USC Kenneth Norris Jr Cancer Hospital
1441 Eastlake Ave, Los Angeles, CA 90089 · 115 Priced Procedures
Typical commercial prices here are +179% above the fair benchmark (2.79×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
USC Kenneth Norris Jr Cancer Hospital prices routine shoppable procedures at 3.8× Medicare (median 2.47× Fair BaseRate) while upper-quartile commercial rates jump +53% to 3.78× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.76× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 9% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.79× 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.
- Commercial insurance median sits at 2.47× Fair BaseRate (3.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.78×) jump +53% above the median procedure ratio (Q50 2.47×)
- Unnegotiated chargemaster list prices average 15.2× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at USC Kenneth Norris Jr Cancer Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $71,069 | 2.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $42,797 | 2.2× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $42,498 | 2.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $38,786 | 2.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $17,176 | 2.1× |
| Total hip replacement CPT Code: 27130 | $16,823 | 1.3× |
| Total knee replacement CPT Code: 27447 | $16,823 | 1.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $15,510 | 2.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $13,392 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $13,161 | unverified |
| Bunion correction surgery CPT Code: 28296 | $12,942 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $10,256 | 2.8× |
| Breast lump removal CPT Code: 19120 | $7,970 | 2.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,060 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,953 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $3,474 | 2.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $3,115 | 3.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,651 | 2.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,217 | 4.3× |
| Blood transfusion CPT Code: 36430 | $1,801 | 3.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,768 | 5.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,768 | 5.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,768 | 4.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,783 | 3.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,695 | 3.8× |
Audit a Bill or Quote at USC Kenneth Norris Jr Cancer Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $44,040
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.8% of gross = $44,040).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask USC Kenneth Norris Jr Cancer Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($170,566) is $139,791 above the denoised Fair BaseRate ($30,775) and 7.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (25.8% 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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for USC Kenneth Norris Jr Cancer Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.