Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,039.88
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.
$3,537.00
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.
$111.69 with Kaiser vs $6,009.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $111.69 | ↓ -89% |
| Kaiser | Medicaid|< 21 | $111.69 | ↓ -89% |
| HPSJ | Medicaid|> 21 | $111.69 | ↓ -89% |
| Health Plan of San Joaquin | Medicaid|All Plans | $111.69 | ↓ -89% |
| BCBS - Anthem | Medicaid|> 21 | $111.69 | ↓ -89% |
| BCBS - Anthem | Medicaid|< 21 | $111.69 | ↓ -89% |
| Health Net | Medicaid|All Plans | $275.87 | ↓ -73% |
| Kaiser | Commercial|Affiliated Payers | $363.93 | ↓ -65% |
| Kaiser | Commercial|All Other Plans | $363.93 | ↓ -65% |
| Medcore | Commercial|Without ER | $848.51 | ↓ -18% |
| Sutter UMR | Commercial|All Plans | $866.50 | ↓ -17% |
| Alignment Health | Medicare|All Plans | $898.42 | ↓ -14% |
| Blue Shield CA | Commercial|Exchange | $988.00 | ↓ -5% |
| Medcore | Commercial|With ER | $998.25 | ↓ -4% |
| Hill Physicians | Commercial|All Plans | $998.25 | ↓ -4% |
| Cigna | Medicare|All Plans | $998.25 | ↓ -4% |
| Humana | Medicare|All Plans | $998.25 | ↓ -4% |
| Kaiser | Medicare|All Plans | $998.25 | ↓ -4% |
| Molina | Medicare|All Plans | $998.25 | ↓ -4% |
| Blue Shield CA | Medicare|All Plans | $998.25 | ↓ -4% |
| United | Medicare|All Plans | $998.25 | ↓ -4% |
| BCBS - Anthem | Medicare|All Plans | $998.25 | ↓ -4% |
| Scan Health Plan | Medicare|All Plans | $998.25 | ↓ -4% |
| Aetna | Medicare|All Plans | $998.25 | ↓ -4% |
| Healthsmart | Commercial|All Plans | $1,039.80 | ↓ -0% |
| First Health | Commercial|All Plans | $1,247.76 | ↑ +20% |
| Blue Shield CA | Commercial|All Other Plans | $1,294.00 | ↑ +24% |
| MultiPlan | Commercial|All Plans | $1,421.06 | ↑ +37% |
| United | Commercial|HMO | $1,455.72 | ↑ +40% |
| United | Commercial|All Other Plans | $1,455.72 | ↑ +40% |
| United | Commercial|Options PPO | $1,542.37 | ↑ +48% |
| United | Commercial|Non-Options PPO | $1,733.00 | ↑ +67% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +200% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +203% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +203% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +203% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +311% |
| Health Net | Commercial|Care Product | $5,074.00 | ↑ +388% |
| Health Net | Commercial|FFS | $5,794.00 | ↑ +457% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +478% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $939.66 – $939.66 |
| St. John's Camarillo Hospital | Camarillo | $969.30 | $168.98 – $1,726.14 |
| Banner Lassen Medical Center | Susanville | $1,056.53 | $140.72 – $1,963.28 |
| Petaluma Valley Hospital | Petaluma | $1,313.76 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,768.93 | $111.69 – $2,327.50 |
| Mark Twain Medical Center | San Andreas | $1,619.05 | $111.69 – $1,042.72 |
| French Hospital | San Luis Obispo | $1,620.14 | $111.69 – $2,235.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $111.69 – $1,994.40 |