Biliary endoscopy thru skin at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,514.99
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.
$5,153.00
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.
$0.80 with First Health vs $10,813.00 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 |
|---|---|---|---|
| First Health | Commercial|All Plans | $0.80 | ↓ -100% |
| MultiPlan | Commercial|All Plans | $0.92 | ↓ -100% |
| BCBS - Anthem | Medicaid|> 21 | $277.70 | ↓ -82% |
| BCBS - Anthem | Medicaid|< 21 | $277.70 | ↓ -82% |
| Kaiser | Medicaid|< 21 | $277.70 | ↓ -82% |
| Kaiser | Medicaid|> 21 | $277.70 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|All Plans | $347.12 | ↓ -77% |
| HPSJ | Medicaid|> 21 | $347.12 | ↓ -77% |
| Health Net | Medicaid|All Plans | $1,081.24 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $1,082.13 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $1,082.13 | ↓ -29% |
| Sutter UMR | Commercial|All Plans | $2,576.50 | ↑ +70% |
| Healthsmart | Commercial|All Plans | $3,091.80 | ↑ +104% |
| United | Commercial|All Other Plans | $4,328.52 | ↑ +186% |
| United | Commercial|HMO | $4,328.52 | ↑ +186% |
| United | Commercial|Options PPO | $4,586.17 | ↑ +203% |
| Alignment Health | Medicare|All Plans | $4,637.70 | ↑ +206% |
| Aetna | Commercial|HMO | $4,740.00 | ↑ +213% |
| Aetna | Commercial|All Other Plans | $4,740.00 | ↑ +213% |
| Aetna | Commercial|PPO | $4,740.00 | ↑ +213% |
| Blue Shield CA | Commercial|Exchange | $4,893.00 | ↑ +223% |
| Humana | Medicare|All Plans | $5,153.00 | ↑ +240% |
| United | Commercial|Non-Options PPO | $5,153.00 | ↑ +240% |
| Cigna | Medicare|All Plans | $5,153.00 | ↑ +240% |
| Kaiser | Medicare|All Plans | $5,153.00 | ↑ +240% |
| Molina | Medicare|All Plans | $5,153.00 | ↑ +240% |
| BCBS - Anthem | Medicare|All Plans | $5,153.00 | ↑ +240% |
| Aetna | Medicare|All Plans | $5,153.00 | ↑ +240% |
| Scan Health Plan | Medicare|All Plans | $5,153.00 | ↑ +240% |
| Hill Physicians | Commercial|All Plans | $5,153.00 | ↑ +240% |
| Medcore | Commercial|With ER | $5,153.00 | ↑ +240% |
| Medcore | Commercial|Without ER | $5,153.00 | ↑ +240% |
| BCBS - Anthem | Commercial|Exchange | $5,618.00 | ↑ +271% |
| Blue Shield CA | Commercial|All Other Plans | $6,406.00 | ↑ +323% |
| BCBS - Anthem | Commercial|Non-MCS | $7,696.00 | ↑ +408% |
| Blue Shield CA | Medicare|All Plans | $8,852.96 | ↑ +484% |
| United | Medicare|All Plans | $8,852.96 | ↑ +484% |
| BCBS - Anthem | Commercial|MCS | $10,813.00 | ↑ +614% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $8,333.31 – $8,333.31 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,573.76 | $7,077.45 – $10,791.00 |
| St Jude Medical Center | Fullerton | $4,477.92 | $6,405.00 – $11,403.00 |
| Providence St Joseph Hospital Orange | Orange | $6,221.28 | $7,077.45 – $12,633.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $341.57 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $277.70 – $7,928.23 |
| Mark Twain Medical Center | San Andreas | not published | $277.70 – $277.70 |