Biliary endoscopy thru skin at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$5,673.03
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.
$19,296.00
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.
$264.88 with Kaiser 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $264.88 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $264.88 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $264.88 | ↓ -95% |
| Kaiser | Medicaid|< 21 | $264.88 | ↓ -95% |
| HPSJ | Medicaid|> 21 | $331.10 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|All Plans | $331.10 | ↓ -94% |
| Health Net | Medicaid|All Plans | $1,031.32 | ↓ -82% |
| Kaiser | Commercial|Affiliated Payers | $1,654.38 | ↓ -71% |
| Kaiser | Commercial|All Other Plans | $1,654.38 | ↓ -71% |
| Sutter UMR | Commercial|All Plans | $3,939.00 | ↓ -31% |
| Alignment Health | Medicare|All Plans | $4,506.33 | ↓ -21% |
| Healthsmart | Commercial|All Plans | $4,726.80 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $4,740.00 | ↓ -16% |
| Aetna | Commercial|HMO | $4,740.00 | ↓ -16% |
| Aetna | Commercial|PPO | $4,740.00 | ↓ -16% |
| Blue Shield CA | Commercial|Exchange | $4,893.00 | ↓ -14% |
| United | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Cigna | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Molina | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Kaiser | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Aetna | Medicare|All Plans | $5,007.03 | ↓ -12% |
| BCBS - Anthem | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Blue Shield CA | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Scan Health Plan | Medicare|All Plans | $5,007.03 | ↓ -12% |
| Hill Physicians | Commercial|All Plans | $5,007.03 | ↓ -12% |
| Medcore | Commercial|With ER | $5,007.03 | ↓ -12% |
| Medcore | Commercial|Without ER | $5,007.03 | ↓ -12% |
| Humana | Medicare|All Plans | $5,007.03 | ↓ -12% |
| BCBS - Anthem | Commercial|Exchange | $5,618.00 | ↓ -1% |
| First Health | Commercial|All Plans | $5,672.16 | ↓ -0% |
| Blue Shield CA | Commercial|All Other Plans | $6,406.00 | ↑ +13% |
| MultiPlan | Commercial|All Plans | $6,459.96 | ↑ +14% |
| United | Commercial|HMO | $6,617.52 | ↑ +17% |
| United | Commercial|All Other Plans | $6,617.52 | ↑ +17% |
| United | Commercial|Options PPO | $7,011.42 | ↑ +24% |
| BCBS - Anthem | Commercial|Non-MCS | $7,696.00 | ↑ +36% |
| United | Commercial|Non-Options PPO | $7,878.00 | ↑ +39% |
| BCBS - Anthem | Commercial|MCS | $10,813.00 | ↑ +91% |
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 | $4,713.13 – $4,713.13 |
| St. John's Camarillo Hospital | Camarillo | $2,333.23 | $325.80 – $8,890.24 |
| Arroyo Grande Hospital | Santa Maria | $1,916.59 | $264.88 – $4,478.00 |
| French Hospital | San Luis Obispo | $1,755.38 | $264.88 – $4,478.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,687.00 | $264.88 – $7,950.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,039.50 | $264.88 – $6,542.78 |
| Mercy Medical Center Merced | Merced | $4,152.45 | $264.88 – $7,982.37 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,424.80 | $1,747.00 – $10,824.34 |