Exchange biliary drg cath at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$6,108.74
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.
$20,778.00
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.
$752.05 with BCBS - Anthem vs $9,766.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|< 21 | $752.05 | ↓ -88% |
| HPSJ | Medicaid|> 21 | $752.05 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|All Plans | $752.05 | ↓ -88% |
| Kaiser | Medicaid|< 21 | $752.05 | ↓ -88% |
| Kaiser | Medicaid|> 21 | $752.05 | ↓ -88% |
| BCBS - Anthem | Medicaid|> 21 | $752.05 | ↓ -88% |
| Health Net | Medicaid|All Plans | $1,857.56 | ↓ -70% |
| Kaiser | Commercial|All Other Plans | $2,050.86 | ↓ -66% |
| Kaiser | Commercial|Affiliated Payers | $2,050.86 | ↓ -66% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↓ -49% |
| Aetna | Commercial|HMO | $4,209.00 | ↓ -31% |
| Aetna | Commercial|PPO | $4,209.00 | ↓ -31% |
| Aetna | Commercial|All Other Plans | $4,209.00 | ↓ -31% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↓ -30% |
| Alignment Health | Medicare|All Plans | $4,506.33 | ↓ -26% |
| Sutter UMR | Commercial|All Plans | $4,883.00 | ↓ -20% |
| Blue Shield CA | Commercial|Exchange | $4,893.00 | ↓ -20% |
| Kaiser | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Humana | Medicare|All Plans | $5,007.03 | ↓ -18% |
| BCBS - Anthem | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Molina | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Aetna | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Blue Shield CA | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Scan Health Plan | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Hill Physicians | Commercial|All Plans | $5,007.03 | ↓ -18% |
| Medcore | Commercial|With ER | $5,007.03 | ↓ -18% |
| Medcore | Commercial|Without ER | $5,007.03 | ↓ -18% |
| Cigna | Medicare|All Plans | $5,007.03 | ↓ -18% |
| United | Medicare|All Plans | $5,007.03 | ↓ -18% |
| Healthsmart | Commercial|All Plans | $5,859.60 | ↓ -4% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↓ -2% |
| Blue Shield CA | Commercial|All Other Plans | $6,406.00 | ↑ +5% |
| First Health | Commercial|All Plans | $7,031.52 | ↑ +15% |
| MultiPlan | Commercial|All Plans | $8,008.12 | ↑ +31% |
| United | Commercial|All Other Plans | $8,203.44 | ↑ +34% |
| United | Commercial|HMO | $8,203.44 | ↑ +34% |
| United | Commercial|Options PPO | $8,691.74 | ↑ +42% |
| United | Commercial|Non-Options PPO | $9,766.00 | ↑ +60% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $4,713.13 – $4,713.13 |
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,137.77 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | $7,210.38 | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $3,432.99 | $752.05 – $5,780.04 |
| French Hospital | San Luis Obispo | $3,097.59 | $752.05 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,854.69 | $752.05 – $4,484.02 |
| Bakersfield Memorial Hospital | Bakersfield | $3,813.13 | $752.05 – $4,484.02 |
| Queen of The Valley Medical Center | Napa | $7,805.04 | $5,083.67 – $17,909.00 |