Injection of sinus tract at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,294.19
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.
$4,402.00
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.
$121.76 with Kaiser vs $6,897.00 with Health Net — 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 | Medicaid|> 21 | $121.76 | ↓ -91% |
| Kaiser | Medicaid|< 21 | $121.76 | ↓ -91% |
| BCBS - Anthem | Medicaid|> 21 | $121.76 | ↓ -91% |
| BCBS - Anthem | Medicaid|< 21 | $121.76 | ↓ -91% |
| HPSJ | Medicaid|> 21 | $152.20 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|All Plans | $152.20 | ↓ -88% |
| Kaiser | Commercial|All Other Plans | $448.98 | ↓ -65% |
| Kaiser | Commercial|Affiliated Payers | $448.98 | ↓ -65% |
| Health Net | Medicaid|All Plans | $474.09 | ↓ -63% |
| Blue Shield CA | Commercial|Exchange | $988.00 | ↓ -24% |
| Sutter UMR | Commercial|All Plans | $1,069.00 | ↓ -17% |
| Healthsmart | Commercial|All Plans | $1,282.80 | ↓ -1% |
| Blue Shield CA | Commercial|All Other Plans | $1,294.00 | ↓ -0% |
| First Health | Commercial|All Plans | $1,539.36 | ↑ +19% |
| MultiPlan | Commercial|All Plans | $1,753.16 | ↑ +35% |
| United | Commercial|HMO | $1,795.92 | ↑ +39% |
| United | Commercial|All Other Plans | $1,795.92 | ↑ +39% |
| Alignment Health | Medicare|All Plans | $1,891.48 | ↑ +46% |
| United | Commercial|Options PPO | $1,902.82 | ↑ +47% |
| Humana | Medicare|All Plans | $2,101.64 | ↑ +62% |
| United | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Cigna | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Kaiser | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Molina | Medicare|All Plans | $2,101.64 | ↑ +62% |
| BCBS - Anthem | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Aetna | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Blue Shield CA | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Scan Health Plan | Medicare|All Plans | $2,101.64 | ↑ +62% |
| Hill Physicians | Commercial|All Plans | $2,101.64 | ↑ +62% |
| Medcore | Commercial|With ER | $2,101.64 | ↑ +62% |
| Medcore | Commercial|Without ER | $2,101.64 | ↑ +62% |
| United | Commercial|Non-Options PPO | $2,138.00 | ↑ +65% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +141% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +144% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +144% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +144% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +230% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +364% |
| Health Net | Commercial|Care Product | $6,038.00 | ↑ +367% |
| Health Net | Commercial|FFS | $6,897.00 | ↑ +433% |
Visitor-reported prices
Comments
Injection of sinus tract at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $1,978.28 – $1,978.28 |
| St. John's Camarillo Hospital | Camarillo | $764.31 | $149.76 – $3,484.24 |
| Arroyo Grande Hospital | Santa Maria | $2,446.45 | $121.76 – $5,601.68 |
| Mark Twain Medical Center | San Andreas | $1,995.34 | $121.76 – $1,286.74 |
| French Hospital | San Luis Obispo | $2,240.68 | $121.76 – $5,601.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,350.07 | $121.76 – $2,911.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,335.52 | $121.76 – $2,874.81 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,178.72 | $691.00 – $4,737.00 |