Bx breast 1st lesion strtctc at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$720.30
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.
$2,450.00
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% |
| Kaiser | Commercial|Affiliated Payers | $467.67 | ↓ -35% |
| Kaiser | Commercial|All Other Plans | $467.67 | ↓ -35% |
| BCBS - Anthem | Medicaid|< 21 | $632.17 | ↓ -12% |
| Kaiser | Medicaid|> 21 | $632.17 | ↓ -12% |
| Kaiser | Medicaid|< 21 | $632.17 | ↓ -12% |
| HPSJ | Medicaid|> 21 | $632.17 | ↓ -12% |
| Health Plan of San Joaquin | Medicaid|All Plans | $632.17 | ↓ -12% |
| BCBS - Anthem | Medicaid|> 21 | $632.17 | ↓ -12% |
| Sutter UMR | Commercial|All Plans | $1,113.50 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $1,336.20 | ↑ +86% |
| Health Net | Medicaid|All Plans | $1,561.46 | ↑ +117% |
| United | Commercial|All Other Plans | $1,870.68 | ↑ +160% |
| United | Commercial|HMO | $1,870.68 | ↑ +160% |
| United | Commercial|Options PPO | $1,982.03 | ↑ +175% |
| Alignment Health | Medicare|All Plans | $2,004.30 | ↑ +178% |
| Humana | Medicare|All Plans | $2,227.00 | ↑ +209% |
| United | Commercial|Non-Options PPO | $2,227.00 | ↑ +209% |
| Cigna | Medicare|All Plans | $2,227.00 | ↑ +209% |
| Kaiser | Medicare|All Plans | $2,227.00 | ↑ +209% |
| Molina | Medicare|All Plans | $2,227.00 | ↑ +209% |
| BCBS - Anthem | Medicare|All Plans | $2,227.00 | ↑ +209% |
| Aetna | Medicare|All Plans | $2,227.00 | ↑ +209% |
| Scan Health Plan | Medicare|All Plans | $2,227.00 | ↑ +209% |
| Hill Physicians | Commercial|All Plans | $2,227.00 | ↑ +209% |
| Medcore | Commercial|With ER | $2,227.00 | ↑ +209% |
| Medcore | Commercial|Without ER | $2,227.00 | ↑ +209% |
| United | Medicare|All Plans | $2,298.80 | ↑ +219% |
| Blue Shield CA | Medicare|All Plans | $2,298.80 | ↑ +219% |
| Aetna | Commercial|All Other Plans | $4,209.00 | ↑ +484% |
| Aetna | Commercial|PPO | $4,209.00 | ↑ +484% |
| Aetna | Commercial|HMO | $4,209.00 | ↑ +484% |
| Blue Shield CA | Commercial|Exchange | $4,282.00 | ↑ +494% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↑ +508% |
| Blue Shield CA | Commercial|All Other Plans | $5,606.00 | ↑ +678% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↑ +732% |
| Health Net | Commercial|Care Product | $7,188.00 | ↑ +898% |
| Health Net | Commercial|FFS | $8,209.00 | ↑ +1040% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↑ +1069% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc 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 | $3,433.05 | $956.41 – $6,113.64 |
| Petaluma Valley Hospital | Petaluma | $6,724.35 | $2,225.71 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $5,185.65 | $632.17 – $11,444.44 |
| French Hospital | San Luis Obispo | $1,907.48 | $632.17 – $4,768.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $632.17 – $3,808.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $632.17 – $3,760.40 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |