Bronchoscopy/needle bx addl 31633 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$809.67
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.
$2,955.00
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.
$61.46 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 | $61.46 | ↓ -92% |
| United | Medicaid|< 21 | $83.94 | ↓ -90% |
| United | Medicaid|> 21 | $83.94 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $101.22 | ↓ -87% |
| Molina | Medicaid|All Plans | $137.18 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $138.99 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $210.73 | ↓ -74% |
| Health Net | Medicaid|All Plans | $210.73 | ↓ -74% |
| Partnership Health Plan | Medicaid|All Plans | $313.77 | ↓ -61% |
| WCMG | Commercial|All Plans | $325.05 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $1,034.25 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,211.55 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,595.70 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $2,216.25 | ↑ +174% |
| First Health | Commercial|All Plans | $2,216.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,364.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,452.65 | ↑ +203% |
| United | Commercial|Non-Options PPO | $2,955.00 | ↑ +265% |
| United | Commercial|Options PPO | $2,955.00 | ↑ +265% |
| United | Commercial|HMO | $2,955.00 | ↑ +265% |
| United | Commercial|All Other Plans | $2,955.00 | ↑ +265% |
| BrightHealth | Commercial|All Plans | $3,245.00 | ↑ +301% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +309% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +421% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +428% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +429% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +560% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +595% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +673% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +713% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +737% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +796% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +796% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +796% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +824% |
Visitor-reported prices
Comments
Bronchoscopy/needle bx addl 31633 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $930.10 | $83.94 – $2,030.67 |
| Bakersfield Memorial Hospital | Bakersfield | $920.07 | $83.94 – $2,481.93 |
| St. Joseph's Behavioral Health Center | Stockton | $1,325.30 | $232.10 – $1,856.80 |
| St. Joseph's Medical Center Stockton | Stockton | $672.97 | $73.15 – $1,922.76 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,565.34 | $99.48 – $1,971.76 |
| Mercy Medical Center Merced | Merced | $1,314.28 | $83.94 – $2,526.48 |
| Mercy Medical Center Redding | Redding | $1,003.86 | $116.31 – $1,940.40 |
| Mercy General Hospital | Sacramento | $644.19 | $61.46 – $2,364.00 |