Bronchoscopy/lung bx addl 31632 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$630.48
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.
$2,301.00
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.
$47.49 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $47.49 | ↓ -92% |
| United | Medicaid|< 21 | $68.02 | ↓ -89% |
| United | Medicaid|> 21 | $68.02 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $82.12 | ↓ -87% |
| Molina | Medicaid|All Plans | $111.30 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $112.63 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $170.95 | ↓ -73% |
| Health Net | Medicaid|All Plans | $170.95 | ↓ -73% |
| WCMG | Commercial|All Plans | $253.11 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $254.56 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $805.35 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $943.41 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,242.54 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,725.75 | ↑ +174% |
| First Health | Commercial|All Plans | $1,725.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,840.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,909.83 | ↑ +203% |
| United | Commercial|Options PPO | $2,301.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $2,301.00 | ↑ +265% |
| United | Commercial|HMO | $2,301.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,301.00 | ↑ +265% |
| BrightHealth | Commercial|All Plans | $3,245.00 | ↑ +415% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +425% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +569% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +578% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +579% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +748% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +792% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +892% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +944% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +975% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +1050% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +1050% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +1050% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1087% |
Visitor-reported prices
Comments
Bronchoscopy/lung bx addl 31632 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $782.71 | $83.66 – $1,393.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $829.19 | $68.02 – $1,810.35 |
| Bakersfield Memorial Hospital | Bakersfield | $820.25 | $68.02 – $2,212.65 |
| St. Joseph's Behavioral Health Center | Stockton | $1,180.26 | $206.70 – $1,653.60 |
| St. Joseph's Medical Center Stockton | Stockton | $599.47 | $59.28 – $1,712.76 |
| Mercy Medical Center Merced | Merced | $1,171.11 | $68.02 – $2,251.26 |
| Northridge Hospital Medical Center | Northridge | $1,387.47 | $68.02 – $4,973.00 |
| Mercy General Hospital | Sacramento | $501.62 | $47.49 – $1,840.80 |