How many shoppable procedure prices are published for Los Angeles General Medical Center?

Los Angeles General Medical Center in Los Angeles, CA currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Los Angeles General Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Los Angeles General Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Los Angeles General Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Los Angeles General Medical Center 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 Government - Local 564 Beds · urban Updated: 7/7/2026

Los Angeles General Medical Center

2051 Marengo St, Room C2K100, Los Angeles, CA 90033 · 141 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

1.02×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness85

Price Logic95

Peer Alignment64

Clean Billing88

Real Cash Discount50

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.02× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Los Angeles General Medical Center prices shoppable and inpatient services (1.2× to 1.6× Medicare, divergence 1.33×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#81 of 240 in CA · 33rd State Percentile#1,366 of 3,385 in U.S. · 40th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
2-Star CMS clinical rating with 70% patient recommendation (59/100 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 1.8× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.6×) services average 1.33× higher multiples than routine shoppable care (1.2×)
Even at low-cost facilities (1.02× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 7.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.33× Divergence

1.6× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 1.05× · Q50 1.14× · 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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.6× MedicareGood

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 59/100Elevated

Procedure Prices at Los Angeles General Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 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`	—	$80,083	$30,775	2.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$59,294	$19,087	3.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$52,450	$19,432	2.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$49,137	$17,936	2.7×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,848	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,494	$3,875	1.2×
Inguinal hernia repair CPT Code: `49505`	—	$4,142	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,808	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,808	$3,446	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$3,683	$2,975	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,338	$2,680	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,677	$2,540	1.1×
Trauma team activation HCPCS Code: `G0390`	—	$1,553	$1,453	1.1×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,384	$1,256	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,194	$1,021	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,100	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,070	$981	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$813	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$644	$583	1.1×
Blood transfusion CPT Code: `36430`	—	$513	$498	1.0×
Psychological testing by technician CPT Code: `96138`	—	$468	$395	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$419	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$419	$511	0.8×
Residential mental health treatment HCPCS Code: `H2036`	—	—	$406	—
Neurobehavioral status check CPT Code: `96116`	—	$365	$231	1.6×
Behavioral health day treatment HCPCS Code: `H0010`	—	—	$343	—
Behavioral health residential care HCPCS Code: `H0011`	—	—	$364	—
Rabies immune globulin HCPCS Code: `90375`	—	$328	$322	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$284	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$284	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	—	$284	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	—	$284	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	—	$284	$369	0.8×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	—	$257	—
Behavioral health counseling (group) HCPCS Code: `H0009`	—	—	$269	—
Breathing treatment (nebulizer) CPT Code: `94640`	—	$239	$201	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$189	$166	1.1×
Family therapy session CPT Code: `90847`	—	$189	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$189	$181	1.0×
CT scan, head (with contrast) CPT Code: `70460`	—	$209	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$209	$258	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	—	$185	—
Psychological testing evaluation CPT Code: `96136`	—	$151	$128	1.2×
X-ray, pelvis CPT Code: `72170`	—	$125	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$135	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$158	$151	1.0×
Behavioral health assessment HCPCS Code: `H0001`	—	—	$157	—
Mental health services (assessment) HCPCS Code: `H0031`	—	—	$140	—
Speech therapy (language evaluation) CPT Code: `92507`	—	$112	$86	1.3×
X-ray, chest (single view) CPT Code: `71045`	—	$103	$92	1.1×
X-ray, shoulder CPT Code: `73030`	—	$103	$92	1.1×
X-ray, foot CPT Code: `73630`	—	$103	$92	1.1×
X-ray, lower back CPT Code: `72110`	—	$125	$112	1.1×
X-ray, chest (two views) CPT Code: `71046`	—	$103	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$103	$93	1.1×
X-ray, hand CPT Code: `73130`	—	$103	$93	1.1×
X-ray, hip CPT Code: `73502`	—	$103	$93	1.1×
X-ray, ankle CPT Code: `73610`	—	$103	$93	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$125	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	—	$125	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$125	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$125	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	—	$125	$160	0.8×
CT scan, pelvis CPT Code: `72192`	—	$125	$163	0.8×
CT scan, sinuses CPT Code: `70486`	—	$125	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	—	$125	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$125	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$125	$169	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$92	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$114	$110	1.0×
Group therapy session CPT Code: `90853`	—	—	$100	—
Care planning with family CPT Code: `90887`	—	—	$107	—
Review of medical records for care CPT Code: `90889`	—	—	$114	—
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Behavioral health day program HCPCS Code: `H2012`	—	—	$100	—
Residential substance abuse treatment HCPCS Code: `H2035`	—	—	$88	—
Typhoid vaccine HCPCS Code: `90675`	—	$368	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	—	$203	—
Drug screening test HCPCS Code: `G0480`	—	$155	$116	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$111	—
Orthotic fitting and training CPT Code: `97760`	—	$71	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	—	$62	$45	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$51	$38	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$70	$64	1.1×
Speech therapy (group session) CPT Code: `92508`	—	$36	$27	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$36	$27	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$53	$40	1.3×
Physical therapy (gait training) CPT Code: `97116`	—	$43	$33	1.3×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$43	$33	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	—	$49	$38	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$48	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$43	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	—	$41	$34	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$40	$35	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$54	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$54	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$54	$49	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$66	$148	0.4×
Blood test, vitamin D CPT Code: `82306`	—	$40	$31	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	—	$51	$123	0.4×
Blood antibody screen CPT Code: `86850`	—	—	$46	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	—
Mental health services (therapy) HCPCS Code: `H0032`	—	—	$65	—
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	—	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$11	$8	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	—	$12	$9	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$25	$19	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$13	$10	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$26	$20	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	—	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	—	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	—	$9	$7	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$18	$14	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$23	$18	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$14	$11	1.3×
Culture, blood CPT Code: `87040`	—	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	—	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	—	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	—	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$21	$25	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	—
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	—
Community mental health services HCPCS Code: `H0038`	—	—	$16	—
Behavioral health outpatient services HCPCS Code: `H2015`	—	—	$16	—
Behavioral health living support HCPCS Code: `H2019`	—	—	$34	—
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×

Showing top 25 high-impact procedures of 141 total

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

Audit a Bill or Quote at Los Angeles General Medical Center (Zero PHI Required)

CMS CCN: 050373

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $80,083

1. Amount on Your Bill or Quote ($) Pre-filled with Los Angeles General Medical Center’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 Los Angeles General Medical Center'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 +$161,424 Above Fair BaseRate

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

Your bill ($192,199) is $161,424 above the denoised Fair BaseRate ($30,775) and 8.2× 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 Los Angeles General Medical Center 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 Overall3/5 Stars (3/5)

Safety Composite59/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait325 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

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

CMS Price Transparency Administrative Enforcement Log

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

2026-05-05·warning_notice
Warning Notice
Recorded
2025-02-20·administrative_or_closure
Closure Notice
Recorded
2024-11-18·warning_notice
Warning Notice
Recorded
2021-01-22·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (589 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 Los Angeles General Medical Center.

Price Index: 0.53× regional baseline

Quality: 52/100 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 78/100 · Corroborated CMS CCN 050373

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050373) ↗ CMS HCRIS Cost Reports ↗

Published MRF File1157354_956000927_LosAngelesGeneralMedicalCenter_standardcharges.csv

Publication / Vintage7/7/2026 · 51.05 MB

Validated Rate Rows1,516 (CMS v3.0.0)

File Integrity Digest675caaac571d2a670e1f…

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