Bronchoscopy/needle bx addl 31633 at Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
not published by hospital
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.
not published by hospital
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.
$1,394.00 with Unitedhealthcare vs $13,747.00 with Blue Cross — 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $1,394.00 | — |
| Unitedhealthcare | All Commercial Plans | $1,523.00 | — |
| Aetna | Gatekeeper Hmo | $4,035.00 | — |
| Blue Shield | Epn Exchange | $4,971.00 | — |
| Blue Shield | Tandem Ppo | $6,161.00 | — |
| Blue Shield | Hmo/Ppo | $6,847.00 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $11,456.00 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $13,747.00 | — |
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 San Juan Medical Center | Carmichael | $809.67 | $61.46 – $2,452.65 |
| Mercy Medical Center Redding | Redding | $1,003.86 | $116.31 – $1,940.40 |