Skin Biopsy at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$322.82
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.
$1,098.00
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.
$71.48 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $71.48 | ↓ -78% |
| Kaiser | Medicaid|< 21 | $71.48 | ↓ -78% |
| Kaiser | Medicaid|> 21 | $71.48 | ↓ -78% |
| BCBS - Anthem | Medicaid|< 21 | $71.48 | ↓ -78% |
| Health Plan of San Joaquin | Medicaid|All Plans | $89.35 | ↓ -72% |
| HPSJ | Medicaid|> 21 | $89.35 | ↓ -72% |
| Health Net | Medicaid|All Plans | $176.56 | ↓ -45% |
| Kaiser | Commercial|All Other Plans | $230.58 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $230.58 | ↓ -29% |
| Medcore | Commercial|Without ER | $239.63 | ↓ -26% |
| Alignment Health | Medicare|All Plans | $253.73 | ↓ -21% |
| Humana | Medicare|All Plans | $281.92 | ↓ -13% |
| Aetna | Medicare|All Plans | $281.92 | ↓ -13% |
| Molina | Medicare|All Plans | $281.92 | ↓ -13% |
| United | Medicare|All Plans | $281.92 | ↓ -13% |
| Cigna | Medicare|All Plans | $281.92 | ↓ -13% |
| Kaiser | Medicare|All Plans | $281.92 | ↓ -13% |
| BCBS - Anthem | Medicare|All Plans | $281.92 | ↓ -13% |
| Blue Shield CA | Medicare|All Plans | $281.92 | ↓ -13% |
| Scan Health Plan | Medicare|All Plans | $281.92 | ↓ -13% |
| Hill Physicians | Commercial|All Plans | $281.92 | ↓ -13% |
| Medcore | Commercial|With ER | $281.92 | ↓ -13% |
| Sutter UMR | Commercial|All Plans | $549.00 | ↑ +70% |
| Healthsmart | Commercial|All Plans | $658.80 | ↑ +104% |
| First Health | Commercial|All Plans | $790.56 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $900.36 | ↑ +179% |
| United | Commercial|HMO | $922.32 | ↑ +186% |
| United | Commercial|All Other Plans | $922.32 | ↑ +186% |
| United | Commercial|Options PPO | $977.22 | ↑ +203% |
| United | Commercial|Non-Options PPO | $1,098.00 | ↑ +240% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +867% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +877% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +877% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +877% |
| Health Net | Commercial|Care Product | $4,262.00 | ↑ +1220% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +1225% |
| Blue Shield CA | Commercial|Exchange | $4,282.00 | ↑ +1226% |
| Health Net | Commercial|FFS | $4,868.00 | ↑ +1408% |
| Blue Shield CA | Commercial|All Other Plans | $5,606.00 | ↑ +1637% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +1761% |
Visitor-reported prices
Comments
Skin Biopsy 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 | $1,126.73 | $108.14 – $596.00 |
| Petaluma Valley Hospital | Petaluma | $365.67 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $1,110.24 | $71.48 – $2,542.12 |
| Mark Twain Medical Center | San Andreas | $74.60 | $27.69 – $104.86 |
| French Hospital | San Luis Obispo | $1,016.85 | $71.48 – $2,173.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $155.08 | $71.48 – $334.40 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $71.48 – $330.22 |