Ultrasound dx ophth b-scan at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$158.47
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.
$539.00
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.
$61.81 with Health Plan of San Joaquin vs $1,163.63 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 |
|---|---|---|---|
| Health Plan of San Joaquin | Medicaid|All Plans | $61.81 | ↓ -61% |
| BCBS - Anthem | Medicaid|> 21 | $61.81 | ↓ -61% |
| Kaiser | Medicaid|< 21 | $61.81 | ↓ -61% |
| BCBS - Anthem | Medicaid|< 21 | $61.81 | ↓ -61% |
| HPSJ | Medicaid|> 21 | $61.81 | ↓ -61% |
| Kaiser | Medicaid|> 21 | $61.81 | ↓ -61% |
| Kaiser | Commercial|All Other Plans | $79.17 | ↓ -50% |
| Kaiser | Commercial|Affiliated Payers | $79.17 | ↓ -50% |
| Aetna | Commercial|HMO | $125.68 | ↓ -21% |
| Aetna | Commercial|PPO | $125.68 | ↓ -21% |
| Aetna | Commercial|All Other Plans | $125.68 | ↓ -21% |
| Medcore | Commercial|Without ER | $128.25 | ↓ -19% |
| Alignment Health | Medicare|All Plans | $135.79 | ↓ -14% |
| Humana | Medicare|All Plans | $150.88 | ↓ -5% |
| Aetna | Medicare|All Plans | $150.88 | ↓ -5% |
| Molina | Medicare|All Plans | $150.88 | ↓ -5% |
| United | Medicare|All Plans | $150.88 | ↓ -5% |
| Cigna | Medicare|All Plans | $150.88 | ↓ -5% |
| Kaiser | Medicare|All Plans | $150.88 | ↓ -5% |
| BCBS - Anthem | Medicare|All Plans | $150.88 | ↓ -5% |
| Blue Shield CA | Medicare|All Plans | $150.88 | ↓ -5% |
| Scan Health Plan | Medicare|All Plans | $150.88 | ↓ -5% |
| Hill Physicians | Commercial|All Plans | $150.88 | ↓ -5% |
| Medcore | Commercial|With ER | $150.88 | ↓ -5% |
| Health Net | Medicaid|All Plans | $152.67 | ↓ -4% |
| Sutter UMR | Commercial|All Plans | $169.65 | ↑ +7% |
| Healthsmart | Commercial|All Plans | $226.20 | ↑ +43% |
| United | Commercial|Options PPO | $245.18 | ↑ +55% |
| United | Commercial|HMO | $245.18 | ↑ +55% |
| United | Commercial|All Other Plans | $245.18 | ↑ +55% |
| United | Commercial|Non-Options PPO | $245.18 | ↑ +55% |
| BCBS - Anthem | Commercial|Exchange | $248.82 | ↑ +57% |
| First Health | Commercial|All Plans | $271.44 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $309.14 | ↑ +95% |
| BCBS - Anthem | Commercial|Non-MCS | $339.30 | ↑ +114% |
| BCBS - Anthem | Commercial|MCS | $377.00 | ↑ +138% |
| Cigna | Commercial|All Other Plans | $1,163.63 | ↑ +634% |
| Cigna | Commercial|PPO | $1,163.63 | ↑ +634% |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $296.80 | $142.00 – $142.00 |
| Santa Clara Medical Center | SANTA CLARA | $296.80 | $142.00 – $142.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $421.20 | $96.00 – $96.00 |
| Riverside Medical Center | RIVERSIDE | $421.20 | $96.00 – $96.00 |
| Sacramento Medical Center | SACRAMENTO | $296.80 | $142.00 – $142.00 |
| Oakland Medical Center | Oakland | $296.80 | $142.00 – $142.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $296.80 | $142.00 – $142.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $126.14 | $61.81 – $570.84 |