Inst via cath agent pleurds at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$830.55
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.
$2,825.00
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.
$225.99 with Kaiser vs $6,009.00 with BCBS - Anthem — 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 | $225.99 | ↓ -73% |
| Kaiser | Medicaid|< 21 | $225.99 | ↓ -73% |
| Health Plan of San Joaquin | Medicaid|All Plans | $225.99 | ↓ -73% |
| BCBS - Anthem | Medicaid|> 21 | $225.99 | ↓ -73% |
| BCBS - Anthem | Medicaid|< 21 | $225.99 | ↓ -73% |
| HPSJ | Medicaid|> 21 | $225.99 | ↓ -73% |
| Kaiser | Commercial|All Other Plans | $288.12 | ↓ -65% |
| Kaiser | Commercial|Affiliated Payers | $288.12 | ↓ -65% |
| Health Net | Medicaid|All Plans | $558.20 | ↓ -33% |
| Sutter UMR | Commercial|All Plans | $686.00 | ↓ -17% |
| Medcore | Commercial|Without ER | $745.61 | ↓ -10% |
| Alignment Health | Medicare|All Plans | $789.47 | ↓ -5% |
| Healthsmart | Commercial|All Plans | $823.20 | ↓ -1% |
| United | Medicare|All Plans | $877.19 | ↑ +6% |
| Cigna | Medicare|All Plans | $877.19 | ↑ +6% |
| Molina | Medicare|All Plans | $877.19 | ↑ +6% |
| Kaiser | Medicare|All Plans | $877.19 | ↑ +6% |
| Aetna | Medicare|All Plans | $877.19 | ↑ +6% |
| BCBS - Anthem | Medicare|All Plans | $877.19 | ↑ +6% |
| Blue Shield CA | Medicare|All Plans | $877.19 | ↑ +6% |
| Scan Health Plan | Medicare|All Plans | $877.19 | ↑ +6% |
| Hill Physicians | Commercial|All Plans | $877.19 | ↑ +6% |
| Medcore | Commercial|With ER | $877.19 | ↑ +6% |
| Humana | Medicare|All Plans | $877.19 | ↑ +6% |
| First Health | Commercial|All Plans | $987.84 | ↑ +19% |
| MultiPlan | Commercial|All Plans | $1,125.04 | ↑ +35% |
| United | Commercial|All Other Plans | $1,152.48 | ↑ +39% |
| United | Commercial|HMO | $1,152.48 | ↑ +39% |
| United | Commercial|Options PPO | $1,221.08 | ↑ +47% |
| United | Commercial|Non-Options PPO | $1,372.00 | ↑ +65% |
| BCBS - Anthem | Commercial|Exchange | $3,122.00 | ↑ +276% |
| Blue Shield CA | Commercial|Exchange | $3,199.00 | ↑ +285% |
| Blue Shield CA | Commercial|All Other Plans | $4,189.00 | ↑ +404% |
| Aetna | Commercial|HMO | $4,209.00 | ↑ +407% |
| Aetna | Commercial|PPO | $4,209.00 | ↑ +407% |
| Aetna | Commercial|All Other Plans | $4,209.00 | ↑ +407% |
| BCBS - Anthem | Commercial|Non-MCS | $4,277.00 | ↑ +415% |
| Health Net | Commercial|Care Product | $5,074.00 | ↑ +511% |
| Health Net | Commercial|FFS | $5,794.00 | ↑ +598% |
| BCBS - Anthem | Commercial|MCS | $6,009.00 | ↑ +623% |
Visitor-reported prices
Comments
Inst via cath agent pleurds at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $825.70 – $825.70 |
| St. John's Camarillo Hospital | Camarillo | $485.75 | $299.43 – $1,452.04 |
| Arroyo Grande Hospital | Santa Maria | $1,169.73 | $225.99 – $2,678.34 |
| Mark Twain Medical Center | San Andreas | $1,900.10 | $225.99 – $1,225.00 |
| French Hospital | San Luis Obispo | $1,071.34 | $225.99 – $2,678.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $888.92 | $225.99 – $1,916.80 |
| Bakersfield Memorial Hospital | Bakersfield | $879.34 | $225.99 – $1,892.84 |
| Queen of The Valley Medical Center | Napa | $1,171.47 | $890.68 – $6,200.00 |