MRI breast without cont bi at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,526.75
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.
$5,193.00
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.
$214.07 with HPSJ vs $4,941.00 with Cigna — 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 |
|---|---|---|---|
| HPSJ | Medicaid|> 21 | $214.07 | ↓ -86% |
| Kaiser | Medicaid|> 21 | $214.07 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|All Plans | $214.07 | ↓ -86% |
| Kaiser | Medicaid|< 21 | $214.07 | ↓ -86% |
| BCBS - Anthem | Medicaid|> 21 | $214.07 | ↓ -86% |
| BCBS - Anthem | Medicaid|< 21 | $214.07 | ↓ -86% |
| Medcore | Commercial|Without ER | $291.51 | ↓ -81% |
| Alignment Health | Medicare|All Plans | $308.65 | ↓ -80% |
| Humana | Medicare|All Plans | $342.95 | ↓ -78% |
| Aetna | Medicare|All Plans | $342.95 | ↓ -78% |
| Molina | Medicare|All Plans | $342.95 | ↓ -78% |
| United | Medicare|All Plans | $342.95 | ↓ -78% |
| Cigna | Medicare|All Plans | $342.95 | ↓ -78% |
| Kaiser | Medicare|All Plans | $342.95 | ↓ -78% |
| BCBS - Anthem | Medicare|All Plans | $342.95 | ↓ -78% |
| Blue Shield CA | Medicare|All Plans | $342.95 | ↓ -78% |
| Scan Health Plan | Medicare|All Plans | $342.95 | ↓ -78% |
| Hill Physicians | Commercial|All Plans | $342.95 | ↓ -78% |
| Medcore | Commercial|With ER | $342.95 | ↓ -78% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -66% |
| United | Commercial|All Other Plans | $517.79 | ↓ -66% |
| United | Commercial|Options PPO | $517.79 | ↓ -66% |
| United | Commercial|HMO | $517.79 | ↓ -66% |
| Health Net | Medicaid|All Plans | $528.75 | ↓ -65% |
| Kaiser | Commercial|Affiliated Payers | $1,090.53 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $1,090.53 | ↓ -29% |
| Aetna | Commercial|HMO | $1,141.35 | ↓ -25% |
| Aetna | Commercial|All Other Plans | $1,141.35 | ↓ -25% |
| Aetna | Commercial|PPO | $1,141.35 | ↓ -25% |
| BCBS - Anthem | Commercial|Exchange | $1,622.29 | ↑ +6% |
| BCBS - Anthem | Commercial|Non-MCS | $2,223.60 | ↑ +46% |
| Sutter UMR | Commercial|All Plans | $2,336.85 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $3,115.80 | ↑ +104% |
| BCBS - Anthem | Commercial|MCS | $3,124.32 | ↑ +105% |
| First Health | Commercial|All Plans | $3,738.96 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $4,258.26 | ↑ +179% |
| Cigna | Commercial|PPO | $4,941.00 | ↑ +224% |
| Cigna | Commercial|All Other Plans | $4,941.00 | ↑ +224% |
Visitor-reported prices
Comments
MRI breast without cont bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,141.82 | $307.13 – $3,814.20 |
| Banner Lassen Medical Center | Susanville | $1,241.96 | $48.34 – $1,733.39 |
| Arroyo Grande Hospital | Santa Maria | $1,581.89 | $214.07 – $3,294.76 |
| Mark Twain Medical Center | San Andreas | $10,247.08 | $214.07 – $3,829.84 |
| French Hospital | San Luis Obispo | $1,263.81 | $214.07 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $4,849.59 | $338.78 – $1,767.69 |
| Providence St Joseph Hospital Eureka | Eureka | $3,839.28 | $306.88 – $1,932.98 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,031.95 | $332.01 – $1,450.17 |