Bx breast 1st lesion mr imag at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$2,703.33
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.
$9,195.00
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 $8,422.00 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% |
| Health Plan of San Joaquin | Medicaid|All Plans | $166.42 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $166.42 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $166.42 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $166.42 | ↓ -94% |
| BCBS - Anthem | Medicaid|> 21 | $166.42 | ↓ -94% |
| HPSJ | Medicaid|> 21 | $166.42 | ↓ -94% |
| Health Net | Medicaid|All Plans | $411.06 | ↓ -85% |
| Kaiser | Commercial|Affiliated Payers | $626.85 | ↓ -77% |
| Kaiser | Commercial|All Other Plans | $626.85 | ↓ -77% |
| Sutter UMR | Commercial|All Plans | $1,492.50 | ↓ -45% |
| Healthsmart | Commercial|All Plans | $1,791.00 | ↓ -34% |
| Alignment Health | Medicare|All Plans | $2,068.92 | ↓ -23% |
| Medcore | Commercial|Without ER | $2,298.80 | ↓ -15% |
| Medcore | Commercial|With ER | $2,298.80 | ↓ -15% |
| Cigna | Medicare|All Plans | $2,298.80 | ↓ -15% |
| United | Medicare|All Plans | $2,298.80 | ↓ -15% |
| Kaiser | Medicare|All Plans | $2,298.80 | ↓ -15% |
| Molina | Medicare|All Plans | $2,298.80 | ↓ -15% |
| Hill Physicians | Commercial|All Plans | $2,298.80 | ↓ -15% |
| Aetna | Medicare|All Plans | $2,298.80 | ↓ -15% |
| Humana | Medicare|All Plans | $2,298.80 | ↓ -15% |
| Scan Health Plan | Medicare|All Plans | $2,298.80 | ↓ -15% |
| Blue Shield CA | Medicare|All Plans | $2,298.80 | ↓ -15% |
| BCBS - Anthem | Medicare|All Plans | $2,298.80 | ↓ -15% |
| United | Commercial|All Other Plans | $2,507.40 | ↓ -7% |
| United | Commercial|HMO | $2,507.40 | ↓ -7% |
| United | Commercial|Options PPO | $2,656.65 | ↓ -2% |
| United | Commercial|Non-Options PPO | $2,985.00 | ↑ +10% |
| Blue Shield CA | Commercial|Exchange | $4,282.00 | ↑ +58% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↑ +62% |
| Aetna | Commercial|All Other Plans | $4,740.00 | ↑ +75% |
| Aetna | Commercial|PPO | $4,740.00 | ↑ +75% |
| Aetna | Commercial|HMO | $4,740.00 | ↑ +75% |
| Blue Shield CA | Commercial|All Other Plans | $5,606.00 | ↑ +107% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↑ +122% |
| Health Net | Commercial|Care Product | $7,188.00 | ↑ +166% |
| Health Net | Commercial|FFS | $8,209.00 | ↑ +204% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↑ +212% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag 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 |
| Arroyo Grande Hospital | Santa Maria | $5,643.61 | $166.42 – $12,397.00 |
| French Hospital | San Luis Obispo | $4,768.29 | $166.42 – $4,435.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,035.47 | $166.42 – $2,058.68 |
| Bakersfield Memorial Hospital | Bakersfield | $1,024.30 | $166.42 – $2,058.68 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,808.57 | $2,298.14 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,090.24 | $1,805.60 – $6,920.00 |