How many shoppable procedure prices are published for California Hospital Medical Center La?

California Hospital Medical Center La in Los Angeles, CA currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do California Hospital Medical Center La's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, California Hospital Medical Center La's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is California Hospital Medical Center La's CMS Care Compare overall star rating?

CMS Care Compare assigns California Hospital Medical Center La an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 318 Beds · rural Updated: 2026-02-28

California Hospital Medical Center La

1401 South Grand Avenue, Los Angeles, CA 90015 · 90 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness66

Price Logic81

Peer Alignment70

Clean Billing89

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

California Hospital Medical Center La maintains elevated commercial insurance contracts (1.41× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 54% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#185 of 240 in CA · 76th State Percentile#2,461 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.18× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 63% patient recommendation (54/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (13.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 1.27× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.48×) jump +17% above the median procedure ratio (Q50 1.27×)
Unnegotiated chargemaster list prices average 19.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail

Q25 1.18× · Q50 1.27× · Q75 1.48×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 54/100Elevated

Procedure Prices at California Hospital Medical Center La

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$36,736	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,453	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,615	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,782	$17,936	1.3×
Total hip replacement CPT Code: `27130`	—	$16,349	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$15,955	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,536	$8,223	1.4×
Trauma team activation HCPCS Code: `G0390`	$9,549	$9,549	$1,453	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,413	$6,109	1.2×
Inguinal hernia repair CPT Code: `49505`	—	$4,484	$3,629	1.2×
Breast lump removal CPT Code: `19120`	$2,752	$4,370	$3,875	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,123	$3,372	1.2×
Bunion correction surgery CPT Code: `28296`	—	$4,123	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,898	$2,540	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,748	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,749	$2,975	0.9×
Rabies immune globulin HCPCS Code: `90375`	$2,265	$2,265	$322	7.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,498	$1,256	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,191	$987	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,158	$981	1.2×
Blood transfusion CPT Code: `36430`	$875	$694	$498	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,115	$697	$583	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,219	$615	$511	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,724	$454	$448	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,797	$384	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$3,125	$384	$343	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,714	$337	$258	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$3,102	$287	$242	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,330	$307	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,155	$307	$303	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$215	$294	$148	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$363	$241	$151	1.6×
CT scan, sinuses CPT Code: `70486`	$2,248	$245	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,167	$248	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,585	$245	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,264	$245	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,358	$248	$163	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$199	$262	$123	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$913	$232	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$148	$181	$110	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$2,264	$203	$160	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,299	$167	$134	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$120	$190	$201	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$85	$138	$86	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$107	$130	$87	1.5×
X-ray, pelvis CPT Code: `72170`	$178	$135	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$345	$112	$92	1.2×
X-ray, lower back CPT Code: `72110`	$684	$135	$112	1.2×
Ultrasound, pelvis CPT Code: `76856`	$1,153	$146	$130	1.1×
X-ray, chest (two views) CPT Code: `71046`	$448	$112	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$452	$112	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$999	$135	$126	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$970	$135	$132	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,209	$473	$347	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$250	$180	$111	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$62	$79	$35	2.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$142	$103	$56	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$85	$62	$39	1.6×
Blood antibody screen CPT Code: `86850`	$52	$68	$46	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$291	$75	$64	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$18	$10	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$26	$28	$16	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$37	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$162	$12	$7	1.7×
Drug screening test HCPCS Code: `G0480`	$32	$32	$116	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$144	$5	$3	1.7×
Blood test, hemoglobin CPT Code: `85018`	$32	$5	$3	1.7×
Culture, bacterial CPT Code: `87070`	$211	$15	$9	1.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$41	$8	$5	1.6×
Blood test, amylase CPT Code: `82150`	$143	$11	$7	1.6×
Blood test, calcium CPT Code: `82310`	$107	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$52	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$94	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$133	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$178	$25	$18	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$132	$11	$8	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$441	$15	$11	1.4×
Culture, blood CPT Code: `87040`	$298	$15	$11	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$178	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$380	$12	$9	1.3×
Blood test, magnesium CPT Code: `83735`	$58	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$81	$5	$4	1.3×
Blood test, liver function panel CPT Code: `80076`	$213	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$261	$17	$14	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$3	$7	$6	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$242	$23	$20	1.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$3	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$63	$24	$25	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$69	$18	$19	0.9×
Blood test, vitamin D CPT Code: `82306`	$10	$20	$31	0.6×

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 13.1%

Audit a Bill or Quote at California Hospital Medical Center La (Zero PHI Required)

CMS CCN: 050149

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $36,736

1. Amount on Your Bill or Quote ($) Pre-filled with California Hospital Medical Center La’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $11,541 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $11,541

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (13.1% of gross = $11,541).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask California Hospital Medical Center La's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$57,391 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($88,166) is $57,391 above the denoised Fair BaseRate ($30,775) and 3.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (13.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait254 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (567 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for California Hospital Medical Center La.

Price Index: 1.65× regional baseline

Quality: 46/100 CMS composite

Median Household Income$87,760U.S. Census ACS

Local Uninsured Share8.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 050149

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050149) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows5,216 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050149

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy