Oth resp proc, indiv at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$72.92
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.
$248.00
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.
$29.54 with Medcore vs $28,686.00 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 |
|---|---|---|---|
| Medcore | Commercial|Without ER | $29.54 | ↓ -59% |
| Alignment Health | Medicare|All Plans | $31.27 | ↓ -57% |
| Kaiser | Medicare|All Plans | $34.75 | ↓ -52% |
| Humana | Medicare|All Plans | $34.75 | ↓ -52% |
| United | Medicare|All Plans | $34.75 | ↓ -52% |
| Scan Health Plan | Medicare|All Plans | $34.75 | ↓ -52% |
| Blue Shield CA | Medicare|All Plans | $34.75 | ↓ -52% |
| BCBS - Anthem | Medicare|All Plans | $34.75 | ↓ -52% |
| Cigna | Medicare|All Plans | $34.75 | ↓ -52% |
| Aetna | Medicare|All Plans | $34.75 | ↓ -52% |
| Medcore | Commercial|With ER | $34.75 | ↓ -52% |
| Molina | Medicare|All Plans | $34.75 | ↓ -52% |
| Hill Physicians | Commercial|All Plans | $34.75 | ↓ -52% |
| Kaiser | Commercial|Affiliated Payers | $52.08 | ↓ -29% |
| Kaiser | Commercial|All Other Plans | $52.08 | ↓ -29% |
| Aetna | Commercial|PPO | $62.28 | ↓ -15% |
| Aetna | Commercial|HMO | $62.28 | ↓ -15% |
| Aetna | Commercial|All Other Plans | $62.28 | ↓ -15% |
| Sutter UMR | Commercial|All Plans | $111.60 | ↑ +53% |
| Healthsmart | Commercial|All Plans | $161.20 | ↑ +121% |
| First Health | Commercial|All Plans | $178.56 | ↑ +145% |
| United | Commercial|Non-Options PPO | $200.88 | ↑ +175% |
| MultiPlan | Commercial|All Plans | $203.36 | ↑ +179% |
| Blue Shield CA | Commercial|Exchange | $684.00 | ↑ +838% |
| Blue Shield CA | Commercial|All Other Plans | $893.00 | ↑ +1125% |
| Cigna | Commercial|PPO | $1,123.00 | ↑ +1440% |
| Cigna | Commercial|All Other Plans | $1,123.00 | ↑ +1440% |
| United | Commercial|All Other Plans | $9,323.00 | ↑ +12685% |
| United | Commercial|Options PPO | $13,448.00 | ↑ +18342% |
| United | Commercial|HMO | $28,686.00 | ↑ +39239% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $35.92 | $22.14 – $1,834.00 |
| Bakersfield Memorial Hospital | Bakersfield | $118.55 | $31.12 – $284.24 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $95.04 | $31.62 – $68.82 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $53.69 | $16.56 – $67.62 |
| Mercy Medical Center Merced | Merced | $160.68 | $30.21 – $745.00 |
| Dominican Hospital | Santa Cruz | $77.40 | $33.65 – $670.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $55.59 | $32.18 – $417.00 |
| Sequoia Hospital | Redwood City | $57.52 | $13.14 – $19,277.00 |