Ins/rpl ldless pm right vent w img & eval at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$16,491.05
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.
$56,092.00
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.
$417.72 with Kaiser vs $56,092.00 with United — 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 | $417.72 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $417.72 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|All Plans | $417.72 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $417.72 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $417.72 | ↓ -97% |
| HPSJ | Medicaid|> 21 | $417.72 | ↓ -97% |
| Health Net | Medicaid|All Plans | $1,031.77 | ↓ -94% |
| BCBS - Anthem | Commercial|Exchange | $5,618.00 | ↓ -66% |
| Blue Shield CA | Commercial|Exchange | $6,051.00 | ↓ -63% |
| Aetna | Commercial|HMO | $6,053.00 | ↓ -63% |
| Aetna | Commercial|All Other Plans | $6,053.00 | ↓ -63% |
| Aetna | Commercial|PPO | $6,053.00 | ↓ -63% |
| BCBS - Anthem | Commercial|Non-MCS | $7,696.00 | ↓ -53% |
| Blue Shield CA | Commercial|All Other Plans | $7,922.00 | ↓ -52% |
| BCBS - Anthem | Commercial|MCS | $10,813.00 | ↓ -34% |
| Kaiser | Commercial|Affiliated Payers | $11,779.32 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $11,779.32 | ↓ -29% |
| Health Net | Commercial|Care Product | $20,443.00 | ↑ +24% |
| Health Net | Commercial|FFS | $23,348.00 | ↑ +42% |
| Alignment Health | Medicare|All Plans | $24,352.34 | ↑ +48% |
| Humana | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Aetna | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Molina | Medicare|All Plans | $27,058.16 | ↑ +64% |
| United | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Cigna | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Kaiser | Medicare|All Plans | $27,058.16 | ↑ +64% |
| BCBS - Anthem | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Blue Shield CA | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Scan Health Plan | Medicare|All Plans | $27,058.16 | ↑ +64% |
| Hill Physicians | Commercial|All Plans | $27,058.16 | ↑ +64% |
| Medcore | Commercial|With ER | $27,058.16 | ↑ +64% |
| Medcore | Commercial|Without ER | $27,058.16 | ↑ +64% |
| Sutter UMR | Commercial|All Plans | $28,046.00 | ↑ +70% |
| Healthsmart | Commercial|All Plans | $33,655.20 | ↑ +104% |
| First Health | Commercial|All Plans | $40,386.24 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $45,995.44 | ↑ +179% |
| United | Commercial|HMO | $47,117.28 | ↑ +186% |
| United | Commercial|All Other Plans | $47,117.28 | ↑ +186% |
| United | Commercial|Options PPO | $49,921.88 | ↑ +203% |
| United | Commercial|Non-Options PPO | $56,092.00 | ↑ +240% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $25,469.92 – $25,469.92 |
| St. John's Camarillo Hospital | Camarillo | $17,482.34 | $631.97 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $27,923.15 | $417.72 – $63,936.18 |
| French Hospital | San Luis Obispo | $25,574.48 | $417.72 – $63,936.18 |
| Bakersfield Memorial Hospital | Bakersfield | $21,010.75 | $417.72 – $45,227.50 |
| Queen of The Valley Medical Center | Napa | $24,293.85 | $7,745.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $27,480.84 | $9,008.00 – $89,248.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $23,344.74 | $4,233.00 – $26,801.96 |