Plmt biliary drainage cath at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$8,762.67
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.
$29,805.00
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.
$1,507.82 with BCBS - Anthem vs $29,805.00 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 | $1,507.82 | ↓ -83% |
| HPSJ | Medicaid|> 21 | $1,507.82 | ↓ -83% |
| Kaiser | Medicaid|< 21 | $1,507.82 | ↓ -83% |
| BCBS - Anthem | Medicaid|< 21 | $1,507.82 | ↓ -83% |
| Health Plan of San Joaquin | Medicaid|All Plans | $1,507.82 | ↓ -83% |
| Kaiser | Medicaid|> 21 | $1,507.82 | ↓ -83% |
| Health Net | Medicaid|All Plans | $3,724.32 | ↓ -57% |
| Aetna | Commercial|PPO | $4,209.00 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $4,209.00 | ↓ -52% |
| Aetna | Commercial|HMO | $4,209.00 | ↓ -52% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↓ -50% |
| Alignment Health | Medicare|All Plans | $4,506.33 | ↓ -49% |
| Blue Shield CA | Commercial|Exchange | $4,893.00 | ↓ -44% |
| Humana | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Aetna | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Molina | Medicare|All Plans | $5,007.03 | ↓ -43% |
| United | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Cigna | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Kaiser | Medicare|All Plans | $5,007.03 | ↓ -43% |
| BCBS - Anthem | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Blue Shield CA | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Scan Health Plan | Medicare|All Plans | $5,007.03 | ↓ -43% |
| Hill Physicians | Commercial|All Plans | $5,007.03 | ↓ -43% |
| Medcore | Commercial|With ER | $5,007.03 | ↓ -43% |
| Medcore | Commercial|Without ER | $5,007.03 | ↓ -43% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↓ -32% |
| Kaiser | Commercial|All Other Plans | $6,259.05 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $6,259.05 | ↓ -29% |
| Blue Shield CA | Commercial|All Other Plans | $6,406.00 | ↓ -27% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↓ -4% |
| Sutter UMR | Commercial|All Plans | $14,902.50 | ↑ +70% |
| Healthsmart | Commercial|All Plans | $17,883.00 | ↑ +104% |
| First Health | Commercial|All Plans | $21,459.60 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $24,440.10 | ↑ +179% |
| United | Commercial|HMO | $25,036.20 | ↑ +186% |
| United | Commercial|All Other Plans | $25,036.20 | ↑ +186% |
| United | Commercial|Options PPO | $26,526.45 | ↑ +203% |
| United | Commercial|Non-Options PPO | $29,805.00 | ↑ +240% |
Visitor-reported prices
Comments
Plmt biliary drainage 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 | $1,895.94 – $8,890.24 |
| Arroyo Grande Hospital | Santa Maria | $5,416.34 | $1,507.82 – $6,588.54 |
| French Hospital | San Luis Obispo | $5,167.35 | $1,507.82 – $6,588.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,721.13 | $1,507.82 – $8,024.00 |
| Bakersfield Memorial Hospital | Bakersfield | $3,407.97 | $1,507.82 – $7,335.94 |
| Providence St Joseph Hospital Eureka | Eureka | $5,330.52 | $4,604.99 – $17,611.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,471.68 | $3,423.00 – $11,377.00 |