App high cost ss t/a/l >100sq cm 1st 100sq cm at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
not published by hospital
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.
not published by hospital
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.
$171.97 with Health Plan of San Joaquin vs $9,771.00 with Health Net — 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 | $171.97 | — |
| HPSJ | Medicaid|> 21 | $171.97 | — |
| BCBS - Anthem | Medicaid|< 21 | $197.34 | — |
| BCBS - Anthem | Medicaid|> 21 | $197.34 | — |
| Kaiser | Medicaid|> 21 | $197.34 | — |
| Kaiser | Medicaid|< 21 | $197.34 | — |
| Health Net | Medicaid|All Plans | $535.77 | — |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | — |
| Aetna | Commercial|PPO | $4,209.00 | — |
| Aetna | Commercial|All Other Plans | $4,209.00 | — |
| Aetna | Commercial|HMO | $4,209.00 | — |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | — |
| Blue Shield CA | Commercial|Exchange | $4,282.00 | — |
| Medcore | Commercial|Without ER | $4,415.05 | — |
| Alignment Health | Medicare|All Plans | $4,674.76 | — |
| Humana | Medicare|All Plans | $5,194.18 | — |
| Aetna | Medicare|All Plans | $5,194.18 | — |
| Molina | Medicare|All Plans | $5,194.18 | — |
| United | Medicare|All Plans | $5,194.18 | — |
| Cigna | Medicare|All Plans | $5,194.18 | — |
| Kaiser | Medicare|All Plans | $5,194.18 | — |
| BCBS - Anthem | Medicare|All Plans | $5,194.18 | — |
| Blue Shield CA | Medicare|All Plans | $5,194.18 | — |
| Scan Health Plan | Medicare|All Plans | $5,194.18 | — |
| Hill Physicians | Commercial|All Plans | $5,194.18 | — |
| Medcore | Commercial|With ER | $5,194.18 | — |
| Blue Shield CA | Commercial|All Other Plans | $5,606.00 | — |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | — |
| Health Net | Commercial|Care Product | $8,556.00 | — |
| Health Net | Commercial|FFS | $9,771.00 | — |
| United | Commercial|Options PPO | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Sutter UMR | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Other Plans | not published by hospital | — |
| Kaiser | Commercial|Affiliated Payers | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $4,889.30 – $4,889.30 |
| St. John's Camarillo Hospital | Camarillo | $1,640.91 | $226.00 – $5,858.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,159.43 | $197.34 – $3,556.00 |
| Healdsburg Hospital | Healdsburg | $3,593.46 | $2,779.95 – $5,198.77 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,941.00 | $1,528.00 – $6,423.00 |
| Providence Saint Joseph Medical Center | Burbank | $3,619.35 | $1,528.00 – $6,544.00 |
| Providence St Joseph Hospital Orange | Orange | $3,874.08 | $2,255.66 – $9,230.00 |
| Mercy Medical Center Redding | Redding | $954.69 | $273.43 – $1,883.00 |