Bx soft tiss pelvis+hip area supf 27040 at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$3,022.62
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.
$10,281.00
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 $8,209.00 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 |
|---|---|---|---|
| First Health | Commercial|All Plans | $0.80 | ↓ -100% |
| MultiPlan | Commercial|All Plans | $0.92 | ↓ -100% |
| Kaiser | Commercial|All Other Plans | $129.15 | ↓ -96% |
| Kaiser | Commercial|Affiliated Payers | $129.15 | ↓ -96% |
| Kaiser | Medicaid|< 21 | $156.79 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $156.79 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $156.79 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $156.79 | ↓ -95% |
| HPSJ | Medicaid|> 21 | $195.98 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|All Plans | $195.98 | ↓ -94% |
| Sutter UMR | Commercial|All Plans | $307.50 | ↓ -90% |
| Healthsmart | Commercial|All Plans | $369.00 | ↓ -88% |
| United | Commercial|All Other Plans | $516.60 | ↓ -83% |
| United | Commercial|HMO | $516.60 | ↓ -83% |
| United | Commercial|Options PPO | $547.35 | ↓ -82% |
| Alignment Health | Medicare|All Plans | $553.50 | ↓ -82% |
| Health Net | Medicaid|All Plans | $610.49 | ↓ -80% |
| Humana | Medicare|All Plans | $615.00 | ↓ -80% |
| United | Commercial|Non-Options PPO | $615.00 | ↓ -80% |
| Cigna | Medicare|All Plans | $615.00 | ↓ -80% |
| Kaiser | Medicare|All Plans | $615.00 | ↓ -80% |
| Molina | Medicare|All Plans | $615.00 | ↓ -80% |
| BCBS - Anthem | Medicare|All Plans | $615.00 | ↓ -80% |
| Aetna | Medicare|All Plans | $615.00 | ↓ -80% |
| Scan Health Plan | Medicare|All Plans | $615.00 | ↓ -80% |
| Hill Physicians | Commercial|All Plans | $615.00 | ↓ -80% |
| Medcore | Commercial|With ER | $615.00 | ↓ -80% |
| Medcore | Commercial|Without ER | $615.00 | ↓ -80% |
| Blue Shield CA | Medicare|All Plans | $2,298.80 | ↓ -24% |
| United | Medicare|All Plans | $2,298.80 | ↓ -24% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +3% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +4% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +4% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +4% |
| Blue Shield CA | Commercial|Exchange | $3,199.00 | ↑ +6% |
| Blue Shield CA | Commercial|All Other Plans | $4,189.00 | ↑ +39% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +41% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +99% |
| Health Net | Commercial|Care Product | $7,188.00 | ↑ +138% |
| Health Net | Commercial|FFS | $8,209.00 | ↑ +172% |
Visitor-reported prices
Comments
Bx soft tiss pelvis+hip area supf 27040 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 | $2,779.55 | $192.85 – $4,949.88 |
| Arroyo Grande Hospital | Santa Maria | $2,360.85 | $156.79 – $5,405.68 |
| Mark Twain Medical Center | San Andreas | $4,662.67 | $156.79 – $3,001.74 |
| French Hospital | San Luis Obispo | $1,477.84 | $156.79 – $3,694.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,713.65 | $156.79 – $1,306.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,695.18 | $156.79 – $1,306.00 |
| Queen of The Valley Medical Center | Napa | $2,700.45 | $2,345.04 – $9,858.00 |