Dx bronchoscope/brush 31623 at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$653.57
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.
$2,998.00
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.
$130.27 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 | $130.27 | ↓ -80% |
| United | Medicaid|< 21 | $242.67 | ↓ -63% |
| United | Medicaid|> 21 | $242.67 | ↓ -63% |
| Hill Physicians | Medicare|All Plans | $301.25 | ↓ -54% |
| Molina | Medicaid|All Plans | $397.56 | ↓ -39% |
| Hill Physicians | Medicaid|All Plans | $420.78 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $576.33 | ↓ -12% |
| Health Net | Medicaid|All Plans | $887.47 | ↑ +36% |
| California Health & Wellness | Medicaid|All Plans | $887.47 | ↑ +36% |
| Western Health Advantage | Commercial|All Plans | $1,049.30 | ↑ +61% |
| Kaiser | Medicaid|All Plans | $1,229.18 | ↑ +88% |
| Partnership Health Plan | Medicaid|All Plans | $1,304.33 | ↑ +100% |
| BCBS - Anthem | Medicare|All Other Plans | $2,136.96 | ↑ +227% |
| Healthsmart | Commercial|All Plans | $2,158.56 | ↑ +230% |
| First Health | Commercial|All Plans | $2,248.50 | ↑ +244% |
| Kaiser | Medicare|All Plans | $2,266.13 | ↑ +247% |
| Blue Shield CA | Medicare|HMO | $2,266.13 | ↑ +247% |
| United | Medicare|All Plans | $2,266.13 | ↑ +247% |
| Molina | Medicare|All Plans | $2,266.13 | ↑ +247% |
| Humana | Commercial|All Plans | $2,266.13 | ↑ +247% |
| Aetna | Medicare|All Plans | $2,266.13 | ↑ +247% |
| Blue Shield CA | Medicare|PPO | $2,266.13 | ↑ +247% |
| BCBS - Anthem | Medicare|Imperial | $2,334.11 | ↑ +257% |
| Kaiser | Commercial|All Plans | $2,368.42 | ↑ +262% |
| Sutter Health | Commercial|All Plans | $2,398.40 | ↑ +267% |
| MultiPlan | Commercial|All Plans | $2,398.40 | ↑ +267% |
| BrightHealth | Commercial|All Plans | $2,492.74 | ↑ +281% |
| United | Commercial|Non-Options PPO | $2,998.00 | ↑ +359% |
| Prison Healthcare | Medicaid|All Plans | $3,399.20 | ↑ +420% |
| Health Net | Commercial|EPPO | $4,599.00 | ↑ +604% |
| Aetna | Commercial|HMO | $7,003.00 | ↑ +971% |
| Aetna | Commercial|PPO | $7,003.00 | ↑ +971% |
| Aetna | Commercial|All Other Plans | $7,003.00 | ↑ +971% |
| BCBS - Anthem | Commercial|Connection EPO | $7,941.00 | ↑ +1115% |
| Health Net | Commercial|FFS | $8,480.00 | ↑ +1197% |
| BCBS - Anthem | Commercial|All Other Plans | $9,926.00 | ↑ +1419% |
| BCBS - Anthem | Commercial|MCS | $14,393.00 | ↑ +2102% |
Visitor-reported prices
Comments
Dx bronchoscope/brush 31623 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $863.43 | $130.27 – $2,488.34 |
| St. John's Camarillo Hospital | Camarillo | $782.71 | $298.48 – $3,574.00 |
| Arroyo Grande Hospital | Santa Maria | $755.85 | $242.67 – $1,017.00 |
| Mark Twain Medical Center | San Andreas | $1,402.60 | $242.67 – $1,586.62 |
| French Hospital | San Luis Obispo | $383.77 | $242.67 – $979.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $277.88 | $242.67 – $749.00 |
| Bakersfield Memorial Hospital | Bakersfield | $274.89 | $242.67 – $749.00 |
| St. Joseph's Behavioral Health Center | Stockton | $1,300.17 | $227.70 – $2,277.00 |