Hdr rdncl ntrstl/icav brchtx at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,867.20
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.
$6,351.00
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.
$810.64 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 | $810.64 | ↓ -57% |
| Kaiser | Medicaid|> 21 | $810.64 | ↓ -57% |
| Health Plan of San Joaquin | Medicaid|All Plans | $810.64 | ↓ -57% |
| Kaiser | Medicaid|< 21 | $810.64 | ↓ -57% |
| BCBS - Anthem | Medicaid|> 21 | $810.64 | ↓ -57% |
| BCBS - Anthem | Medicaid|< 21 | $810.64 | ↓ -57% |
| Medcore | Commercial|Without ER | $836.72 | ↓ -55% |
| Alignment Health | Medicare|All Plans | $885.94 | ↓ -53% |
| Humana | Medicare|All Plans | $984.38 | ↓ -47% |
| Aetna | Medicare|All Plans | $984.38 | ↓ -47% |
| Molina | Medicare|All Plans | $984.38 | ↓ -47% |
| United | Medicare|All Plans | $984.38 | ↓ -47% |
| Cigna | Medicare|All Plans | $984.38 | ↓ -47% |
| Kaiser | Medicare|All Plans | $984.38 | ↓ -47% |
| BCBS - Anthem | Medicare|All Plans | $984.38 | ↓ -47% |
| Blue Shield CA | Medicare|All Plans | $984.38 | ↓ -47% |
| Scan Health Plan | Medicare|All Plans | $984.38 | ↓ -47% |
| Hill Physicians | Commercial|All Plans | $984.38 | ↓ -47% |
| Medcore | Commercial|With ER | $984.38 | ↓ -47% |
| Kaiser | Commercial|Affiliated Payers | $1,333.71 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $1,333.71 | ↓ -29% |
| Health Net | Medicaid|All Plans | $2,002.28 | ↑ +7% |
| Aetna | Commercial|HMO | $2,002.53 | ↑ +7% |
| Aetna | Commercial|All Other Plans | $2,002.53 | ↑ +7% |
| Aetna | Commercial|PPO | $2,002.53 | ↑ +7% |
| Sutter UMR | Commercial|All Plans | $2,857.95 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $3,810.60 | ↑ +104% |
| BCBS - Anthem | Commercial|Exchange | $4,191.66 | ↑ +124% |
| First Health | Commercial|All Plans | $4,572.72 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $5,207.82 | ↑ +179% |
| BCBS - Anthem | Commercial|Non-MCS | $5,715.90 | ↑ +206% |
| United | Commercial|HMO | $5,850.00 | ↑ +213% |
| United | Commercial|Non-Options PPO | $6,351.00 | ↑ +240% |
| United | Commercial|All Other Plans | $6,351.00 | ↑ +240% |
| BCBS - Anthem | Commercial|MCS | $6,351.00 | ↑ +240% |
| United | Commercial|Options PPO | $6,351.00 | ↑ +240% |
| Cigna | Commercial|PPO | $15,595.00 | ↑ +735% |
| Cigna | Commercial|All Other Plans | $15,595.00 | ↑ +735% |
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 | $845.78 | $521.37 – $1,763.10 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $10,508.64 | $761.42 – $1,657.20 |
| Mercy Medical Center Merced | Merced | $1,269.48 | $810.64 – $2,465.00 |
| Northridge Hospital Medical Center | Northridge | $2,708.54 | $810.64 – $9,708.00 |
| St. Mary Medical Center | Long Beach | $1,759.13 | $729.58 – $4,091.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,636.20 | $895.78 – $2,909.40 |
| St Jude Medical Center | Fullerton | $4,552.32 | $761.42 – $1,657.20 |
| Providence St Joseph Hospital Orange | Orange | $5,592.00 | $761.42 – $1,657.20 |