Established Patient Office Visit (level 2) at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$159.06
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.
$541.00
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.
$16.37 with Health Plan of San Joaquin vs $487.00 with BCBS - Anthem — 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 Plan of San Joaquin | Medicaid|All Plans | $16.37 | ↓ -90% |
| HPSJ | Medicaid|> 21 | $16.37 | ↓ -90% |
| Kaiser | Medicaid|< 21 | $32.25 | ↓ -80% |
| BCBS - Anthem | Medicaid|> 21 | $32.25 | ↓ -80% |
| BCBS - Anthem | Medicaid|< 21 | $32.25 | ↓ -80% |
| Kaiser | Medicaid|> 21 | $32.25 | ↓ -80% |
| Health Net | Medicaid|All Plans | $79.66 | ↓ -50% |
| Kaiser | Commercial|All Other Plans | $102.27 | ↓ -36% |
| Kaiser | Commercial|Affiliated Payers | $102.27 | ↓ -36% |
| Blue Shield CA | Commercial|Exchange | $128.00 | ↓ -20% |
| Blue Shield CA | Commercial|All Other Plans | $170.00 | ↑ +7% |
| Sutter UMR | Commercial|All Plans | $219.15 | ↑ +38% |
| Cigna | Commercial|PPO | $233.00 | ↑ +46% |
| Cigna | Commercial|All Other Plans | $233.00 | ↑ +46% |
| BCBS - Anthem | Commercial|Exchange | $277.59 | ↑ +75% |
| Healthsmart | Commercial|All Plans | $292.20 | ↑ +84% |
| First Health | Commercial|All Plans | $350.64 | ↑ +120% |
| BCBS - Anthem | Commercial|Non-MCS | $379.86 | ↑ +139% |
| United | Commercial|Non-Options PPO | $389.60 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $399.34 | ↑ +151% |
| United | Commercial|All Other Plans | $409.08 | ↑ +157% |
| United | Commercial|HMO | $409.08 | ↑ +157% |
| United | Commercial|Options PPO | $433.43 | ↑ +172% |
| BCBS - Anthem | Commercial|MCS | $487.00 | ↑ +206% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.01 | $28.15 – $226.00 |
| Banner Lassen Medical Center | Susanville | $737.20 | $29.86 – $276.45 |
| Arroyo Grande Hospital | Santa Maria | $130.54 | $16.37 – $305.00 |
| Mark Twain Medical Center | San Andreas | $68.60 | $8.28 – $32.00 |
| French Hospital | San Luis Obispo | $119.56 | $16.37 – $298.90 |
| Bakersfield Memorial Hospital | Bakersfield | $86.25 | $32.25 – $232.00 |
| Healdsburg Hospital | Healdsburg | $205.02 | not published |
| Redwood Memorial Hospital | Fortuna | $55.08 | not published |