ER Visit (level 5, high severity) at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$2,195.01
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.
$7,466.00
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.
$155.03 with Kaiser vs $24,771.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $155.03 | ↓ -93% |
| Kaiser | Medicaid|< 21 | $155.03 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|All Plans | $155.03 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $155.03 | ↓ -93% |
| HPSJ | Medicaid|> 21 | $155.03 | ↓ -93% |
| BCBS - Anthem | Medicaid|> 21 | $155.03 | ↓ -93% |
| Health Net | Medicaid|All Plans | $382.92 | ↓ -83% |
| Medcore | Commercial|Without ER | $739.39 | ↓ -66% |
| BCBS - Anthem | Medicare|All Plans | $869.87 | ↓ -60% |
| Aetna | Medicare|All Plans | $869.87 | ↓ -60% |
| Molina | Medicare|All Plans | $869.87 | ↓ -60% |
| United | Medicare|All Plans | $869.87 | ↓ -60% |
| Cigna | Medicare|All Plans | $869.87 | ↓ -60% |
| Kaiser | Medicare|All Plans | $869.87 | ↓ -60% |
| Alignment Health | Medicare|All Plans | $869.87 | ↓ -60% |
| Humana | Medicare|All Plans | $869.87 | ↓ -60% |
| Blue Shield CA | Medicare|All Plans | $869.87 | ↓ -60% |
| Scan Health Plan | Medicare|All Plans | $869.87 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $869.87 | ↓ -60% |
| Medcore | Commercial|With ER | $869.87 | ↓ -60% |
| Kaiser | Commercial|Affiliated Payers | $1,567.86 | ↓ -29% |
| Cigna | Commercial|All Other Plans | $3,658.34 | ↑ +67% |
| Cigna | Commercial|PPO | $3,658.34 | ↑ +67% |
| Blue Shield CA | Commercial|Exchange | $3,807.66 | ↑ +73% |
| Aetna | Commercial|PPO | $4,106.30 | ↑ +87% |
| Sutter UMR | Commercial|All Plans | $4,106.30 | ↑ +87% |
| Aetna | Commercial|All Other Plans | $4,106.30 | ↑ +87% |
| Aetna | Commercial|HMO | $4,106.30 | ↑ +87% |
| Blue Shield CA | Commercial|All Other Plans | $4,628.92 | ↑ +111% |
| Kaiser | Commercial|All Other Plans | $4,780.00 | ↑ +118% |
| Healthsmart | Commercial|All Plans | $4,852.90 | ↑ +121% |
| First Health | Commercial|All Plans | $5,375.52 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $6,122.12 | ↑ +179% |
| BCBS - Anthem | Commercial|Exchange | $9,545.00 | ↑ +335% |
| Health Net | Commercial|Care Product | $11,337.00 | ↑ +416% |
| United | Commercial|Non-Options PPO | $12,419.00 | ↑ +466% |
| Health Net | Commercial|FFS | $12,922.00 | ↑ +489% |
| BCBS - Anthem | Commercial|Non-MCS | $13,075.00 | ↑ +496% |
| United | Commercial|All Other Plans | $14,671.00 | ↑ +568% |
| United | Commercial|Options PPO | $15,997.00 | ↑ +629% |
| BCBS - Anthem | Commercial|MCS | $18,370.00 | ↑ +737% |
| United | Commercial|HMO | $24,771.00 | ↑ +1029% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |