Radphm lcl tmr spect/ct 2+ areas/2+ days at St. Joseph's Medical Center Stockton
1800 N California St, Stockton, CA · CommonSpirit Health · · NPI 1528190931
$1,214.81
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.
$4,132.00
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.
$459.27 with Kaiser vs $13,966.71 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 | $459.27 | ↓ -62% |
| Kaiser | Commercial|Affiliated Payers | $459.27 | ↓ -62% |
| BCBS - Anthem | Medicaid|> 21 | $631.33 | ↓ -48% |
| HPSJ | Medicaid|> 21 | $631.33 | ↓ -48% |
| BCBS - Anthem | Medicaid|< 21 | $631.33 | ↓ -48% |
| Health Plan of San Joaquin | Medicaid|All Plans | $631.33 | ↓ -48% |
| Kaiser | Medicaid|< 21 | $631.33 | ↓ -48% |
| Kaiser | Medicaid|> 21 | $631.33 | ↓ -48% |
| Sutter UMR | Commercial|All Plans | $984.15 | ↓ -19% |
| Healthsmart | Commercial|All Plans | $1,312.20 | ↑ +8% |
| BCBS - Anthem | Commercial|Exchange | $1,443.42 | ↑ +19% |
| Health Net | Medicaid|All Plans | $1,559.39 | ↑ +28% |
| Medcore | Commercial|Without ER | $1,574.39 | ↑ +30% |
| First Health | Commercial|All Plans | $1,574.64 | ↑ +30% |
| Alignment Health | Medicare|All Plans | $1,667.00 | ↑ +37% |
| MultiPlan | Commercial|All Plans | $1,793.34 | ↑ +48% |
| Kaiser | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Aetna | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Molina | Medicare|All Plans | $1,852.22 | ↑ +52% |
| United | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Cigna | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Humana | Medicare|All Plans | $1,852.22 | ↑ +52% |
| BCBS - Anthem | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Blue Shield CA | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Scan Health Plan | Medicare|All Plans | $1,852.22 | ↑ +52% |
| Hill Physicians | Commercial|All Plans | $1,852.22 | ↑ +52% |
| Medcore | Commercial|With ER | $1,852.22 | ↑ +52% |
| BCBS - Anthem | Commercial|Non-MCS | $1,968.30 | ↑ +62% |
| Aetna | Commercial|All Other Plans | $2,018.41 | ↑ +66% |
| Aetna | Commercial|PPO | $2,018.41 | ↑ +66% |
| Aetna | Commercial|HMO | $2,018.41 | ↑ +66% |
| BCBS - Anthem | Commercial|MCS | $2,187.00 | ↑ +80% |
| United | Commercial|Options PPO | $2,187.00 | ↑ +80% |
| United | Commercial|HMO | $2,187.00 | ↑ +80% |
| United | Commercial|All Other Plans | $2,187.00 | ↑ +80% |
| United | Commercial|Non-Options PPO | $2,187.00 | ↑ +80% |
| Cigna | Commercial|PPO | $13,966.71 | ↑ +1050% |
| Cigna | Commercial|All Other Plans | $13,966.71 | ↑ +1050% |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,446.28 | $891.54 – $6,326.24 |
| Banner Lassen Medical Center | Susanville | $1,158.82 | $261.10 – $1,675.19 |
| Mercy Hospitals – Bakersfield | Bakersfield | $974.25 | $631.33 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $963.75 | $631.33 – $6,851.62 |
| Mercy Medical Center Merced | Merced | $884.26 | $309.00 – $1,717.00 |
| Dominican Hospital | Santa Cruz | $3,679.20 | $631.33 – $21,349.91 |
| Northridge Hospital Medical Center | Northridge | $1,293.73 | $631.33 – $4,637.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $1,403.92 | $631.33 – $2,524.48 |