Biopsy muscle percutaneous needle at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,247.15
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.
$4,242.00
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.
$75.62 with Kaiser vs $8,209.00 with Health Net — 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 | $75.62 | ↓ -94% |
| BCBS - Anthem | Medicaid|> 21 | $75.62 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $75.62 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $75.62 | ↓ -94% |
| HPSJ | Medicaid|> 21 | $94.53 | ↓ -92% |
| Health Plan of San Joaquin | Medicaid|All Plans | $94.53 | ↓ -92% |
| Health Net | Medicaid|All Plans | $294.42 | ↓ -76% |
| Kaiser | Commercial|Affiliated Payers | $308.91 | ↓ -75% |
| Kaiser | Commercial|All Other Plans | $308.91 | ↓ -75% |
| Sutter UMR | Commercial|All Plans | $735.50 | ↓ -41% |
| Healthsmart | Commercial|All Plans | $882.60 | ↓ -29% |
| First Health | Commercial|All Plans | $1,059.12 | ↓ -15% |
| MultiPlan | Commercial|All Plans | $1,206.22 | ↓ -3% |
| United | Commercial|HMO | $1,235.64 | ↓ -1% |
| United | Commercial|All Other Plans | $1,235.64 | ↓ -1% |
| United | Commercial|Options PPO | $1,309.19 | ↑ +5% |
| Alignment Health | Medicare|All Plans | $1,323.90 | ↑ +6% |
| Medcore | Commercial|With ER | $1,471.00 | ↑ +18% |
| Aetna | Medicare|All Plans | $1,471.00 | ↑ +18% |
| BCBS - Anthem | Medicare|All Plans | $1,471.00 | ↑ +18% |
| Hill Physicians | Commercial|All Plans | $1,471.00 | ↑ +18% |
| Kaiser | Medicare|All Plans | $1,471.00 | ↑ +18% |
| United | Commercial|Non-Options PPO | $1,471.00 | ↑ +18% |
| Humana | Medicare|All Plans | $1,471.00 | ↑ +18% |
| Medcore | Commercial|Without ER | $1,471.00 | ↑ +18% |
| Cigna | Medicare|All Plans | $1,471.00 | ↑ +18% |
| Molina | Medicare|All Plans | $1,471.00 | ↑ +18% |
| Scan Health Plan | Medicare|All Plans | $1,471.00 | ↑ +18% |
| United | Medicare|All Plans | $2,298.80 | ↑ +84% |
| Blue Shield CA | Medicare|All Plans | $2,298.80 | ↑ +84% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +150% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +153% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +153% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +153% |
| Blue Shield CA | Commercial|Exchange | $3,199.00 | ↑ +157% |
| Blue Shield CA | Commercial|All Other Plans | $4,189.00 | ↑ +236% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +243% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +382% |
| Health Net | Commercial|Care Product | $7,188.00 | ↑ +476% |
| Health Net | Commercial|FFS | $8,209.00 | ↑ +558% |
Visitor-reported prices
Comments
Biopsy muscle percutaneous needle at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $2,163.86 – $2,163.86 |
| St. John's Camarillo Hospital | Camarillo | $833.52 | $93.01 – $3,763.88 |
| Banner Lassen Medical Center | Susanville | $1,014.25 | $108.73 – $1,884.71 |
| Petaluma Valley Hospital | Petaluma | $3,014.10 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $75.62 – $2,822.40 |
| Mark Twain Medical Center | San Andreas | $1,374.63 | $75.62 – $884.94 |
| French Hospital | San Luis Obispo | $1,901.60 | $75.62 – $2,723.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,719.22 | $75.62 – $3,707.20 |