Diag bronchoscope/catheter at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,294.38
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.
$4,724.00
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.
$167.04 with Hill Physicians vs $10,485.00 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 | $167.04 | ↓ -87% |
| United | Medicaid|< 21 | $206.35 | ↓ -84% |
| United | Medicaid|> 21 | $206.35 | ↓ -84% |
| Molina | Medicaid|All Plans | $338.06 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $357.81 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $490.07 | ↓ -62% |
| WCMG | Commercial|All Plans | $519.64 | ↓ -60% |
| Health Net | Medicaid|All Plans | $744.89 | ↓ -42% |
| California Health & Wellness | Medicaid|All Plans | $744.89 | ↓ -42% |
| Partnership Health Plan | Medicaid|All Plans | $1,109.12 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $1,653.40 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $1,936.84 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $2,136.96 | ↑ +65% |
| Kaiser | Medicare|All Plans | $2,266.13 | ↑ +75% |
| Humana | Medicare|All Plans | $2,266.13 | ↑ +75% |
| Humana | Commercial|All Plans | $2,266.13 | ↑ +75% |
| Aetna | Medicare|All Plans | $2,266.13 | ↑ +75% |
| Molina | Medicare|All Plans | $2,266.13 | ↑ +75% |
| United | Medicare|All Plans | $2,266.13 | ↑ +75% |
| Blue Shield CA | Medicare|PPO | $2,266.13 | ↑ +75% |
| Blue Shield CA | Medicare|HMO | $2,266.13 | ↑ +75% |
| BCBS - Anthem | Medicare|Imperial | $2,334.11 | ↑ +80% |
| BrightHealth | Commercial|All Plans | $2,492.74 | ↑ +93% |
| Kaiser | Commercial|All Plans | $2,550.96 | ↑ +97% |
| BlueShield | Medicare|Trauma | $2,832.66 | ↑ +119% |
| Prison Healthcare | Medicaid|All Plans | $3,399.20 | ↑ +163% |
| Healthsmart | Commercial|All Plans | $3,543.00 | ↑ +174% |
| First Health | Commercial|All Plans | $3,543.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $3,779.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $3,920.92 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +230% |
| Blue Shield CA | Commercial|ACO Trio | $4,430.00 | ↑ +242% |
| United | Commercial|Options PPO | $4,724.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $4,724.00 | ↑ +265% |
| United | Commercial|HMO | $4,724.00 | ↑ +265% |
| United | Commercial|All Other Plans | $4,724.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +313% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,645.00 | ↑ +336% |
| Blue Shield CA | Commercial|Exchange | $5,727.00 | ↑ +342% |
| Health Net | Commercial|EPPO | $5,780.00 | ↑ +347% |
| Aetna | Commercial|HMO | $7,251.00 | ↑ +460% |
| Aetna | Commercial|PPO | $7,251.00 | ↑ +460% |
| Aetna | Commercial|All Other Plans | $7,251.00 | ↑ +460% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +478% |
| Blue Shield CA | Commercial|PPO Tandem | $7,528.00 | ↑ +482% |
| Blue Shield CA | Commercial|HMO | $8,370.00 | ↑ +547% |
| Blue Shield CA | Commercial|CalPers | $8,811.00 | ↑ +581% |
| Blue Shield CA | Commercial|PPO | $9,068.00 | ↑ +601% |
| Health Net | Commercial|FFS | $10,485.00 | ↑ +710% |
Visitor-reported prices
Comments
Diag bronchoscope/catheter at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $1,029.84 | $167.04 – $3,779.20 |
| Mercy Hospital of Folsom | Folsom | $1,837.64 | $167.04 – $3,873.68 |
| Woodland Memorial Hospital | Woodland | $1,294.38 | $206.35 – $4,724.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,360.52 | $167.04 – $3,920.92 |
| St. John's Camarillo Hospital | Camarillo | not published | $253.81 – $4,012.38 |
| Petaluma Valley Hospital | Petaluma | not published | $2,398.61 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $206.35 – $2,191.11 |
| Mark Twain Medical Center | San Andreas | not published | $206.35 – $206.35 |