How many shoppable procedure prices are published for East Los Angeles Doctors Hospital?

East Los Angeles Doctors Hospital in Los Angeles, CA currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do East Los Angeles Doctors Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, East Los Angeles Doctors Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is East Los Angeles Doctors Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns East Los Angeles Doctors Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 102 Beds · urban Updated: 2026-02-04

East Los Angeles Doctors Hospital

4060 Whittier Blvd, Los Angeles, CA 90023 · 127 Priced Procedures · 42% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 12% of the Time

File Completeness56

Price Logic78

Peer Alignment73

Clean Billing89

Real Cash Discount12

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

East Los Angeles Doctors Hospital prices shoppable and inpatient services (1.3× to 1.2× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.11× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#125 of 240 in CA · 51st State Percentile#1,702 of 3,385 in U.S. · 50th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.01× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 12% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 42% patient recommendation (46/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 1.13× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.30×) jump +15% above the median procedure ratio (Q50 1.13×)
Unnegotiated chargemaster list prices average 12.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+15% Upper Tail

Q25 1.01× · Q50 1.13× · Q75 1.30×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

0.7× MedicareGood

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

12% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 46/100Watchout

Procedure Prices at East Los Angeles Doctors Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 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`	—	$37,158	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,066	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,174	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,285	$17,936	1.2×
Total hip replacement CPT Code: `27130`	—	$18,088	$13,413	1.3×
Total knee replacement CPT Code: `27447`	—	$18,088	$13,523	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,299	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,930	$6,109	1.3×
Breast lump removal CPT Code: `19120`	—	$5,239	$3,875	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$4,755	$3,629	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,449	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	—	$4,449	$3,446	1.3×
C-section delivery (full package) CPT Code: `59510`	—	$3,639	$2,975	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,534	$2,680	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,203	$2,540	1.3×
Trauma team activation HCPCS Code: `G0390`	$3,548	$1,882	$1,453	1.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,622	$1,256	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,437	$1,021	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,278	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,273	$987	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$986	$855	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,701	$758	$583	1.3×
Blood transfusion CPT Code: `36430`	$2,457	$667	$498	1.3×
Psychological testing by technician CPT Code: `96138`	—	$548	$395	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$7,367	$529	$448	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,164	$529	$511	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$431	$231	unverified
MRI, knee or other leg joint CPT Code: `73721`	$8,197	$377	$369	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,850	$337	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,247	$337	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$3,371	$337	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$7,585	$337	$343	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$333	$333	$86	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$339	$293	$201	1.5×
Rabies immune globulin HCPCS Code: `90375`	$1,135	$316	$322	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$4,852	$253	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,660	$253	$258	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$219	$166	1.3×
Family therapy session CPT Code: `90847`	—	$219	$173	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$219	$181	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$474	$219	$185	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$176	$128	1.4×
X-ray, lower back CPT Code: `72110`	$1,343	$151	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,032	$151	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$1,206	$151	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,972	$151	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,483	$151	$134	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$711	$154	$151	1.0×
Group therapy session CPT Code: `90853`	—	$123	$100	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$147	$148	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$4,675	$151	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$2,756	$151	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$4,128	$151	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$4,435	$151	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,973	$151	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,710	$151	$169	0.9×
X-ray, pelvis CPT Code: `72170`	$525	$151	$110	unverified
X-ray, shoulder CPT Code: `73030`	$916	$125	$92	1.4×
X-ray, foot CPT Code: `73630`	$643	$125	$92	1.4×
X-ray, chest (two views) CPT Code: `71046`	$592	$125	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$720	$125	$93	1.3×
X-ray, hand CPT Code: `73130`	$855	$125	$93	1.3×
X-ray, hip CPT Code: `73502`	$544	$125	$93	1.3×
X-ray, ankle CPT Code: `73610`	$824	$125	$93	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	—	$121	$123	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$464	$118	$123	1.0×
X-ray, chest (single view) CPT Code: `71045`	$395	$125	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$461	$84	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$307	$92	$86	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$388	$84	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$374	$103	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,047	$385	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$2,878	$182	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$184	$123	$116	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$97	$111	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$109	$109	$140	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$188	$69	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$188	$65	$49	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$188	$65	$49	1.3×
Orthotic fitting and training CPT Code: `97760`	$249	$60	$51	1.2×
Blood antibody screen CPT Code: `86850`	$107	$73	$46	unverified
Behavioral health outpatient services HCPCS Code: `H2015`	—	$21	$16	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$29	$25	1.2×
Prosthetic fitting and training CPT Code: `97761`	$212	$52	$45	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$286	$45	$40	1.1×
Speech therapy (group session) CPT Code: `92508`	—	$30	$27	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$236	$42	$38	1.1×
Physical therapy (gait training) CPT Code: `97116`	$283	$36	$33	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$247	$41	$38	1.1×
Blood test, calcium CPT Code: `82310`	$55	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$77	$6	$5	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$132	$29	$27	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$220	$40	$38	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$230	$21	$20	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$267	$36	$35	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$402	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$570	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$531	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$321	$9	$9	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$150	$33	$34	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$34	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$109	$32	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$128	$44	$56	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$94	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$12	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$58	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$11	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$139	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$74	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$52	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$80	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$12	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$16	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$15	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$12	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$235	$14	$14	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$412	$24	$25	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$13	$13	$16	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$25	$35	0.7×
Hepatitis C antibody test CPT Code: `86803`	$10	$10	$15	0.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$5	$5	$8	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$11	$11	$19	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$8	$8	$14	0.6×
Blood test, vitamin D CPT Code: `82306`	$12	$12	$31	0.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$5	$5	$18	0.3×

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at East Los Angeles Doctors Hospital (Zero PHI Required)

CMS CCN: 050641

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $37,158

1. Amount on Your Bill or Quote ($) Pre-filled with East Los Angeles Doctors Hospital’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask East Los Angeles Doctors Hospital'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 +$58,404 Above Fair BaseRate

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

Your bill ($89,179) is $58,404 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify East Los Angeles Doctors Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall1/5 Stars (1/5)

Safety Composite46/100

Would Recommend42%

Rated 9 or 10 (HCAHPS)43%

Median ER Wait179 min

Left ER Before Seen6%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at East Los Angeles Doctors Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-12·administrative_or_closure
Closure Notice
Recorded
2025-09-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (146 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for East Los Angeles Doctors Hospital.

Price Index: 0.96× regional baseline

Quality: 23/100 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 63/100 · Caution CMS CCN 050641

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 050641) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-04

Validated Rate Rows4,370 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050641

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