Navigational bronchoscopy 31627 at RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
$654.28
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.
$2,974.00
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.
$3.06 with PREMIER PHYS EMPLOY PROFEE ONLY vs $2,974.00 with INTERPLAN-ALL PLANS — 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 |
|---|---|---|---|
| PREMIER PHYS EMPLOY PROFEE ONLY | PREMIER PHYS EMPLOY PROFEE ONLY | $3.06 | ↓ -100% |
| UHC MCR ADV | UHC MCR ADV | $84.46 | ↓ -87% |
| HEALTHNET COMM-ALL OTHER PLANS | HEALTHNET COMM-ALL OTHER PLANS | $84.46 | ↓ -87% |
| PREMIER PHYS PROFEE ONLY-ALL OTHER PLANS | PREMIER PHYS PROFEE ONLY-ALL OTHER PLANS | $84.46 | ↓ -87% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $84.46 | ↓ -87% |
| BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $85.30 | ↓ -87% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $92.91 | ↓ -86% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $96.02 | ↓ -85% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $111.89 | ↓ -83% |
| UHC JLL | UHC JLL | $121.89 | ↓ -81% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $121.89 | ↓ -81% |
| KAISER MCR ADV | KAISER MCR ADV | $130.91 | ↓ -80% |
| KAISER-ALL OTHER PLANS | KAISER-ALL OTHER PLANS | $130.91 | ↓ -80% |
| CELTIC MCAID-ALL PLANS | CELTIC MCAID-ALL PLANS | $1,081.16 | ↑ +65% |
| HEALTHNET MCAL | HEALTHNET MCAL | $1,081.16 | ↑ +65% |
| BC MCAL | BC MCAL | $1,081.16 | ↑ +65% |
| CA HEALTH AND WELLNESS- ALL PLANS | CA HEALTH AND WELLNESS- ALL PLANS | $1,081.16 | ↑ +65% |
| MEDI-CAL | MEDI-CAL | $1,081.16 | ↑ +65% |
| KAISER MCAL | KAISER MCAL | $1,297.39 | ↑ +98% |
| PARTNERSHIP HP MCAL -ALL PLANS | PARTNERSHIP HP MCAL -ALL PLANS | $2,000.15 | ↑ +206% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $2,182.13 | ↑ +234% |
| BLUE SHIELD UC CARE MEMBERS | BLUE SHIELD UC CARE MEMBERS | $2,182.13 | ↑ +234% |
| FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $2,974.00 | ↑ +355% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $2,974.00 | ↑ +355% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $2,974.00 | ↑ +355% |
| INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $2,974.00 | ↑ +355% |
Visitor-reported prices
Comments
Navigational bronchoscopy 31627 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $5,695.20 | not published |
| Antioch Medical Center | ANTIOCH | $5,695.20 | not published |
| Redwood City Medical Center | Redwood City | $5,695.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $5,695.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $2,163.20 | not published |
| Riverside Medical Center | RIVERSIDE | $2,163.20 | not published |
| Fremont Medical Center | FREMONT | $5,695.20 | not published |
| Panorama Medical Center | PANORAMA CITY | $2,163.20 | not published |