Bronchoscopy/needle bx each 31629 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,199.03
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.
$4,376.00
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.
$183.55 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 | $183.55 | ↓ -85% |
| United | Medicaid|> 21 | $213.61 | ↓ -82% |
| United | Medicaid|< 21 | $213.61 | ↓ -82% |
| Molina | Medicaid|All Plans | $349.96 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $370.40 | ↓ -69% |
| WCMG | Commercial|All Plans | $481.36 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $507.32 | ↓ -58% |
| California Health & Wellness | Medicaid|All Plans | $771.11 | ↓ -36% |
| Health Net | Medicaid|All Plans | $771.11 | ↓ -36% |
| Partnership Health Plan | Medicaid|All Plans | $1,148.16 | ↓ -4% |
| Western Health Advantage | Commercial|All Plans | $1,531.60 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,794.16 | ↑ +50% |
| Kaiser | Commercial|All Plans | $2,363.04 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $3,282.00 | ↑ +174% |
| First Health | Commercial|All Plans | $3,282.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,500.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,632.08 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $4,126.57 | ↑ +244% |
| United | Medicare|All Plans | $4,376.00 | ↑ +265% |
| Humana | Medicare|All Plans | $4,376.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $4,376.00 | ↑ +265% |
| Molina | Medicare|All Plans | $4,376.00 | ↑ +265% |
| United | Commercial|All Other Plans | $4,376.00 | ↑ +265% |
| Humana | Commercial|All Plans | $4,376.00 | ↑ +265% |
| United | Commercial|HMO | $4,376.00 | ↑ +265% |
| United | Commercial|Options PPO | $4,376.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,376.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $4,376.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +269% |
| BCBS - Anthem | Medicare|Imperial | $4,507.28 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $4,813.60 | ↑ +301% |
| Kaiser | Medicare|All Plans | $4,845.02 | ↑ +304% |
| Blue Shield CA | Medicare|HMO | $4,845.02 | ↑ +304% |
| BlueShield | Medicare|Trauma | $5,470.00 | ↑ +356% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +371% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +378% |
| BCBS - Anthem | Commercial|Connection EPO | $7,209.00 | ↑ +501% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +505% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +505% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +505% |
| Prison Healthcare | Medicaid|All Plans | $7,267.53 | ↑ +506% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +528% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +598% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +635% |
| BCBS - Anthem | Commercial|All Other Plans | $9,011.00 | ↑ +652% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +656% |
| BCBS - Anthem | Commercial|MCS | $12,615.00 | ↑ +952% |
| Health Net | Commercial|FFS | $12,770.00 | ↑ +965% |
Visitor-reported prices
Comments
Bronchoscopy/needle bx each 31629 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,447.07 | $213.61 – $3,381.00 |
| French Hospital | San Luis Obispo | $396.32 | $213.61 – $1,011.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,300.58 | $213.61 – $4,960.80 |
| Bakersfield Memorial Hospital | Bakersfield | $2,275.77 | $213.61 – $4,898.79 |
| St. Joseph's Behavioral Health Center | Stockton | $3,439.14 | $602.30 – $4,924.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,747.54 | $213.61 – $5,231.04 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,222.48 | $363.13 – $4,059.16 |
| Mercy Medical Center Merced | Merced | $3,411.36 | $213.61 – $6,557.76 |