Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$22,012.37
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.
$74,872.00
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.
$1,027.04 with Kaiser vs $74,872.00 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 | $1,027.04 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $1,027.04 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $1,027.04 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $1,027.04 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|All Plans | $1,283.80 | ↓ -94% |
| HPSJ | Medicaid|> 21 | $1,283.80 | ↓ -94% |
| Health Net | Medicaid|All Plans | $3,998.88 | ↓ -82% |
| BCBS - Anthem | Commercial|Exchange | $8,113.00 | ↓ -63% |
| Aetna | Commercial|PPO | $10,004.00 | ↓ -55% |
| Aetna | Commercial|HMO | $10,004.00 | ↓ -55% |
| Aetna | Commercial|All Other Plans | $10,004.00 | ↓ -55% |
| BCBS - Anthem | Commercial|Non-MCS | $11,114.00 | ↓ -50% |
| Blue Shield CA | Commercial|Exchange | $14,073.00 | ↓ -36% |
| BCBS - Anthem | Commercial|MCS | $15,615.00 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $15,723.12 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $15,723.12 | ↓ -29% |
| Blue Shield CA | Commercial|All Other Plans | $18,422.00 | ↓ -16% |
| Health Net | Commercial|Care Product | $28,965.00 | ↑ +32% |
| Health Net | Commercial|FFS | $33,079.00 | ↑ +50% |
| Sutter UMR | Commercial|All Plans | $33,692.40 | ↑ +53% |
| Alignment Health | Medicare|All Plans | $40,940.07 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $44,923.20 | ↑ +104% |
| BCBS - Anthem | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Kaiser | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Cigna | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Aetna | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Scan Health Plan | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Hill Physicians | Commercial|All Plans | $45,488.97 | ↑ +107% |
| Medcore | Commercial|With ER | $45,488.97 | ↑ +107% |
| Medcore | Commercial|Without ER | $45,488.97 | ↑ +107% |
| Humana | Medicare|All Plans | $45,488.97 | ↑ +107% |
| United | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Molina | Medicare|All Plans | $45,488.97 | ↑ +107% |
| Blue Shield CA | Medicare|All Plans | $45,488.97 | ↑ +107% |
| First Health | Commercial|All Plans | $53,907.84 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $61,395.04 | ↑ +179% |
| United | Commercial|HMO | $62,892.48 | ↑ +186% |
| United | Commercial|All Other Plans | $62,892.48 | ↑ +186% |
| United | Commercial|Options PPO | $66,636.08 | ↑ +203% |
| United | Commercial|Non-Options PPO | $74,872.00 | ↑ +240% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $42,818.88 – $42,818.88 |
| St. John's Camarillo Hospital | Camarillo | $38,936.45 | $1,263.26 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $48,695.70 | $1,027.04 – $108,086.16 |
| French Hospital | San Luis Obispo | $45,510.03 | $1,027.04 – $108,086.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,654.25 | $1,027.04 – $91,976.80 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $1,027.04 – $90,827.09 |
| Queen of The Valley Medical Center | Napa | $72,027.81 | $9,256.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $11,046.00 – $126,547.00 |