Hdr rdncl ntrstl/icav brchtx at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,637.88
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.
$5,571.00
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.
$290.89 with HPSJ vs $15,595.00 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 |
|---|---|---|---|
| HPSJ | Medicaid|> 21 | $290.89 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|All Plans | $290.89 | ↓ -82% |
| BCBS - Anthem | Medicaid|< 21 | $290.89 | ↓ -82% |
| Kaiser | Medicaid|< 21 | $290.89 | ↓ -82% |
| Kaiser | Medicaid|> 21 | $290.89 | ↓ -82% |
| BCBS - Anthem | Medicaid|> 21 | $290.89 | ↓ -82% |
| Aetna | Commercial|HMO | $695.57 | ↓ -58% |
| Aetna | Commercial|PPO | $695.57 | ↓ -58% |
| Aetna | Commercial|All Other Plans | $695.57 | ↓ -58% |
| Health Net | Medicaid|All Plans | $718.50 | ↓ -56% |
| Medcore | Commercial|Without ER | $836.72 | ↓ -49% |
| Alignment Health | Medicare|All Plans | $885.94 | ↓ -46% |
| Humana | Medicare|All Plans | $984.38 | ↓ -40% |
| Aetna | Medicare|All Plans | $984.38 | ↓ -40% |
| Molina | Medicare|All Plans | $984.38 | ↓ -40% |
| United | Medicare|All Plans | $984.38 | ↓ -40% |
| Cigna | Medicare|All Plans | $984.38 | ↓ -40% |
| Kaiser | Medicare|All Plans | $984.38 | ↓ -40% |
| BCBS - Anthem | Medicare|All Plans | $984.38 | ↓ -40% |
| Blue Shield CA | Medicare|All Plans | $984.38 | ↓ -40% |
| Scan Health Plan | Medicare|All Plans | $984.38 | ↓ -40% |
| Hill Physicians | Commercial|All Plans | $984.38 | ↓ -40% |
| Medcore | Commercial|With ER | $984.38 | ↓ -40% |
| Kaiser | Commercial|Affiliated Payers | $1,169.91 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $1,169.91 | ↓ -29% |
| BCBS - Anthem | Commercial|Exchange | $2,060.47 | ↑ +26% |
| Sutter UMR | Commercial|All Plans | $2,506.95 | ↑ +53% |
| BCBS - Anthem | Commercial|Non-MCS | $2,824.18 | ↑ +72% |
| Healthsmart | Commercial|All Plans | $3,342.60 | ↑ +104% |
| BCBS - Anthem | Commercial|MCS | $3,968.20 | ↑ +142% |
| First Health | Commercial|All Plans | $4,011.12 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $4,568.22 | ↑ +179% |
| United | Commercial|HMO | $5,571.00 | ↑ +240% |
| United | Commercial|Options PPO | $5,571.00 | ↑ +240% |
| United | Commercial|Non-Options PPO | $5,571.00 | ↑ +240% |
| United | Commercial|All Other Plans | $5,571.00 | ↑ +240% |
| Cigna | Commercial|PPO | $15,595.00 | ↑ +852% |
| Cigna | Commercial|All Other Plans | $15,595.00 | ↑ +852% |
Visitor-reported prices
Comments
Hdr rdncl ntrstl/icav brchtx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $497.57 | $306.72 – $1,763.10 |
| Providence St Joseph Hospital Eureka | Eureka | $6,042.48 | $895.78 – $2,455.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,555.83 | $969.12 – $1,841.86 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,345.92 | $761.42 – $1,657.20 |
| Mercy Medical Center Merced | Merced | $1,269.48 | $290.89 – $2,465.00 |
| Northridge Hospital Medical Center | Northridge | $2,261.30 | $290.89 – $8,105.00 |
| Sequoia Hospital | Redwood City | $2,967.70 | $290.89 – $7,600.00 |
| St. Mary Medical Center | Long Beach | $1,409.11 | $261.80 – $3,277.00 |