Epoetin alfa, 100 units esrd at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$2.36
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.
$8.00
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.
$1.05 with Kaiser vs $5.00 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 | Commercial|All Other Plans | $1.05 | ↓ -56% |
| Kaiser | Commercial|Affiliated Payers | $1.05 | ↓ -56% |
| United | Commercial|HMO | $1.07 | ↓ -55% |
| United | Commercial|Options PPO | $1.07 | ↓ -55% |
| United | Commercial|All Other Plans | $1.07 | ↓ -55% |
| United | Commercial|Non-Options PPO | $1.35 | ↓ -43% |
| Health Net | Commercial|Care Product | $1.89 | ↓ -20% |
| Blue Shield CA | Commercial|Exchange | $1.99 | ↓ -16% |
| Blue Shield CA | Commercial|All Other Plans | $1.99 | ↓ -16% |
| Health Net | Commercial|FFS | $2.15 | ↓ -9% |
| Sutter UMR | Commercial|All Plans | $2.25 | ↓ -5% |
| Cigna | Commercial|PPO | $2.34 | ↓ -1% |
| Cigna | Commercial|All Other Plans | $2.34 | ↓ -1% |
| Healthsmart | Commercial|All Plans | $3.00 | ↑ +27% |
| BCBS - Anthem | Commercial|Exchange | $3.25 | ↑ +38% |
| First Health | Commercial|All Plans | $3.60 | ↑ +53% |
| MultiPlan | Commercial|All Plans | $4.10 | ↑ +74% |
| BCBS - Anthem | Commercial|Non-MCS | $4.50 | ↑ +91% |
| Health Net | Medicaid|All Plans | $5.00 | ↑ +112% |
| Health Plan of San Joaquin | Medicaid|All Plans | $5.00 | ↑ +112% |
| HPSJ | Medicaid|> 21 | $5.00 | ↑ +112% |
| BCBS - Anthem | Commercial|MCS | $5.00 | ↑ +112% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $18.54 | $0.34 – $8.53 |
| Dominican Hospital | Santa Cruz | $115.46 | $1.07 – $218.08 |
| Sierra Nevada Memorial Hospital | Grass Valley | $122.63 | $0.81 – $58.80 |
| St. Elizabeth Community Hospital | Red Bluff | $81.76 | $5.17 – $112.70 |
| Petaluma Valley Hospital | Petaluma | not published | $1.42 – $1.73 |
| Queen of The Valley Medical Center | Napa | not published | $1.42 – $1.87 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1.53 – $2.23 |
| Healdsburg Hospital | Healdsburg | not published | $1.30 – $4.40 |