Established Patient Office Visit (level 1) at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$68.80
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.
?
What you pay up front if you don't use insurance.
$234.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.21 with HPSJ vs $233.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $17.21 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|All Plans | $17.21 | ↓ -75% |
| BCBS - Anthem | Medicaid|< 21 | $21.37 | ↓ -69% |
| Kaiser | Medicaid|< 21 | $21.37 | ↓ -69% |
| BCBS - Anthem | Medicaid|> 21 | $21.37 | ↓ -69% |
| Kaiser | Medicaid|> 21 | $21.37 | ↓ -69% |
| Kaiser | Commercial|All Other Plans | $22.68 | ↓ -67% |
| Kaiser | Commercial|Affiliated Payers | $22.68 | ↓ -67% |
| Sutter UMR | Commercial|All Plans | $48.60 | ↓ -29% |
| Health Net | Medicaid|All Plans | $52.78 | ↓ -23% |
| BCBS - Anthem | Commercial|Exchange | $61.56 | ↓ -11% |
| Healthsmart | Commercial|All Plans | $64.80 | ↓ -6% |
| First Health | Commercial|All Plans | $77.76 | ↑ +13% |
| BCBS - Anthem | Commercial|Non-MCS | $84.24 | ↑ +22% |
| United | Commercial|Non-Options PPO | $86.40 | ↑ +26% |
| MultiPlan | Commercial|All Plans | $88.56 | ↑ +29% |
| United | Commercial|HMO | $90.72 | ↑ +32% |
| United | Commercial|All Other Plans | $90.72 | ↑ +32% |
| United | Commercial|Options PPO | $96.12 | ↑ +40% |
| Blue Shield CA | Commercial|All Other Plans | $108.00 | ↑ +57% |
| BCBS - Anthem | Commercial|MCS | $108.00 | ↑ +57% |
| Blue Shield CA | Commercial|Exchange | $108.00 | ↑ +57% |
| Cigna | Commercial|PPO | $233.00 | ↑ +239% |
| Cigna | Commercial|All Other Plans | $233.00 | ↑ +239% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $500.91 | $12.38 – $204.18 |
| Banner Lassen Medical Center | Susanville | $290.87 | $19.80 – $150.35 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $17.21 – $232.00 |
| Mark Twain Medical Center | San Andreas | $51.95 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $112.90 | $17.21 – $234.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $21.37 – $232.00 |
| Bakersfield Memorial Hospital | Bakersfield | $93.59 | $21.37 – $232.00 |
| Healdsburg Hospital | Healdsburg | $155.55 | not published |