Ins/rplc spi npg/rcvr pocket at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$21,097.15
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.
$71,759.00
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.
$434.06 with Kaiser vs $71,759.00 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 | $434.06 | ↓ -98% |
| BCBS - Anthem | Medicaid|> 21 | $434.06 | ↓ -98% |
| BCBS - Anthem | Medicaid|< 21 | $434.06 | ↓ -98% |
| Kaiser | Medicaid|> 21 | $434.06 | ↓ -98% |
| HPSJ | Medicaid|> 21 | $542.58 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|All Plans | $542.58 | ↓ -97% |
| Health Net | Medicaid|All Plans | $1,690.02 | ↓ -92% |
| Aetna | Commercial|PPO | $4,209.00 | ↓ -80% |
| Aetna | Commercial|HMO | $4,209.00 | ↓ -80% |
| Aetna | Commercial|All Other Plans | $4,209.00 | ↓ -80% |
| Blue Shield CA | Commercial|Exchange | $4,282.00 | ↓ -80% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↓ -79% |
| Blue Shield CA | Commercial|All Other Plans | $5,606.00 | ↓ -73% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↓ -72% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↓ -60% |
| Kaiser | Commercial|All Other Plans | $15,069.39 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $15,069.39 | ↓ -29% |
| Health Net | Commercial|Care Product | $28,965.00 | ↑ +37% |
| Health Net | Commercial|FFS | $33,079.00 | ↑ +57% |
| Sutter UMR | Commercial|All Plans | $35,879.50 | ↑ +70% |
| Alignment Health | Medicare|All Plans | $38,912.34 | ↑ +84% |
| Healthsmart | Commercial|All Plans | $43,055.40 | ↑ +104% |
| BCBS - Anthem | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Kaiser | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Cigna | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Aetna | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Scan Health Plan | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Hill Physicians | Commercial|All Plans | $43,235.93 | ↑ +105% |
| Medcore | Commercial|With ER | $43,235.93 | ↑ +105% |
| Medcore | Commercial|Without ER | $43,235.93 | ↑ +105% |
| Humana | Medicare|All Plans | $43,235.93 | ↑ +105% |
| United | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Molina | Medicare|All Plans | $43,235.93 | ↑ +105% |
| Blue Shield CA | Medicare|All Plans | $43,235.93 | ↑ +105% |
| First Health | Commercial|All Plans | $51,666.48 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $58,842.38 | ↑ +179% |
| United | Commercial|HMO | $60,277.56 | ↑ +186% |
| United | Commercial|All Other Plans | $60,277.56 | ↑ +186% |
| United | Commercial|Options PPO | $63,865.51 | ↑ +203% |
| United | Commercial|Non-Options PPO | $71,759.00 | ↑ +240% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $40,698.09 – $40,698.09 |
| Arroyo Grande Hospital | Santa Maria | $37,794.12 | $434.06 – $86,537.92 |
| French Hospital | San Luis Obispo | $34,615.17 | $434.06 – $86,537.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $35,160.79 | $434.06 – $75,818.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $96,592.47 | $2,995.00 – $42,937.38 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $26,089.00 | $1,528.00 – $73,423.09 |
| St. John's Camarillo Hospital | Camarillo | not published | $533.89 – $73,689.78 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $41,584.16 |