Debridement (>20 cm) charge pt at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$161.41
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.
$549.00
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.
$53.47 with HPSJ vs $3,155.00 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 |
|---|---|---|---|
| HPSJ | Medicaid|> 21 | $53.47 | ↓ -67% |
| Health Plan of San Joaquin | Medicaid|All Plans | $53.47 | ↓ -67% |
| BCBS - Anthem | Medicaid|> 21 | $61.36 | ↓ -62% |
| BCBS - Anthem | Medicaid|< 21 | $61.36 | ↓ -62% |
| Kaiser | Medicaid|> 21 | $61.36 | ↓ -62% |
| Kaiser | Medicaid|< 21 | $61.36 | ↓ -62% |
| Kaiser | Commercial|All Other Plans | $115.29 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $115.29 | ↓ -29% |
| Health Net | Medicaid|All Plans | $167.52 | ↑ +4% |
| Sutter UMR | Commercial|All Plans | $247.05 | ↑ +53% |
| BCBS - Anthem | Commercial|Exchange | $312.93 | ↑ +94% |
| Healthsmart | Commercial|All Plans | $329.40 | ↑ +104% |
| First Health | Commercial|All Plans | $395.28 | ↑ +145% |
| BCBS - Anthem | Commercial|Non-MCS | $428.22 | ↑ +165% |
| MultiPlan | Commercial|All Plans | $450.18 | ↑ +179% |
| United | Commercial|All Other Plans | $461.16 | ↑ +186% |
| United | Commercial|HMO | $461.16 | ↑ +186% |
| United | Commercial|Options PPO | $488.61 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $549.00 | ↑ +240% |
| United | Commercial|Non-Options PPO | $549.00 | ↑ +240% |
| Blue Shield CA | Commercial|Exchange | $988.00 | ↑ +512% |
| Blue Shield CA | Commercial|All Other Plans | $1,294.00 | ↑ +702% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +1855% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +1855% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +1855% |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $260.61 | $15.16 – $398.65 |
| Banner Lassen Medical Center | Susanville | $43.28 | $25.42 – $88.23 |
| Petaluma Valley Hospital | Petaluma | $340.68 | $593.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $61.36 – $230.00 |
| Mark Twain Medical Center | San Andreas | $332.34 | $61.36 – $489.02 |
| French Hospital | San Luis Obispo | $132.89 | $61.36 – $237.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $89.79 | $61.36 – $196.02 |
| Bakersfield Memorial Hospital | Bakersfield | $88.82 | $61.36 – $239.58 |