Cath symplicity spyral at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$13,670.12
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.
$46,497.00
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.
$12,089.22 with Health Net vs $46,497.00 with Aetna — 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 Net | Medicaid|All Plans | $12,089.22 | ↓ -12% |
| Kaiser | Commercial|Affiliated Payers | $12,089.22 | ↓ -12% |
| Kaiser | Commercial|All Other Plans | $12,089.22 | ↓ -12% |
| Health Plan of San Joaquin | Medicaid|All Plans | $15,344.01 | ↑ +12% |
| HPSJ | Medicaid|> 21 | $15,344.01 | ↑ +12% |
| Sutter UMR | Commercial|All Plans | $18,598.80 | ↑ +36% |
| United | Commercial|Options PPO | $19,528.74 | ↑ +43% |
| United | Commercial|Non-Options PPO | $22,318.56 | ↑ +63% |
| United | Commercial|All Other Plans | $22,783.53 | ↑ +67% |
| United | Commercial|HMO | $23,713.47 | ↑ +73% |
| Health Net | Commercial|Care Product | $24,178.44 | ↑ +77% |
| Healthsmart | Commercial|All Plans | $25,573.35 | ↑ +87% |
| Health Net | Commercial|FFS | $27,433.23 | ↑ +101% |
| BCBS - Anthem | Commercial|Exchange | $32,082.93 | ↑ +135% |
| First Health | Commercial|All Plans | $33,477.84 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $38,127.54 | ↑ +179% |
| Blue Shield CA | Commercial|Exchange | $39,987.42 | ↑ +193% |
| Blue Shield CA | Commercial|All Other Plans | $42,777.24 | ↑ +213% |
| Cigna | Commercial|All Other Plans | $43,707.18 | ↑ +220% |
| Cigna | Commercial|PPO | $43,707.18 | ↑ +220% |
| BCBS - Anthem | Commercial|Non-MCS | $44,172.15 | ↑ +223% |
| BCBS - Anthem | Commercial|MCS | $44,172.15 | ↑ +223% |
| Aetna | Commercial|PPO | $46,497.00 | ↑ +240% |
| Aetna | Commercial|All Other Plans | $46,497.00 | ↑ +240% |
| Aetna | Commercial|HMO | $46,497.00 | ↑ +240% |
Visitor-reported prices
Comments
Cath symplicity spyral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $28,440.67 | $19,373.75 – $75,170.15 |
| Mercy Medical Center Merced | Merced | $23,945.96 | $10,694.31 – $44,637.12 |