Bronchoscopy/needle bx each 31629 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$953.97
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.
$4,376.00
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.
$183.55 with Hill Physicians vs $14,393.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $183.55 | ↓ -81% |
| United | Medicaid|< 21 | $213.61 | ↓ -78% |
| United | Medicaid|> 21 | $213.61 | ↓ -78% |
| Molina | Medicaid|All Plans | $349.96 | ↓ -63% |
| Hill Physicians | Medicaid|All Plans | $370.40 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $507.32 | ↓ -47% |
| Hill Physicians | Medicare|All Plans | $510.23 | ↓ -47% |
| Health Net | Medicaid|All Plans | $781.21 | ↓ -18% |
| California Health & Wellness | Medicaid|All Plans | $781.21 | ↓ -18% |
| Partnership Health Plan | Medicaid|All Plans | $1,148.16 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $1,531.60 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,794.16 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $3,150.72 | ↑ +230% |
| First Health | Commercial|All Plans | $3,282.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,457.04 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,500.80 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,500.80 | ↑ +267% |
| BCBS - Anthem | Medicare|All Other Plans | $4,126.57 | ↑ +333% |
| Humana | Commercial|All Plans | $4,376.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $4,376.00 | ↑ +359% |
| Molina | Medicare|All Plans | $4,376.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $4,376.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $4,376.00 | ↑ +359% |
| BCBS - Anthem | Medicare|Imperial | $4,507.28 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $4,813.60 | ↑ +405% |
| Kaiser | Medicare|All Plans | $4,845.02 | ↑ +408% |
| Blue Shield CA | Medicare|HMO | $4,845.02 | ↑ +408% |
| United | Medicare|All Plans | $4,845.02 | ↑ +408% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +634% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +634% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +634% |
| Prison Healthcare | Medicaid|All Plans | $7,267.53 | ↑ +662% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +732% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +940% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +947% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1409% |
Visitor-reported prices
Comments
Bronchoscopy/needle bx each 31629 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,260.29 | $183.55 – $4,376.00 |
| Arroyo Grande Hospital | Santa Maria | $1,447.07 | $213.61 – $3,381.00 |
| French Hospital | San Luis Obispo | $396.32 | $213.61 – $1,011.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,300.58 | $213.61 – $4,960.80 |
| Bakersfield Memorial Hospital | Bakersfield | $2,275.77 | $213.61 – $4,898.79 |
| St. Joseph's Behavioral Health Center | Stockton | $3,439.14 | $602.30 – $4,924.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,747.54 | $213.61 – $5,231.04 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,222.48 | $363.13 – $4,059.16 |