Surgical pathology level 6 gross & microscopic examination at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$306.65
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.
$1,043.00
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.
$85.80 with Kaiser vs $1,739.32 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 |
|---|---|---|---|
| Kaiser | Commercial|All Other Plans | $85.80 | ↓ -72% |
| Kaiser | Commercial|Affiliated Payers | $85.80 | ↓ -72% |
| Sutter UMR | Commercial|All Plans | $183.84 | ↓ -40% |
| Healthsmart | Commercial|All Plans | $245.12 | ↓ -20% |
| HPSJ | Medicaid|> 21 | $266.04 | ↓ -13% |
| BCBS - Anthem | Medicaid|> 21 | $266.04 | ↓ -13% |
| Kaiser | Medicaid|< 21 | $266.04 | ↓ -13% |
| Kaiser | Medicaid|> 21 | $266.04 | ↓ -13% |
| Health Plan of San Joaquin | Medicaid|All Plans | $266.04 | ↓ -13% |
| BCBS - Anthem | Medicaid|< 21 | $266.04 | ↓ -13% |
| BCBS - Anthem | Commercial|Exchange | $268.63 | ↓ -12% |
| First Health | Commercial|All Plans | $294.15 | ↓ -4% |
| MultiPlan | Commercial|All Plans | $335.00 | ↑ +9% |
| Medcore | Commercial|Without ER | $347.26 | ↑ +13% |
| BCBS - Anthem | Commercial|Non-MCS | $367.68 | ↑ +20% |
| Alignment Health | Medicare|All Plans | $367.68 | ↑ +20% |
| Kaiser | Medicare|All Plans | $408.53 | ↑ +33% |
| Aetna | Commercial|All Other Plans | $408.53 | ↑ +33% |
| Aetna | Commercial|PPO | $408.53 | ↑ +33% |
| Aetna | Medicare|All Plans | $408.53 | ↑ +33% |
| Aetna | Commercial|HMO | $408.53 | ↑ +33% |
| Molina | Medicare|All Plans | $408.53 | ↑ +33% |
| United | Commercial|All Other Plans | $408.53 | ↑ +33% |
| United | Commercial|HMO | $408.53 | ↑ +33% |
| United | Commercial|Options PPO | $408.53 | ↑ +33% |
| United | Commercial|Non-Options PPO | $408.53 | ↑ +33% |
| Health Net | Medicaid|All Plans | $408.53 | ↑ +33% |
| Cigna | Medicare|All Plans | $408.53 | ↑ +33% |
| Humana | Medicare|All Plans | $408.53 | ↑ +33% |
| BCBS - Anthem | Medicare|All Plans | $408.53 | ↑ +33% |
| BCBS - Anthem | Commercial|MCS | $408.53 | ↑ +33% |
| Scan Health Plan | Medicare|All Plans | $408.53 | ↑ +33% |
| Hill Physicians | Commercial|All Plans | $408.53 | ↑ +33% |
| Medcore | Commercial|With ER | $408.53 | ↑ +33% |
| United | Medicare|All Plans | $1,159.02 | ↑ +278% |
| Blue Shield CA | Medicare|All Plans | $1,159.02 | ↑ +278% |
| Cigna | Commercial|All Other Plans | $1,739.32 | ↑ +467% |
| Cigna | Commercial|PPO | $1,739.32 | ↑ +467% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | $233.28 | $40.86 – $326.83 |
| St. John's Camarillo Hospital | Camarillo | $391.58 | $241.38 – $1,788.00 |
| Petaluma Valley Hospital | Petaluma | $1,276.02 | $223.35 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $132.85 | $155.20 – $765.05 |
| Mark Twain Medical Center | San Andreas | $606.73 | $79.03 – $299.38 |
| French Hospital | San Luis Obispo | $121.68 | $83.81 – $899.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.08 | $204.27 – $853.25 |
| Bakersfield Memorial Hospital | Bakersfield | $302.78 | $204.27 – $853.25 |