Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$519.80
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.
$1,768.00
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.
$145.57 with Kaiser vs $6,009.00 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 | Medicaid|> 21 | $145.57 | ↓ -72% |
| Kaiser | Medicaid|< 21 | $145.57 | ↓ -72% |
| Health Plan of San Joaquin | Medicaid|All Plans | $145.57 | ↓ -72% |
| BCBS - Anthem | Medicaid|> 21 | $145.57 | ↓ -72% |
| BCBS - Anthem | Medicaid|< 21 | $145.57 | ↓ -72% |
| HPSJ | Medicaid|> 21 | $145.57 | ↓ -72% |
| Kaiser | Commercial|All Other Plans | $178.29 | ↓ -66% |
| Kaiser | Commercial|Affiliated Payers | $178.29 | ↓ -66% |
| Health Net | Medicaid|All Plans | $359.56 | ↓ -31% |
| Sutter UMR | Commercial|All Plans | $424.50 | ↓ -18% |
| Healthsmart | Commercial|All Plans | $509.40 | ↓ -2% |
| First Health | Commercial|All Plans | $611.28 | ↑ +18% |
| MultiPlan | Commercial|All Plans | $696.18 | ↑ +34% |
| United | Commercial|HMO | $713.16 | ↑ +37% |
| United | Commercial|All Other Plans | $713.16 | ↑ +37% |
| United | Commercial|Options PPO | $755.61 | ↑ +45% |
| United | Commercial|Non-Options PPO | $849.00 | ↑ +63% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +501% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +507% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +507% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +507% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +723% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +1056% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $415.67 | $220.23 – $740.22 |
| Arroyo Grande Hospital | Santa Maria | $1,108.10 | $145.57 – $2,537.22 |
| French Hospital | San Luis Obispo | $1,322.22 | $145.57 – $2,537.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $462.27 | $145.57 – $1,108.94 |
| Bakersfield Memorial Hospital | Bakersfield | $457.29 | $145.57 – $1,233.54 |
| Mercy Medical Center Merced | Merced | $680.83 | $145.57 – $576.18 |
| Dominican Hospital | Santa Cruz | $594.45 | $145.57 – $1,188.90 |
| Northridge Hospital Medical Center | Northridge | $458.68 | $145.57 – $1,644.00 |