Ins mark abd/pel for right perq at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,693.74
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.
$5,761.00
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.
$453.09 with Kaiser vs $7,922.00 with Blue Shield CA — 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 | $453.09 | ↓ -73% |
| Kaiser | Medicaid|< 21 | $453.09 | ↓ -73% |
| Health Plan of San Joaquin | Medicaid|All Plans | $453.09 | ↓ -73% |
| BCBS - Anthem | Medicaid|> 21 | $453.09 | ↓ -73% |
| BCBS - Anthem | Medicaid|< 21 | $453.09 | ↓ -73% |
| HPSJ | Medicaid|> 21 | $453.09 | ↓ -73% |
| Kaiser | Commercial|All Other Plans | $577.29 | ↓ -66% |
| Kaiser | Commercial|Affiliated Payers | $577.29 | ↓ -66% |
| Health Net | Medicaid|All Plans | $1,119.13 | ↓ -34% |
| Sutter UMR | Commercial|All Plans | $1,374.50 | ↓ -19% |
| Healthsmart | Commercial|All Plans | $1,649.40 | ↓ -3% |
| Medcore | Commercial|Without ER | $1,650.10 | ↓ -3% |
| Alignment Health | Medicare|All Plans | $1,747.16 | ↑ +3% |
| Humana | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Cigna | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Molina | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Kaiser | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Aetna | Medicare|All Plans | $1,941.29 | ↑ +15% |
| BCBS - Anthem | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Blue Shield CA | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Scan Health Plan | Medicare|All Plans | $1,941.29 | ↑ +15% |
| Hill Physicians | Commercial|All Plans | $1,941.29 | ↑ +15% |
| Medcore | Commercial|With ER | $1,941.29 | ↑ +15% |
| United | Medicare|All Plans | $1,941.29 | ↑ +15% |
| First Health | Commercial|All Plans | $1,979.28 | ↑ +17% |
| MultiPlan | Commercial|All Plans | $2,254.18 | ↑ +33% |
| United | Commercial|HMO | $2,309.16 | ↑ +36% |
| United | Commercial|All Other Plans | $2,309.16 | ↑ +36% |
| United | Commercial|Options PPO | $2,446.61 | ↑ +44% |
| United | Commercial|Non-Options PPO | $2,749.00 | ↑ +62% |
| Aetna | Commercial|HMO | $3,155.00 | ↑ +86% |
| Aetna | Commercial|PPO | $3,155.00 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $3,155.00 | ↑ +86% |
| Health Net | Commercial|Care Product | $6,038.00 | ↑ +256% |
| Blue Shield CA | Commercial|Exchange | $6,051.00 | ↑ +257% |
| Health Net | Commercial|FFS | $6,897.00 | ↑ +307% |
| Blue Shield CA | Commercial|All Other Plans | $7,922.00 | ↑ +368% |
Visitor-reported prices
Comments
Ins mark abd/pel for right perq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $1,827.34 – $1,827.34 |
| Arroyo Grande Hospital | Santa Maria | $1,888.34 | $453.09 – $4,036.62 |
| French Hospital | San Luis Obispo | $1,614.65 | $453.09 – $3,838.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,386.06 | $453.09 – $2,988.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,371.12 | $453.09 – $2,951.44 |
| Providence St Joseph Hospital Eureka | Eureka | $2,338.86 | $1,780.22 – $11,036.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,393.43 | $1,925.97 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,139.36 | $1,513.19 – $9,779.00 |