How many shoppable procedure prices are published for San Joaquin General Hospital?

San Joaquin General Hospital in French Camp, CA currently has 92 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do San Joaquin General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, San Joaquin General Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is San Joaquin General Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns San Joaquin General Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 152 Beds · urban Updated: 04/01/2026

San Joaquin General Hospital

500 W Hospital Road, French Camp, CA 95231 · 92 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

1.01×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 39% of the Time

File Completeness56

Price Logic86

Peer Alignment76

Clean Billing73

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.01× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

San Joaquin General Hospital prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#75 of 240 in CA · 30th State Percentile#1,314 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 39% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 60% patient recommendation (59/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.01× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.96× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 10.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+14% Upper Tail

Q25 0.90× · Q50 0.96× · Q75 1.09×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

39% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 59/100Elevated

Procedure Prices at San Joaquin General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$11,738	$11,738	$30,775	0.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$7,058	$7,058	$19,087	0.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$7,009	$7,009	$19,432	0.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$6,406	$6,406	$17,936	0.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$2,833	$2,833	$8,223	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,922	$1,281	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,561	$1,180	$987	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,290	$690	$583	1.2×
Blood transfusion CPT Code: `36430`	$674	$550	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,125	$450	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$748	$450	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,964	$304	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,737	$304	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$749	$304	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$387	$304	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$536	$304	$369	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$244	$256	$201	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$166	$202	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$231	$202	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$685	$224	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$775	$224	$258	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$147	$164	$148	1.1×
X-ray, pelvis CPT Code: `72170`	$112	$134	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$419	$111	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$160	$111	$92	1.2×
X-ray, foot CPT Code: `73630`	$190	$111	$92	1.2×
X-ray, lower back CPT Code: `72110`	$239	$134	$112	1.2×
X-ray, chest (two views) CPT Code: `71046`	$239	$111	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$174	$111	$93	1.2×
X-ray, hand CPT Code: `73130`	$222	$111	$93	1.2×
X-ray, hip CPT Code: `73502`	$161	$111	$93	1.2×
X-ray, ankle CPT Code: `73610`	$208	$111	$93	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$123	$133	$123	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$626	$134	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$301	$134	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$900	$134	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$251	$134	$134	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$749	$134	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$717	$134	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$676	$134	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$679	$134	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$739	$134	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$740	$134	$169	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$177	$95	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$179	$80	$110	0.7×
Blood antibody screen CPT Code: `86850`	$100	$67	$46	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$175	$75	$64	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$800	$78	$86	0.9×
Orthotic fitting and training CPT Code: `97760`	$114	$49	$51	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$74	$74	$203	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$51	$34	$25	1.4×
Prosthetic fitting and training CPT Code: `97761`	$114	$43	$45	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$160	$65	$87	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$143	$11	$11	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$161	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$27	$30	$31	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$152	$37	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$148	$35	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$138	$34	$38	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$70	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$34	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$65	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$51	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$111	$10	$10	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$129	$34	$38	0.9×
Blood test, lipase CPT Code: `83690`	$59	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$51	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$57	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$57	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$119	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$8	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$124	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$52	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$149	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$205	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$50	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$143	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$141	$10	$11	0.9×
Physical therapy (gait training) CPT Code: `97116`	$114	$30	$33	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$112	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$115	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$41	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$135	$28	$34	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$18	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$143	$14	$25	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$15	$15	$39	0.4×
Hepatitis B vaccine HCPCS Code: `90744`	$14	$14	$37	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$20	$20	$56	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$26	$26	$111	0.2×

Showing top 25 high-impact procedures of 92 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at San Joaquin General Hospital (Zero PHI Required)

CMS CCN: 050167

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $11,738

Insurer Median $11,738

1. Amount on Your Bill or Quote ($) Pre-filled with San Joaquin General Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $9,604 Paying Cash

Self-Pay Cash Rate ($11,738) Beats Your Bill

San Joaquin General Hospital's published 45 CFR § 180 self-pay cash rate is $11,738 (vs. $11,738 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $30,775 Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify San Joaquin General Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait218 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at San Joaquin General Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-01·administrative_or_closure
Closure Notice
Recorded
2025-06-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (773 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for San Joaquin General Hospital.

Price Index: 1.07× regional baseline

Quality: 50/100 CMS composite

Median Household Income$88,531U.S. Census ACS

Local Uninsured Share6.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 77/100 · Corroborated CMS CCN 050167

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050167) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows2,503 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050167

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy