Hast w/i&r phys/qhp at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$166.11
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.
$565.00
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.
$118.65 with Kaiser vs $565.00 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 |
|---|---|---|---|
| Kaiser | Commercial|Affiliated Payers | $118.65 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $118.65 | ↓ -29% |
| Medcore | Commercial|Without ER | $155.45 | ↓ -6% |
| Alignment Health | Medicare|All Plans | $164.59 | ↓ -1% |
| Humana | Medicare|All Plans | $182.88 | ↑ +10% |
| Aetna | Medicare|All Plans | $182.88 | ↑ +10% |
| Molina | Medicare|All Plans | $182.88 | ↑ +10% |
| United | Medicare|All Plans | $182.88 | ↑ +10% |
| Cigna | Medicare|All Plans | $182.88 | ↑ +10% |
| Kaiser | Medicare|All Plans | $182.88 | ↑ +10% |
| BCBS - Anthem | Medicare|All Plans | $182.88 | ↑ +10% |
| Blue Shield CA | Medicare|All Plans | $182.88 | ↑ +10% |
| Scan Health Plan | Medicare|All Plans | $182.88 | ↑ +10% |
| Hill Physicians | Commercial|All Plans | $182.88 | ↑ +10% |
| Medcore | Commercial|With ER | $182.88 | ↑ +10% |
| Sutter UMR | Commercial|All Plans | $254.25 | ↑ +53% |
| BCBS - Anthem | Commercial|Exchange | $337.31 | ↑ +103% |
| Healthsmart | Commercial|All Plans | $339.00 | ↑ +104% |
| First Health | Commercial|All Plans | $406.80 | ↑ +145% |
| BCBS - Anthem | Commercial|Non-MCS | $462.33 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $463.30 | ↑ +179% |
| United | Commercial|All Other Plans | $474.60 | ↑ +186% |
| United | Commercial|HMO | $474.60 | ↑ +186% |
| United | Commercial|Options PPO | $502.85 | ↑ +203% |
| United | Commercial|Non-Options PPO | $565.00 | ↑ +240% |
| BCBS - Anthem | Commercial|MCS | $565.00 | ↑ +240% |
Visitor-reported prices
Comments
Hast w/i&r phys/qhp at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $107.00 | $125.00 – $245.00 |
| Mark Twain Medical Center | San Andreas | $179.82 | $69.85 – $264.60 |
| French Hospital | San Luis Obispo | $95.26 | $65.61 – $238.14 |
| Mercy Medical Center Merced | Merced | $142.66 | $143.25 – $274.23 |
| Dominican Hospital | Santa Cruz | $230.40 | $177.09 – $554.29 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $133.00 | $79.87 – $316.58 |
| Sequoia Hospital | Redwood City | $469.56 | $65.76 – $1,057.80 |
| Providence Saint Joseph Medical Center | Burbank | $195.65 | $154.48 – $316.58 |