Bronch/asp/tracheobronch tree/subs 31646 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,791.42
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.
$6,538.00
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.
$125.61 with United vs $7,484.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $125.61 | ↓ -93% |
| United | Medicaid|> 21 | $125.61 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $140.87 | ↓ -92% |
| Molina | Medicaid|All Plans | $205.78 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $217.79 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $298.32 | ↓ -83% |
| Health Net | Medicaid|All Plans | $453.40 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $453.40 | ↓ -75% |
| BCBS - Anthem | Medicare|All Other Plans | $481.19 | ↓ -73% |
| Molina | Medicare|All Plans | $510.28 | ↓ -72% |
| Blue Shield CA | Medicare|HMO | $510.28 | ↓ -72% |
| United | Medicare|All Plans | $510.28 | ↓ -72% |
| Blue Shield CA | Medicare|PPO | $510.28 | ↓ -72% |
| Humana | Medicare|All Plans | $510.28 | ↓ -72% |
| Kaiser | Medicare|All Plans | $510.28 | ↓ -72% |
| Aetna | Medicare|All Plans | $510.28 | ↓ -72% |
| Humana | Commercial|All Plans | $510.28 | ↓ -72% |
| BCBS - Anthem | Medicare|Imperial | $525.59 | ↓ -71% |
| BrightHealth | Commercial|All Plans | $561.31 | ↓ -69% |
| BlueShield | Medicare|Trauma | $637.85 | ↓ -64% |
| Partnership Health Plan | Medicaid|All Plans | $675.14 | ↓ -62% |
| WCMG | Commercial|All Plans | $719.18 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $765.42 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $2,288.30 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,680.58 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +85% |
| Kaiser | Commercial|All Plans | $3,530.52 | ↑ +97% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +118% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +135% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +139% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +139% |
| Healthsmart | Commercial|All Plans | $4,903.50 | ↑ +174% |
| First Health | Commercial|All Plans | $4,903.50 | ↑ +174% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +189% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +189% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +189% |
| Sutter Health | Commercial|All Plans | $5,230.40 | ↑ +192% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +198% |
| MultiPlan | Commercial|All Plans | $5,426.54 | ↑ +203% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +214% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +249% |
| United | Commercial|Non-Options PPO | $6,538.00 | ↑ +265% |
| United | Commercial|All Other Plans | $6,538.00 | ↑ +265% |
| United | Commercial|HMO | $6,538.00 | ↑ +265% |
| United | Commercial|Options PPO | $6,538.00 | ↑ +265% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +268% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +278% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +295% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +318% |
Visitor-reported prices
Comments
Bronch/asp/tracheobronch tree/subs 31646 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $154.50 – $1,726.14 |
| Arroyo Grande Hospital | Santa Maria | $856.00 | $125.61 – $1,960.00 |
| French Hospital | San Luis Obispo | $760.48 | $125.61 – $1,901.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,478.81 | $125.61 – $3,188.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,462.87 | $125.61 – $3,148.94 |
| Queen of The Valley Medical Center | Napa | $5,223.42 | $555.33 – $6,200.00 |
| St. Joseph's Behavioral Health Center | Stockton | $2,772.21 | $485.50 – $3,884.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,492.05 | $125.61 – $4,263.00 |