Bronchoscopy/lung bx each 31628 at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$1,252.89
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.
$3,442.00
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.
$241.81 with Kaiser vs $14,570.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $241.81 | ↓ -81% |
| Partnership Health Plan | Medicaid|> 21 | $241.81 | ↓ -81% |
| Partnership Health Plan | Medicaid|< 21 | $241.81 | ↓ -81% |
| BCBS - Anthem | Medicaid|< 21 | $241.81 | ↓ -81% |
| BCBS - Anthem | Medicaid|> 21 | $241.81 | ↓ -81% |
| Kaiser | Medicaid|< 21 | $241.81 | ↓ -81% |
| Health Net | Medicaid|< 21 | $297.43 | ↓ -76% |
| Health Net | Medicaid|> 21 | $297.43 | ↓ -76% |
| Health Plan San Mateo | Medicaid|< 21 | $468.85 | ↓ -63% |
| Health Plan San Mateo | Medicaid|> 21 | $468.85 | ↓ -63% |
| Brown Toland | Medicare|All Plans | $479.33 | ↓ -62% |
| Connected Care | Commercial|Intel | $1,480.06 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $2,340.56 | ↑ +87% |
| Kaiser | Commercial|All Plans | $2,650.34 | ↑ +112% |
| Multiplan | Commercial|All Plans | $2,822.44 | ↑ +125% |
| Humana | Commercial|All Plans | $3,442.00 | ↑ +175% |
| Humana | Medicare|All Plans | $3,442.00 | ↑ +175% |
| Aetna | Medicare|All Plans | $3,442.00 | ↑ +175% |
| Health Net | Medicare|All Plans | $3,442.00 | ↑ +175% |
| Health Net | Commercial|Canopy Health | $3,442.00 | ↑ +175% |
| Kaiser | Medicare|All Plans | $3,442.00 | ↑ +175% |
| BCBS - Anthem | Medicare|All Plans | $3,442.00 | ↑ +175% |
| Chinese Community | Medicare|All Plans | $3,442.00 | ↑ +175% |
| Health Plan San Mateo | Medicare|All Plans | $3,442.00 | ↑ +175% |
| Brown Toland | Commercial|All Plans | $3,786.20 | ↑ +202% |
| Aetna | Commercial|All Plans | $5,324.00 | ↑ +325% |
| Blue Shield CA | Medicare|All Plans | $5,406.91 | ↑ +332% |
| United | Medicare|All Plans | $5,406.91 | ↑ +332% |
| Blue Shield CA | Commercial|Exchange | $5,581.00 | ↑ +345% |
| Blue Shield CA | Commercial|ACO Trio | $5,749.00 | ↑ +359% |
| Blue Shield CA | Commercial|All Other Plans | $7,448.00 | ↑ +494% |
| BCBS - Anthem | Commercial|All Other Plans | $8,596.00 | ↑ +586% |
| Sutter Health | Commercial|All Plans | $10,773.46 | ↑ +760% |
| Health Net | Commercial|FFS | $11,896.00 | ↑ +849% |
| BCBS - Anthem | Commercial|MCS | $14,570.00 | ↑ +1063% |
Visitor-reported prices
Comments
Bronchoscopy/lung bx each 31628 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,618.41 | $297.43 – $7,390.00 |
| Arroyo Grande Hospital | Santa Maria | $1,447.07 | $241.81 – $1,042.00 |
| French Hospital | San Luis Obispo | $396.32 | $241.81 – $1,011.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $483.05 | $241.81 – $1,302.00 |
| Bakersfield Memorial Hospital | Bakersfield | $477.84 | $241.81 – $1,302.00 |
| St. Joseph's Behavioral Health Center | Stockton | $732.03 | $128.20 – $1,282.00 |
| St. Joseph's Medical Center Stockton | Stockton | $372.21 | $241.81 – $1,266.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,836.80 | $3,281.00 – $8,871.26 |