M/phmtrc alys ishquant/semiq at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$38.22
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.
$130.00
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.
$27.30 with Kaiser vs $261.53 with Cigna — 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 | Commercial|All Other Plans | $27.30 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $27.30 | ↓ -29% |
| Health Plan of San Joaquin | Medicaid|All Plans | $54.01 | ↑ +41% |
| BCBS - Anthem | Medicaid|> 21 | $54.01 | ↑ +41% |
| BCBS - Anthem | Medicaid|< 21 | $54.01 | ↑ +41% |
| Kaiser | Medicaid|< 21 | $54.01 | ↑ +41% |
| HPSJ | Medicaid|> 21 | $54.01 | ↑ +41% |
| Kaiser | Medicaid|> 21 | $54.01 | ↑ +41% |
| United | Commercial|Options PPO | $56.53 | ↑ +48% |
| United | Commercial|Non-Options PPO | $56.53 | ↑ +48% |
| United | Commercial|All Other Plans | $56.53 | ↑ +48% |
| United | Commercial|HMO | $56.53 | ↑ +48% |
| Sutter UMR | Commercial|All Plans | $58.50 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $78.00 | ↑ +104% |
| BCBS - Anthem | Commercial|Exchange | $85.80 | ↑ +124% |
| First Health | Commercial|All Plans | $93.60 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $106.60 | ↑ +179% |
| BCBS - Anthem | Commercial|Non-MCS | $117.00 | ↑ +206% |
| Aetna | Commercial|HMO | $130.00 | ↑ +240% |
| Aetna | Commercial|PPO | $130.00 | ↑ +240% |
| Aetna | Commercial|All Other Plans | $130.00 | ↑ +240% |
| Health Net | Medicaid|All Plans | $130.00 | ↑ +240% |
| BCBS - Anthem | Commercial|MCS | $130.00 | ↑ +240% |
| Cigna | Commercial|PPO | $261.53 | ↑ +584% |
| Cigna | Commercial|All Other Plans | $261.53 | ↑ +584% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $33.70 | $13.09 – $50.59 |
| Mercy Hospitals – Bakersfield | Bakersfield | $48.23 | $54.01 – $130.00 |
| Bakersfield Memorial Hospital | Bakersfield | $47.71 | $54.01 – $130.00 |
| Petaluma Valley Hospital | Petaluma | not published | $94.56 – $299.35 |
| Queen of The Valley Medical Center | Napa | not published | $94.56 – $378.31 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $94.56 – $429.00 |
| Healdsburg Hospital | Healdsburg | not published | $120.84 – $171.13 |
| Redwood Memorial Hospital | Fortuna | not published | $430.00 – $430.00 |