Ins/rpl pm gen exist dual lead at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$9,223.96
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.
$31,374.00
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.
$408.43 with Kaiser vs $31,374.00 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 | $408.43 | ↓ -96% |
| BCBS - Anthem | Medicaid|> 21 | $408.43 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $408.43 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $408.43 | ↓ -96% |
| HPSJ | Medicaid|> 21 | $510.53 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|All Plans | $510.53 | ↓ -94% |
| Health Net | Medicaid|All Plans | $1,590.24 | ↓ -83% |
| Aetna | Commercial|PPO | $4,740.00 | ↓ -49% |
| Aetna | Commercial|HMO | $4,740.00 | ↓ -49% |
| Aetna | Commercial|All Other Plans | $4,740.00 | ↓ -49% |
| Kaiser | Commercial|Affiliated Payers | $6,588.54 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $6,588.54 | ↓ -29% |
| BCBS - Anthem | Commercial|Exchange | $9,680.00 | ↑ +5% |
| BCBS - Anthem | Commercial|Non-MCS | $13,260.00 | ↑ +44% |
| Alignment Health | Medicare|All Plans | $13,363.39 | ↑ +45% |
| Blue Shield CA | Commercial|Exchange | $14,073.00 | ↑ +53% |
| Sutter UMR | Commercial|All Plans | $14,118.30 | ↑ +53% |
| Humana | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Kaiser | Medicare|All Plans | $14,848.21 | ↑ +61% |
| BCBS - Anthem | Medicare|All Plans | $14,848.21 | ↑ +61% |
| United | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Molina | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Blue Shield CA | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Aetna | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Scan Health Plan | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Hill Physicians | Commercial|All Plans | $14,848.21 | ↑ +61% |
| Medcore | Commercial|With ER | $14,848.21 | ↑ +61% |
| Medcore | Commercial|Without ER | $14,848.21 | ↑ +61% |
| Cigna | Medicare|All Plans | $14,848.21 | ↑ +61% |
| Health Net | Commercial|Care Product | $17,174.00 | ↑ +86% |
| Blue Shield CA | Commercial|All Other Plans | $18,422.00 | ↑ +100% |
| BCBS - Anthem | Commercial|MCS | $18,630.00 | ↑ +102% |
| Healthsmart | Commercial|All Plans | $18,824.40 | ↑ +104% |
| Health Net | Commercial|FFS | $19,614.00 | ↑ +113% |
| First Health | Commercial|All Plans | $22,589.28 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $25,726.68 | ↑ +179% |
| United | Commercial|HMO | $26,354.16 | ↑ +186% |
| United | Commercial|All Other Plans | $26,354.16 | ↑ +186% |
| United | Commercial|Options PPO | $27,922.86 | ↑ +203% |
| United | Commercial|Non-Options PPO | $31,374.00 | ↑ +240% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $13,976.66 – $13,976.66 |
| St. John's Camarillo Hospital | Camarillo | $11,555.76 | $502.37 – $25,925.22 |
| Bakersfield Memorial Hospital | Bakersfield | $11,988.43 | $408.43 – $25,806.14 |
| Queen of The Valley Medical Center | Napa | $23,962.86 | $12,159.00 – $62,607.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $16,258.08 | $8,912.00 – $24,869.57 |
| Mercy Medical Center Merced | Merced | $16,379.58 | $408.43 – $31,486.95 |
| Northridge Hospital Medical Center | Northridge | $7,101.95 | $408.43 – $25,455.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $4,134.20 | $3,969.00 – $24,869.57 |