Bronchoscopy/needle bx each 31629 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,447.07
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.
$3,381.00
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.
$213.61 with Partnership Health Plan vs $9,715.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $213.61 | ↓ -85% |
| Partnership Health Plan | Medicaid|< 21 | $213.61 | ↓ -85% |
| Health Net | Medicaid|< 21 | $262.74 | ↓ -82% |
| Health Net | Medicaid|> 21 | $262.74 | ↓ -82% |
| CenCal | Medicaid|> 21 | $336.73 | ↓ -77% |
| CenCal | Medicaid|< 21 | $336.73 | ↓ -77% |
| Western Growers | Commercial|All Plans | $1,690.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $2,130.03 | ↑ +47% |
| First Health | Commercial|All Plans | $2,840.04 | ↑ +96% |
| United | Commercial|Non-Options PPO | $2,975.28 | ↑ +106% |
| United | Commercial|All Other Plans | $3,009.09 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $3,110.52 | ↑ +115% |
| United | Commercial|Options PPO | $3,144.33 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $3,313.38 | ↑ +129% |
| United | Commercial|HMO | $3,347.19 | ↑ +131% |
| Humana | Medicare|All Plans | $3,381.00 | ↑ +134% |
| Aetna | Medicare|All Plans | $3,381.00 | ↑ +134% |
| Kaiser | Medicare|All Plans | $3,381.00 | ↑ +134% |
| BCBS - Anthem | Medicare|All Plans | $3,381.00 | ↑ +134% |
| Alignment | Medicare|All Plans | $3,381.00 | ↑ +134% |
| Scan Health Plan | Medicare|All Plans | $3,381.00 | ↑ +134% |
| United | Medicare|All Plans | $4,684.64 | ↑ +224% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +315% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +374% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +374% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +374% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +401% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +503% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +571% |
Visitor-reported prices
Comments
Bronchoscopy/needle bx each 31629 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 |
| Mercy Medical Center Merced | Merced | $3,411.36 | $213.61 – $6,557.76 |
| Sequoia Hospital | Redwood City | $1,352.99 | $213.61 – $11,634.21 |