Bronchoscopy w/biopsy(s) 31625 at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$2,631.84
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.
$5,483.00
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.
$1,945.86 with Providence vs $9,559.00 with Blue Shield — 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 |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $1,945.86 | ↓ -26% |
| Aetna | Medicare Managed Care Plan | $2,289.25 | ↓ -13% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $2,398.39 | ↓ -9% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $2,701.27 | ↑ +3% |
| Unitedhealthcare | Select/Navigate Hmo | $3,281.00 | ↑ +25% |
| Unitedhealthcare | All Commercial Plans | $3,633.00 | ↑ +38% |
| Aetna | Gatekeeper Hmo | $4,114.00 | ↑ +56% |
| Healthnet | Ambetter Hmo | $4,235.11 | ↑ +61% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $5,357.00 | ↑ +104% |
| Healthnet | Hmo/Pos/Ppo | $5,995.00 | ↑ +128% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $6,428.00 | ↑ +144% |
| Blue Shield | Epn Exchange | $6,920.00 | ↑ +163% |
| Blue Shield | Tandem Ppo | $8,598.00 | ↑ +227% |
| Blue Shield | Hmo/Ppo | $9,559.00 | ↑ +263% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,171.22 | $284.28 – $4,012.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $658.16 | $231.12 – $1,774.00 |
| Bakersfield Memorial Hospital | Bakersfield | $651.06 | $231.12 – $1,774.00 |
| Queen of The Valley Medical Center | Napa | $5,223.42 | $2,527.21 – $9,858.00 |
| St. Joseph's Behavioral Health Center | Stockton | $991.83 | $173.70 – $1,737.00 |
| St. Joseph's Medical Center Stockton | Stockton | $485.40 | $231.12 – $1,651.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,565.34 | $392.90 – $1,971.76 |
| Mercy Medical Center Merced | Merced | $933.18 | $231.12 – $1,812.00 |