Bx of breast open 19101 at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$6,389.21
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.
?
What you pay up front if you don't use insurance.
$21,732.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$236.25 with BCBS - Anthem vs $21,732.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $236.25 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $236.25 | ↓ -96% |
| Kaiser | Medicaid|< 21 | $236.25 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $236.25 | ↓ -96% |
| HPSJ | Medicaid|> 21 | $295.31 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|All Plans | $295.31 | ↓ -95% |
| Health Net | Medicaid|All Plans | $919.85 | ↓ -86% |
| Aetna | Commercial|HMO | $4,209.00 | ↓ -34% |
| Aetna | Commercial|All Other Plans | $4,209.00 | ↓ -34% |
| Aetna | Commercial|PPO | $4,209.00 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $4,282.00 | ↓ -33% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↓ -32% |
| Kaiser | Commercial|Affiliated Payers | $4,563.72 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $4,563.72 | ↓ -29% |
| Alignment Health | Medicare|All Plans | $4,889.68 | ↓ -23% |
| Humana | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Aetna | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Molina | Medicare|All Plans | $5,432.98 | ↓ -15% |
| United | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Cigna | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Kaiser | Medicare|All Plans | $5,432.98 | ↓ -15% |
| BCBS - Anthem | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Blue Shield CA | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Scan Health Plan | Medicare|All Plans | $5,432.98 | ↓ -15% |
| Hill Physicians | Commercial|All Plans | $5,432.98 | ↓ -15% |
| Medcore | Commercial|With ER | $5,432.98 | ↓ -15% |
| Medcore | Commercial|Without ER | $5,432.98 | ↓ -15% |
| Blue Shield CA | Commercial|All Other Plans | $5,606.00 | ↓ -12% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↓ -6% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↑ +32% |
| Health Net | Commercial|Care Product | $8,556.00 | ↑ +34% |
| Health Net | Commercial|FFS | $9,771.00 | ↑ +53% |
| Sutter UMR | Commercial|All Plans | $10,866.00 | ↑ +70% |
| Healthsmart | Commercial|All Plans | $13,039.20 | ↑ +104% |
| First Health | Commercial|All Plans | $15,647.04 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $17,820.24 | ↑ +179% |
| United | Commercial|HMO | $18,254.88 | ↑ +186% |
| United | Commercial|All Other Plans | $18,254.88 | ↑ +186% |
| United | Commercial|Options PPO | $19,341.48 | ↑ +203% |
| United | Commercial|Non-Options PPO | $21,732.00 | ↑ +240% |
Visitor-reported prices
Comments
Bx of breast open 19101 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $5,114.08 – $5,114.08 |
| Mark Twain Medical Center | San Andreas | $3,912.09 | $236.25 – $5,535.04 |
| Providence St Joseph Hospital Orange | Orange | $5,204.64 | $4,035.00 – $9,316.42 |
| Providence Saint John's Health Center | Santa Monica | $4,322.15 | $1,528.38 – $9,297.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $290.59 – $8,628.88 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $236.25 – $4,865.48 |
| French Hospital | San Luis Obispo | not published | $236.25 – $4,865.48 |