Consultation/report referred slides prepared elsewhere at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$66.45
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.
$226.00
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.
$31.50 with Kaiser vs $492.60 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 | $31.50 | ↓ -53% |
| Kaiser | Commercial|Affiliated Payers | $31.50 | ↓ -53% |
| United | Commercial|All Other Plans | $40.61 | ↓ -39% |
| United | Commercial|HMO | $40.61 | ↓ -39% |
| United | Commercial|Options PPO | $40.61 | ↓ -39% |
| United | Commercial|Non-Options PPO | $40.61 | ↓ -39% |
| Medcore | Commercial|Without ER | $47.34 | ↓ -29% |
| Alignment Health | Medicare|All Plans | $50.12 | ↓ -25% |
| Molina | Medicare|All Plans | $55.69 | ↓ -16% |
| United | Medicare|All Plans | $55.69 | ↓ -16% |
| Kaiser | Medicare|All Plans | $55.69 | ↓ -16% |
| Cigna | Medicare|All Plans | $55.69 | ↓ -16% |
| Humana | Medicare|All Plans | $55.69 | ↓ -16% |
| Medcore | Commercial|With ER | $55.69 | ↓ -16% |
| Hill Physicians | Commercial|All Plans | $55.69 | ↓ -16% |
| Scan Health Plan | Medicare|All Plans | $55.69 | ↓ -16% |
| Aetna | Medicare|All Plans | $55.69 | ↓ -16% |
| Blue Shield CA | Medicare|All Plans | $55.69 | ↓ -16% |
| BCBS - Anthem | Medicare|All Plans | $55.69 | ↓ -16% |
| Sutter UMR | Commercial|All Plans | $67.50 | ↑ +2% |
| HPSJ | Medicaid|> 21 | $87.47 | ↑ +32% |
| Kaiser | Medicaid|< 21 | $87.47 | ↑ +32% |
| Kaiser | Medicaid|> 21 | $87.47 | ↑ +32% |
| BCBS - Anthem | Medicaid|< 21 | $87.47 | ↑ +32% |
| BCBS - Anthem | Medicaid|> 21 | $87.47 | ↑ +32% |
| Health Plan of San Joaquin | Medicaid|All Plans | $87.47 | ↑ +32% |
| Healthsmart | Commercial|All Plans | $90.00 | ↑ +35% |
| BCBS - Anthem | Commercial|Exchange | $99.00 | ↑ +49% |
| First Health | Commercial|All Plans | $108.00 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $123.00 | ↑ +85% |
| BCBS - Anthem | Commercial|Non-MCS | $135.00 | ↑ +103% |
| Aetna | Commercial|PPO | $150.00 | ↑ +126% |
| Aetna | Commercial|All Other Plans | $150.00 | ↑ +126% |
| BCBS - Anthem | Commercial|MCS | $150.00 | ↑ +126% |
| Aetna | Commercial|HMO | $150.00 | ↑ +126% |
| Health Net | Medicaid|All Plans | $150.00 | ↑ +126% |
| Cigna | Commercial|PPO | $492.60 | ↑ +641% |
| Cigna | Commercial|All Other Plans | $492.60 | ↑ +641% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $63.08 | $38.88 – $223.12 |
| Petaluma Valley Hospital | Petaluma | $240.72 | $50.33 – $319.03 |
| Arroyo Grande Hospital | Santa Maria | $256.33 | $40.61 – $216.67 |
| Mark Twain Medical Center | San Andreas | $83.92 | $32.60 – $123.48 |
| French Hospital | San Luis Obispo | $234.77 | $32.62 – $254.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $55.65 | $40.61 – $241.65 |
| Bakersfield Memorial Hospital | Bakersfield | $55.05 | $40.61 – $241.65 |
| Queen of The Valley Medical Center | Napa | $386.07 | $53.03 – $403.17 |