Bronchoscopy treat blockage at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,029.84
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.
$4,724.00
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 United 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $241.81 | ↓ -77% |
| United | Medicaid|> 21 | $241.81 | ↓ -77% |
| Hill Physicians | Commercial|All Plans | $248.00 | ↓ -76% |
| Hill Physicians | Medicare|All Plans | $263.63 | ↓ -74% |
| Molina | Medicaid|All Plans | $396.15 | ↓ -62% |
| Hill Physicians | Medicaid|All Plans | $419.30 | ↓ -59% |
| BCBS - Anthem | Medicaid|All Plans | $574.29 | ↓ -44% |
| Health Net | Medicaid|All Plans | $884.34 | ↓ -14% |
| California Health & Wellness | Medicaid|All Plans | $884.34 | ↓ -14% |
| Partnership Health Plan | Medicaid|All Plans | $1,299.70 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $1,653.40 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,936.84 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $3,401.28 | ↑ +230% |
| First Health | Commercial|All Plans | $3,543.00 | ↑ +244% |
| Kaiser | Commercial|All Plans | $3,731.96 | ↑ +262% |
| MultiPlan | Commercial|All Plans | $3,779.20 | ↑ +267% |
| Sutter Health | Commercial|All Plans | $3,779.20 | ↑ +267% |
| BCBS - Anthem | Medicare|All Other Plans | $4,454.74 | ↑ +333% |
| Humana | Commercial|All Plans | $4,724.00 | ↑ +359% |
| Aetna | Medicare|All Plans | $4,724.00 | ↑ +359% |
| Molina | Medicare|All Plans | $4,724.00 | ↑ +359% |
| United | Commercial|Non-Options PPO | $4,724.00 | ↑ +359% |
| Blue Shield CA | Medicare|PPO | $4,724.00 | ↑ +359% |
| Kaiser | Medicare|All Plans | $4,845.02 | ↑ +370% |
| Blue Shield CA | Medicare|HMO | $4,845.02 | ↑ +370% |
| United | Medicare|All Plans | $4,845.02 | ↑ +370% |
| BCBS - Anthem | Medicare|Imperial | $4,865.72 | ↑ +372% |
| BrightHealth | Commercial|All Plans | $5,196.40 | ↑ +405% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +580% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +580% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +580% |
| Prison Healthcare | Medicaid|All Plans | $7,267.53 | ↑ +606% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +671% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +864% |
| Health Net | Commercial|FFS | $9,992.00 | ↑ +870% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1298% |
Visitor-reported prices
Comments
Bronchoscopy treat blockage at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,360.52 | $241.81 – $4,724.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,339.59 | $241.81 – $9,357.60 |
| Bakersfield Memorial Hospital | Bakersfield | $4,292.80 | $241.81 – $9,240.63 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $5,091.24 | $411.07 – $6,413.12 |
| Mercy San Juan Medical Center | Carmichael | $1,294.38 | $241.81 – $5,905.00 |
| Mercy Medical Center Redding | Redding | $5,068.48 | $480.59 – $9,797.06 |
| Mercy Hospital of Folsom | Folsom | $1,837.64 | $241.81 – $4,724.00 |
| Woodland Memorial Hospital | Woodland | $1,294.38 | $241.81 – $4,724.00 |