 | ↓ -10% |
| DHR | Medicaid|< 21 | $341.25 | ↓ -10% |
| Blue Shield CA | Medicaid|All Plans | $357.40 | ↓ -6% |
| Healthcare Partners | Medicare|All Plans | $668.85 | ↑ +76% |
| Healthcare Partners | Commercial|All Plans | $737.10 | ↑ +94% |
| Blue Shield CA | Medicare|BlueShield Promise | $887.25 | ↑ +133% |
| Kaiser | Commercial|All Plans | $928.20 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $1,092.00 | ↑ +187% |
| Healthsmart | Commercial|All Plans | $1,187.55 | ↑ +212% |
| United | Commercial|HMO | $1,296.75 | ↑ +240% |
| US Behavioral Health | Commercial|All Plans | $1,365.00 | ↑ +258% |
| BCBS - Anthem | Commercial|Vivity | $1,718.00 | ↑ +351% |
| Health Net | Commercial|EPPO | $2,525.00 | ↑ +563% |
| Blue Shield CA | Commercial|Exchange | $2,829.00 | ↑ +643% |
| Health Net | Commercial|Care Product | $3,013.00 | ↑ +691% |
| BCBS - Anthem | Commercial|All Other Plans | $3,150.00 | ↑ +727% |
| Health Net | Commercial|All Other Plans | $3,391.00 | ↑ +790% |
| Blue Shield CA | Commercial|All Other Plans | $3,536.00 | ↑ +828% |
| BCBS - Anthem | Commercial|MCS | $4,316.00 | ↑ +1033% |
Visitor-reported prices
Comments
Skin Biopsy at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,126.73 | $108.14 – $596.00 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $1,110.24 | $71.48 – $2,542.12 |
| Mark Twain Medical Center | San Andreas | $74.60 | $27.69 – $104.86 |
| French Hospital | San Luis Obispo | $1,016.85 | $71.48 – $2,173.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $155.08 | $71.48 – $334.40 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $71.48 – $330.22 |
| Queen of The Valley Medical Center | Napa | $406.98 | $577.20 – $7,483.00 |