Bronchoscopy w/biopsy(s) 31625 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$1,117.47
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.
$5,126.00
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.
$153.39 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 | $153.39 | ↓ -86% |
| United | Medicaid|< 21 | $231.12 | ↓ -79% |
| United | Medicaid|> 21 | $231.12 | ↓ -79% |
| Molina | Medicaid|All Plans | $378.65 | ↓ -66% |
| Hill Physicians | Medicare|All Plans | $387.41 | ↓ -65% |
| Hill Physicians | Medicaid|All Plans | $400.77 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $548.91 | ↓ -51% |
| California Health & Wellness | Medicaid|All Plans | $845.27 | ↓ -24% |
| Health Net | Medicaid|All Plans | $845.27 | ↓ -24% |
| Partnership Health Plan | Medicaid|All Plans | $1,242.28 | ↑ +11% |
| Western Health Advantage | Commercial|All Plans | $1,794.10 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $2,101.66 | ↑ +88% |
| BCBS - Anthem | Medicare|All Other Plans | $2,136.96 | ↑ +91% |
| United | Medicare|All Plans | $2,266.13 | ↑ +103% |
| Molina | Medicare|All Plans | $2,266.13 | ↑ +103% |
| Aetna | Medicare|All Plans | $2,266.13 | ↑ +103% |
| Blue Shield CA | Medicare|PPO | $2,266.13 | ↑ +103% |
| Blue Shield CA | Medicare|HMO | $2,266.13 | ↑ +103% |
| Humana | Commercial|All Plans | $2,266.13 | ↑ +103% |
| Kaiser | Medicare|All Plans | $2,266.13 | ↑ +103% |
| BCBS - Anthem | Medicare|Imperial | $2,334.11 | ↑ +109% |
| BrightHealth | Commercial|All Plans | $2,492.74 | ↑ +123% |
| Prison Healthcare | Medicaid|All Plans | $3,399.20 | ↑ +204% |
| Healthsmart | Commercial|All Plans | $3,690.72 | ↑ +230% |
| First Health | Commercial|All Plans | $3,844.50 | ↑ +244% |
| Kaiser | Commercial|All Plans | $4,049.54 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $4,100.80 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $4,100.80 | ↑ +267% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +312% |
| United | Commercial|Non-Options PPO | $5,126.00 | ↑ +359% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +527% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +527% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +527% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +611% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +659% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +788% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +1188% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,476.29 | $153.39 – $4,254.58 |
| St. John's Camarillo Hospital | Camarillo | $1,171.22 | $284.28 – $4,012.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $658.16 | $231.12 – $1,774.00 |
| Bakersfield Memorial Hospital | Bakersfield | $651.06 | $231.12 – $1,774.00 |
| Queen of The Valley Medical Center | Napa | $5,223.42 | $2,527.21 – $9,858.00 |
| St. Joseph's Behavioral Health Center | Stockton | $991.83 | $173.70 – $1,737.00 |
| St. Joseph's Medical Center Stockton | Stockton | $485.40 | $231.12 – $1,651.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,631.84 | $1,945.86 – $6,920.00 |