Observation direct referral from physician office for admission at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$266.07
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.
$905.00
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.
$52.00 with HPSJ vs $13,716.00 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 |
|---|---|---|---|
| HPSJ | Medicaid|> 21 | $52.00 | ↓ -80% |
| Health Plan of San Joaquin | Medicaid|All Plans | $52.00 | ↓ -80% |
| Blue Shield CA | Commercial|Exchange | $63.00 | ↓ -76% |
| Blue Shield CA | Commercial|All Other Plans | $67.00 | ↓ -75% |
| Kaiser | Commercial|All Other Plans | $190.05 | ↓ -29% |
| Kaiser | Commercial|Affiliated Payers | $190.05 | ↓ -29% |
| Sutter UMR | Commercial|All Plans | $387.90 | ↑ +46% |
| Cigna | Commercial|PPO | $439.62 | ↑ +65% |
| Cigna | Commercial|All Other Plans | $439.62 | ↑ +65% |
| BCBS - Anthem | Commercial|Exchange | $491.34 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $517.20 | ↑ +94% |
| First Health | Commercial|All Plans | $620.64 | ↑ +133% |
| BCBS - Anthem | Commercial|Non-MCS | $672.36 | ↑ +153% |
| MultiPlan | Commercial|All Plans | $706.84 | ↑ +166% |
| Medcore | Commercial|Without ER | $732.70 | ↑ +175% |
| United | Commercial|Non-Options PPO | $733.05 | ↑ +176% |
| Humana | Medicare|All Plans | $862.00 | ↑ +224% |
| Cigna | Medicare|All Plans | $862.00 | ↑ +224% |
| Kaiser | Medicare|All Plans | $862.00 | ↑ +224% |
| Molina | Medicare|All Plans | $862.00 | ↑ +224% |
| Alignment Health | Medicare|All Plans | $862.00 | ↑ +224% |
| BCBS - Anthem | Medicare|All Plans | $862.00 | ↑ +224% |
| BCBS - Anthem | Commercial|MCS | $862.00 | ↑ +224% |
| Aetna | Medicare|All Plans | $862.00 | ↑ +224% |
| Scan Health Plan | Medicare|All Plans | $862.00 | ↑ +224% |
| Hill Physicians | Commercial|All Plans | $862.00 | ↑ +224% |
| Medcore | Commercial|With ER | $862.00 | ↑ +224% |
| Blue Shield CA | Medicare|All Plans | $869.87 | ↑ +227% |
| United | Medicare|All Plans | $869.87 | ↑ +227% |
| United | Commercial|All Other Plans | $9,323.00 | ↑ +3404% |
| United | Commercial|Options PPO | $13,346.00 | ↑ +4916% |
| United | Commercial|HMO | $13,716.00 | ↑ +5055% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $321.93 | $63.00 – $3,227.50 |
| Banner Lassen Medical Center | Susanville | $738.37 | $122.62 – $634.38 |
| Petaluma Valley Hospital | Petaluma | $1,117.92 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $313.30 | $63.00 – $732.00 |
| Mark Twain Medical Center | San Andreas | $602.73 | $234.13 – $886.90 |
| French Hospital | San Luis Obispo | $286.95 | $63.00 – $677.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $276.40 | $63.00 – $745.00 |
| Bakersfield Memorial Hospital | Bakersfield | $273.42 | $25.00 – $677.00 |