Bronch ebus samplng 1/2 node at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,561.32
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.
$7,162.00
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.
$216.41 with Hill Physicians vs $9,992.00 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 | $216.41 | ↓ -86% |
| United | Medicaid|< 21 | $826.88 | ↓ -47% |
| United | Medicaid|> 21 | $826.88 | ↓ -47% |
| Hill Physicians | Medicaid|All Plans | $909.57 | ↓ -42% |
| Hill Physicians | Medicare|All Plans | $1,391.71 | ↓ -11% |
| Molina | Medicaid|All Plans | $1,554.53 | ↓ -0% |
| BCBS - Anthem | Medicaid|All Plans | $1,571.07 | ↑ +1% |
| California Health & Wellness | Medicaid|All Plans | $1,918.36 | ↑ +23% |
| Health Net | Medicaid|All Plans | $1,918.36 | ↑ +23% |
| Western Health Advantage | Commercial|All Plans | $2,506.70 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,936.42 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $3,555.58 | ↑ +128% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +133% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +191% |
| BCBS - Anthem | Medicare|All Other Plans | $4,568.85 | ↑ +193% |
| Kaiser | Medicare|All Plans | $4,845.02 | ↑ +210% |
| Aetna | Medicare|All Plans | $4,845.02 | ↑ +210% |
| Molina | Medicare|All Plans | $4,845.02 | ↑ +210% |
| United | Medicare|All Plans | $4,845.02 | ↑ +210% |
| Humana | Commercial|All Plans | $4,845.02 | ↑ +210% |
| Blue Shield CA | Medicare|HMO | $4,845.02 | ↑ +210% |
| Blue Shield CA | Medicare|PPO | $4,845.02 | ↑ +210% |
| BCBS - Anthem | Medicare|Imperial | $4,990.37 | ↑ +220% |
| Healthsmart | Commercial|All Plans | $5,156.64 | ↑ +230% |
| BrightHealth | Commercial|All Plans | $5,329.52 | ↑ +241% |
| First Health | Commercial|All Plans | $5,371.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $5,657.98 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $5,729.60 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $5,729.60 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +322% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +349% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +349% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +349% |
| United | Commercial|Non-Options PPO | $7,162.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $7,267.53 | ↑ +365% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +540% |
Visitor-reported prices
Comments
Bronch ebus samplng 1/2 node at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $2,062.66 | $216.41 – $5,944.46 |
| Arroyo Grande Hospital | Santa Maria | $4,265.88 | $826.88 – $9,767.66 |
| French Hospital | San Luis Obispo | $3,907.07 | $826.88 – $9,767.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,000.28 | $826.88 – $6,469.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,967.93 | $826.88 – $6,388.73 |
| St. Joseph's Behavioral Health Center | Stockton | $5,012.24 | $877.80 – $7,022.40 |
| St. Joseph's Medical Center Stockton | Stockton | $2,265.86 | $826.88 – $6,473.88 |
| Mercy Medical Center Merced | Merced | $4,166.87 | $826.88 – $8,010.09 |