Pq kyphplsty 1 bdy lumb w/img at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$6,628.53
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.
$22,546.00
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.
$435.59 with BCBS - Anthem vs $21,616.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $435.59 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $435.59 | ↓ -93% |
| Kaiser | Medicaid|> 21 | $435.59 | ↓ -93% |
| Kaiser | Medicaid|< 21 | $435.59 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|All Plans | $435.62 | ↓ -93% |
| HPSJ | Medicaid|> 21 | $435.62 | ↓ -93% |
| Health Net | Medicaid|All Plans | $1,075.91 | ↓ -84% |
| BCBS - Anthem | Commercial|Exchange | $4,376.00 | ↓ -34% |
| Kaiser | Commercial|Affiliated Payers | $4,539.36 | ↓ -32% |
| Kaiser | Commercial|All Other Plans | $4,539.36 | ↓ -32% |
| BCBS - Anthem | Commercial|Non-MCS | $5,994.00 | ↓ -10% |
| Aetna | Commercial|PPO | $7,106.00 | ↑ +7% |
| Aetna | Commercial|HMO | $7,106.00 | ↑ +7% |
| Aetna | Commercial|All Other Plans | $7,106.00 | ↑ +7% |
| Blue Shield CA | Commercial|Exchange | $7,531.00 | ↑ +14% |
| BCBS - Anthem | Commercial|MCS | $8,422.00 | ↑ +27% |
| Alignment Health | Medicare|All Plans | $9,121.97 | ↑ +38% |
| Blue Shield CA | Commercial|All Other Plans | $9,858.00 | ↑ +49% |
| Humana | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Aetna | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Molina | Medicare|All Plans | $10,135.52 | ↑ +53% |
| United | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Cigna | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Kaiser | Medicare|All Plans | $10,135.52 | ↑ +53% |
| BCBS - Anthem | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Blue Shield CA | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Scan Health Plan | Medicare|All Plans | $10,135.52 | ↑ +53% |
| Hill Physicians | Commercial|All Plans | $10,135.52 | ↑ +53% |
| Medcore | Commercial|With ER | $10,135.52 | ↑ +53% |
| Medcore | Commercial|Without ER | $10,135.52 | ↑ +53% |
| Sutter UMR | Commercial|All Plans | $10,808.00 | ↑ +63% |
| Health Net | Commercial|Care Product | $12,122.00 | ↑ +83% |
| Healthsmart | Commercial|All Plans | $12,969.60 | ↑ +96% |
| Health Net | Commercial|FFS | $13,845.00 | ↑ +109% |
| First Health | Commercial|All Plans | $15,563.52 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $17,725.12 | ↑ +167% |
| United | Commercial|HMO | $18,157.44 | ↑ +174% |
| United | Commercial|All Other Plans | $18,157.44 | ↑ +174% |
| United | Commercial|Options PPO | $19,238.24 | ↑ +190% |
| United | Commercial|Non-Options PPO | $21,616.00 | ↑ +226% |
Visitor-reported prices
Comments
Pq kyphplsty 1 bdy lumb w/img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | not published | $9,540.59 – $9,540.59 |
| St. John's Camarillo Hospital | Camarillo | $6,916.46 | $659.01 – $16,602.72 |
| Arroyo Grande Hospital | Santa Maria | $11,124.15 | $435.59 – $21,689.36 |
| French Hospital | San Luis Obispo | $10,188.48 | $435.59 – $21,070.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,518.01 | $435.59 – $14,636.80 |
| Bakersfield Memorial Hospital | Bakersfield | $9,415.39 | $435.59 – $20,267.45 |
| Healdsburg Hospital | Healdsburg | $955.23 | $5,021.00 – $9,776.62 |
| Santa Rosa Memorial Hospital | Santa Rosa | $16,614.78 | $4,042.00 – $15,575.00 |