CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Joseph's Medical Center of Stockton

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$125
about 0.9× the $136 Medicare rate · typically $86–$280
modeled estimate · not a bill or quote
What this hospital charges insurers
$474
Well above the fair price
about $349 over the fair price · 3.5× Medicare
Medicare pays $136 Fair price $125 This hospital $474 Cash price $238 Hospital's list price $811

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $474

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $125 (about 0.9× the $136 Medicare rate). St Joseph's Medical Center of Stockton charges insurers about $474, or about $238 in cash — well above the fair price. Located in Stockton, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $125. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Kaiser Permanente AetnaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $365 - $26,377 269%
Blue Cross Blue Shieldmajor $67 - $811 49%
Cignamajor $233 172%
Kaiser Permanentemajor $67 - $170 49%
Health Net $165 122%
+ 1 smaller / regional plan $54
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1800 N California St, Stockton, CA 95204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals