Biopsy of heart lining at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,803.69
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.
$6,135.00
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.
$272.83 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 | $272.83 | ↓ -85% |
| BCBS - Anthem | Medicaid|> 21 | $272.83 | ↓ -85% |
| BCBS - Anthem | Medicaid|< 21 | $272.83 | ↓ -85% |
| Kaiser | Medicaid|< 21 | $272.83 | ↓ -85% |
| HPSJ | Medicaid|> 21 | $341.04 | ↓ -81% |
| Health Plan of San Joaquin | Medicaid|All Plans | $341.04 | ↓ -81% |
| Health Net | Medicaid|All Plans | $1,068.37 | ↓ -41% |
| Kaiser | Commercial|Affiliated Payers | $1,288.35 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $1,288.35 | ↓ -29% |
| Sutter UMR | Commercial|All Plans | $2,760.75 | ↑ +53% |
| Blue Shield CA | Commercial|Exchange | $3,199.00 | ↑ +77% |
| Healthsmart | Commercial|All Plans | $3,681.00 | ↑ +104% |
| Alignment Health | Medicare|All Plans | $4,019.10 | ↑ +123% |
| Blue Shield CA | Commercial|All Other Plans | $4,189.00 | ↑ +132% |
| First Health | Commercial|All Plans | $4,417.20 | ↑ +145% |
| United | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Cigna | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Molina | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Kaiser | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Aetna | Medicare|All Plans | $4,465.67 | ↑ +148% |
| BCBS - Anthem | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Blue Shield CA | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Scan Health Plan | Medicare|All Plans | $4,465.67 | ↑ +148% |
| Hill Physicians | Commercial|All Plans | $4,465.67 | ↑ +148% |
| Medcore | Commercial|With ER | $4,465.67 | ↑ +148% |
| Medcore | Commercial|Without ER | $4,465.67 | ↑ +148% |
| Humana | Medicare|All Plans | $4,465.67 | ↑ +148% |
| MultiPlan | Commercial|All Plans | $5,030.70 | ↑ +179% |
| United | Commercial|HMO | $5,153.40 | ↑ +186% |
| United | Commercial|All Other Plans | $5,153.40 | ↑ +186% |
| United | Commercial|Options PPO | $5,460.15 | ↑ +203% |
| BCBS - Anthem | Commercial|Exchange | $5,618.00 | ↑ +211% |
| United | Commercial|Non-Options PPO | $6,135.00 | ↑ +240% |
| BCBS - Anthem | Commercial|Non-MCS | $7,696.00 | ↑ +327% |
| Health Net | Commercial|Care Product | $8,556.00 | ↑ +374% |
| Health Net | Commercial|FFS | $9,771.00 | ↑ +442% |
| Aetna | Commercial|HMO | $10,004.00 | ↑ +455% |
| Aetna | Commercial|All Other Plans | $10,004.00 | ↑ +455% |
| Aetna | Commercial|PPO | $10,004.00 | ↑ +455% |
| BCBS - Anthem | Commercial|MCS | $10,813.00 | ↑ +499% |
Visitor-reported prices
Comments
Biopsy of heart lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,223.46 | $272.83 – $5,091.10 |
| French Hospital | San Luis Obispo | $1,973.72 | $272.83 – $4,934.30 |
| Bakersfield Memorial Hospital | Bakersfield | $2,251.55 | $272.83 – $4,846.65 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,796.44 | $2,238.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,006.88 | $3,429.00 – $7,883.00 |
| Mercy Medical Center Merced | Merced | $3,159.53 | $272.83 – $6,073.65 |
| Dominican Hospital | Santa Cruz | $1,465.65 | $272.83 – $10,194.41 |
| St. Mary Medical Center | Long Beach | $1,976.28 | $272.83 – $6,398.74 |