Bronch ebus samplng 3/> node at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,337.32
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.
$12,180.00
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.
$239.46 with Hill Physicians vs $12,770.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $239.46 | ↓ -93% |
| United | Medicaid|> 21 | $878.26 | ↓ -74% |
| United | Medicaid|< 21 | $878.26 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $966.09 | ↓ -71% |
| WCMG | Commercial|All Plans | $1,339.80 | ↓ -60% |
| Molina | Medicaid|All Plans | $1,651.13 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $1,668.69 | ↓ -50% |
| California Health & Wellness | Medicaid|All Plans | $2,011.22 | ↓ -40% |
| Health Net | Medicaid|All Plans | $2,011.22 | ↓ -40% |
| Partnership Health Plan | Medicaid|All Plans | $3,776.52 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $4,263.00 | ↑ +28% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +33% |
| BCBS - Anthem | Medicare|All Other Plans | $4,568.85 | ↑ +37% |
| United | Medicare|All Plans | $4,845.02 | ↑ +45% |
| Humana | Medicare|All Plans | $4,845.02 | ↑ +45% |
| Aetna | Medicare|All Plans | $4,845.02 | ↑ +45% |
| Molina | Medicare|All Plans | $4,845.02 | ↑ +45% |
| Humana | Commercial|All Plans | $4,845.02 | ↑ +45% |
| Kaiser | Medicare|All Plans | $4,845.02 | ↑ +45% |
| Blue Shield CA | Medicare|HMO | $4,845.02 | ↑ +45% |
| Blue Shield CA | Medicare|PPO | $4,845.02 | ↑ +45% |
| BCBS - Anthem | Medicare|Imperial | $4,990.37 | ↑ +50% |
| Kaiser | Medicaid|All Plans | $4,993.80 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $5,329.52 | ↑ +60% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +60% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +69% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +72% |
| BlueShield | Medicare|Trauma | $6,056.28 | ↑ +81% |
| Kaiser | Commercial|All Plans | $6,577.20 | ↑ +97% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +117% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +117% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +117% |
| Prison Healthcare | Medicaid|All Plans | $7,267.53 | ↑ +118% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +124% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +126% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +151% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +164% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +172% |
| First Health | Commercial|All Plans | $9,135.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $9,135.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,744.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $10,109.40 | ↑ +203% |
| United | Commercial|All Other Plans | $12,180.00 | ↑ +265% |
| United | Commercial|HMO | $12,180.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,180.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $12,180.00 | ↑ +265% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +283% |
Visitor-reported prices
Comments
Bronch ebus samplng 3/> node at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $4,265.88 | $878.26 – $9,767.66 |
| French Hospital | San Luis Obispo | $3,907.07 | $878.26 – $9,767.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,477.97 | $878.26 – $9,656.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,429.69 | $878.26 – $9,535.30 |
| St. Joseph's Behavioral Health Center | Stockton | $7,517.79 | $1,316.60 – $10,532.80 |
| St. Joseph's Medical Center Stockton | Stockton | $3,398.64 | $878.26 – $9,710.40 |
| Mercy Medical Center Merced | Merced | $6,251.59 | $878.26 – $12,017.61 |
| Providence Saint Joseph Medical Center | Burbank | $5,125.05 | $1,528.00 – $10,302.00 |