Pr incision & drainage abscess simple/single at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,449.42
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.
$4,930.00
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.
$48.70 with Kaiser vs $8,422.00 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 | $48.70 | ↓ -97% |
| Kaiser | Medicaid|< 21 | $48.70 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $48.70 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $48.70 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|All Plans | $60.88 | ↓ -96% |
| HPSJ | Medicaid|> 21 | $60.88 | ↓ -96% |
| Health Net | Medicaid|All Plans | $189.62 | ↓ -87% |
| Medcore | Commercial|Without ER | $239.63 | ↓ -83% |
| Alignment Health | Medicare|All Plans | $253.73 | ↓ -82% |
| Humana | Medicare|All Plans | $281.92 | ↓ -81% |
| Aetna | Medicare|All Plans | $281.92 | ↓ -81% |
| Molina | Medicare|All Plans | $281.92 | ↓ -81% |
| United | Medicare|All Plans | $281.92 | ↓ -81% |
| Cigna | Medicare|All Plans | $281.92 | ↓ -81% |
| Kaiser | Medicare|All Plans | $281.92 | ↓ -81% |
| BCBS - Anthem | Medicare|All Plans | $281.92 | ↓ -81% |
| Blue Shield CA | Medicare|All Plans | $281.92 | ↓ -81% |
| Scan Health Plan | Medicare|All Plans | $281.92 | ↓ -81% |
| Hill Physicians | Commercial|All Plans | $281.92 | ↓ -81% |
| Medcore | Commercial|With ER | $281.92 | ↓ -81% |
| Kaiser | Commercial|All Other Plans | $502.74 | ↓ -65% |
| Kaiser | Commercial|Affiliated Payers | $502.74 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $988.00 | ↓ -32% |
| Sutter UMR | Commercial|All Plans | $1,197.00 | ↓ -17% |
| Blue Shield CA | Commercial|All Other Plans | $1,294.00 | ↓ -11% |
| Healthsmart | Commercial|All Plans | $1,436.40 | ↓ -1% |
| First Health | Commercial|All Plans | $1,723.68 | ↑ +19% |
| MultiPlan | Commercial|All Plans | $1,963.08 | ↑ +35% |
| United | Commercial|HMO | $2,010.96 | ↑ +39% |
| United | Commercial|All Other Plans | $2,010.96 | ↑ +39% |
| United | Commercial|Options PPO | $2,130.66 | ↑ +47% |
| United | Commercial|Non-Options PPO | $2,394.00 | ↑ +65% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +118% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +118% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +118% |
| Health Net | Commercial|Care Product | $4,262.00 | ↑ +194% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↑ +202% |
| Health Net | Commercial|FFS | $4,868.00 | ↑ +236% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↑ +314% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↑ +481% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $265.37 – $265.37 |
| St. John's Camarillo Hospital | Camarillo | $183.43 | $59.90 – $453.26 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $323.57 | $48.70 – $740.88 |
| Mark Twain Medical Center | San Andreas | $179.16 | $48.70 – $251.86 |
| French Hospital | San Luis Obispo | $305.37 | $48.70 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $247.83 | $48.70 – $534.40 |
| Bakersfield Memorial Hospital | Bakersfield | $245.16 | $48.70 – $464.52 |