Analysis; simple cranial nerv pulse gen prgrmg 95976 at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$104.08
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.
$354.00
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.
$35.02 with BCBS - Anthem vs $26,377.00 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 | $35.02 | ↓ -66% |
| HPSJ | Medicaid|> 21 | $35.02 | ↓ -66% |
| BCBS - Anthem | Medicaid|> 21 | $35.02 | ↓ -66% |
| Kaiser | Medicaid|> 21 | $35.02 | ↓ -66% |
| Kaiser | Medicaid|< 21 | $35.02 | ↓ -66% |
| Health Plan of San Joaquin | Medicaid|All Plans | $35.02 | ↓ -66% |
| Medcore | Commercial|Without ER | $44.97 | ↓ -57% |
| Alignment Health | Medicare|All Plans | $47.62 | ↓ -54% |
| Humana | Medicare|All Plans | $52.91 | ↓ -49% |
| Aetna | Medicare|All Plans | $52.91 | ↓ -49% |
| Molina | Medicare|All Plans | $52.91 | ↓ -49% |
| United | Medicare|All Plans | $52.91 | ↓ -49% |
| Cigna | Medicare|All Plans | $52.91 | ↓ -49% |
| Kaiser | Medicare|All Plans | $52.91 | ↓ -49% |
| BCBS - Anthem | Medicare|All Plans | $52.91 | ↓ -49% |
| Blue Shield CA | Medicare|All Plans | $52.91 | ↓ -49% |
| Scan Health Plan | Medicare|All Plans | $52.91 | ↓ -49% |
| Hill Physicians | Commercial|All Plans | $52.91 | ↓ -49% |
| Medcore | Commercial|With ER | $52.91 | ↓ -49% |
| Kaiser | Commercial|Affiliated Payers | $74.34 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $74.34 | ↓ -29% |
| Health Net | Medicaid|All Plans | $86.50 | ↓ -17% |
| Sutter UMR | Commercial|All Plans | $159.30 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $212.40 | ↑ +104% |
| BCBS - Anthem | Commercial|Exchange | $233.64 | ↑ +124% |
| First Health | Commercial|All Plans | $254.88 | ↑ +145% |
| United | Commercial|Non-Options PPO | $283.20 | ↑ +172% |
| MultiPlan | Commercial|All Plans | $290.28 | ↑ +179% |
| BCBS - Anthem | Commercial|Non-MCS | $318.60 | ↑ +206% |
| BCBS - Anthem | Commercial|MCS | $354.00 | ↑ +240% |
| United | Commercial|All Other Plans | $8,870.00 | ↑ +8422% |
| United | Commercial|Options PPO | $13,448.00 | ↑ +12821% |
| United | Commercial|HMO | $26,377.00 | ↑ +25243% |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $129.65 | $47.38 – $230.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $540.18 | $35.02 – $269.60 |
| Bakersfield Memorial Hospital | Bakersfield | $128.82 | $35.02 – $266.23 |
| Mercy Medical Center Merced | Merced | $183.86 | $35.02 – $280.00 |
| Providence Saint Joseph Medical Center | Burbank | $110.95 | $48.00 – $88.80 |
| Petaluma Valley Hospital | Petaluma | not published | $50.30 – $255.82 |
| Queen of The Valley Medical Center | Napa | not published | $52.99 – $323.30 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $48.00 – $366.62 |