Factor ix at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$11.76
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.
$40.00
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.
$6.92 with Kaiser vs $111.57 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|Affiliated Payers | $6.92 | ↓ -41% |
| Kaiser | Commercial|All Other Plans | $6.92 | ↓ -41% |
| Sutter UMR | Commercial|All Plans | $14.81 | ↑ +26% |
| Medcore | Commercial|Without ER | $16.18 | ↑ +38% |
| Medcore | Commercial|With ER | $16.18 | ↑ +38% |
| Alignment Health | Medicare|All Plans | $17.14 | ↑ +46% |
| Humana | Medicare|All Plans | $19.04 | ↑ +62% |
| Aetna | Medicare|All Plans | $19.04 | ↑ +62% |
| Molina | Medicare|All Plans | $19.04 | ↑ +62% |
| United | Medicare|All Plans | $19.04 | ↑ +62% |
| Cigna | Medicare|All Plans | $19.04 | ↑ +62% |
| Kaiser | Medicare|All Plans | $19.04 | ↑ +62% |
| BCBS - Anthem | Medicare|All Plans | $19.04 | ↑ +62% |
| Blue Shield CA | Medicare|All Plans | $19.04 | ↑ +62% |
| Scan Health Plan | Medicare|All Plans | $19.04 | ↑ +62% |
| Hill Physicians | Commercial|All Plans | $19.04 | ↑ +62% |
| Healthsmart | Commercial|All Plans | $19.75 | ↑ +68% |
| Blue Shield CA | Commercial|Exchange | $20.74 | ↑ +76% |
| BCBS - Anthem | Commercial|Exchange | $21.73 | ↑ +85% |
| United | Commercial|All Other Plans | $22.85 | ↑ +94% |
| United | Commercial|Non-Options PPO | $22.85 | ↑ +94% |
| United | Commercial|Options PPO | $22.85 | ↑ +94% |
| United | Commercial|HMO | $22.85 | ↑ +94% |
| First Health | Commercial|All Plans | $23.70 | ↑ +102% |
| Health Plan of San Joaquin | Medicaid|All Plans | $24.28 | ↑ +106% |
| HPSJ | Medicaid|> 21 | $24.28 | ↑ +106% |
| Kaiser | Medicaid|> 21 | $24.28 | ↑ +106% |
| BCBS - Anthem | Medicaid|> 21 | $24.28 | ↑ +106% |
| BCBS - Anthem | Medicaid|< 21 | $24.28 | ↑ +106% |
| Kaiser | Medicaid|< 21 | $24.28 | ↑ +106% |
| Blue Shield CA | Commercial|All Other Plans | $25.67 | ↑ +118% |
| MultiPlan | Commercial|All Plans | $26.99 | ↑ +130% |
| BCBS - Anthem | Commercial|Non-MCS | $29.62 | ↑ +152% |
| Aetna | Commercial|All Other Plans | $32.91 | ↑ +180% |
| Health Net | Medicaid|All Plans | $32.91 | ↑ +180% |
| BCBS - Anthem | Commercial|MCS | $32.91 | ↑ +180% |
| Aetna | Commercial|PPO | $32.91 | ↑ +180% |
| Aetna | Commercial|HMO | $32.91 | ↑ +180% |
| Cigna | Commercial|All Other Plans | $111.57 | ↑ +849% |
| Cigna | Commercial|PPO | $111.57 | ↑ +849% |
Visitor-reported prices
Comments
Factor ix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | $18.80 | $3.30 – $26.33 |
| St. John's Camarillo Hospital | Camarillo | $14.42 | $8.89 – $50.54 |
| Banner Lassen Medical Center | Susanville | $17.28 | $3.81 – $27.93 |
| Petaluma Valley Hospital | Petaluma | $93.87 | $18.66 – $155.42 |
| Arroyo Grande Hospital | Santa Maria | $97.60 | $16.46 – $49.07 |
| Mark Twain Medical Center | San Andreas | $21.92 | $17.82 – $32.26 |
| French Hospital | San Luis Obispo | $89.39 | $8.89 – $57.69 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.21 | $16.46 – $54.73 |