St Joseph's Behavioral Health Center
2510 N California St, Stockton, CA 95204 · 55 Priced Procedures
Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
St Joseph's Behavioral Health Center maintains elevated commercial insurance contracts (1.08× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 57% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Commercial insurance median sits at 1.25× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.08× 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.
- Unnegotiated chargemaster list prices average 11.8× Medicare (20¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at St Joseph's Behavioral Health Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 55 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $17,184 | 1.3× |
| Total knee replacement CPT Code: 27447 | $17,184 | 1.3× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $7,792 | 1.3× |
| Breast lump removal CPT Code: 19120 | $5,114 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $4,713 | 1.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,333 | 1.3× |
| Bunion correction surgery CPT Code: 28296 | $4,333 | 1.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $3,046 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,575 | 1.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,252 | 1.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,218 | 1.2× |
| Blood transfusion CPT Code: 36430 | $584 | 1.2× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $329 | 5.1× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $202 | 1.1× |
| Group therapy session CPT Code: 90853 | $216 | unverified |
| Hepatitis B immune globulin HCPCS Code: 90371 | $166 | 1.1× |
| Family therapy session CPT Code: 90847 | $186 | 1.1× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $209 | 1.0× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $187 | 1.0× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $156 | 0.9× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $92 | 0.7× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $556 | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | $374 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $364 | unverified |
| Culture, blood CPT Code: 87040 | $319 | unverified |
Audit a Bill or Quote at St Joseph's Behavioral Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $20,621
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $20,621).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask St Joseph's Behavioral Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($41,242) is $27,829 above the denoised Fair BaseRate ($13,413) and 3.1× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (50.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St Joseph's Behavioral Health Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-22·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Joseph's Behavioral Health Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.