How many shoppable procedure prices are published for St Joseph's Medical Center of Stockton?

St Joseph's Medical Center of Stockton in Stockton, CA currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Joseph's Medical Center of Stockton's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Joseph's Medical Center of Stockton's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is St Joseph's Medical Center of Stockton's CMS Care Compare overall star rating?

CMS Care Compare assigns St Joseph's Medical Center of Stockton an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 343 Beds · rural Updated: 2026-02-28

St Joseph's Medical Center of Stockton

1800 N California St, Stockton, CA 95204 · 91 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.47×vs. Fair Market Price

Typical commercial prices here are +47% above the fair benchmark (1.47×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness51

Price Logic56

Peer Alignment67

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.47× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

St Joseph's Medical Center of Stockton maintains elevated commercial insurance contracts (1.47× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 59% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#195 of 240 in CA · 80th State Percentile#2,573 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.29× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 66% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
Commercial insurance median sits at 1.42× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.83×) jump +29% above the median procedure ratio (Q50 1.42×)
Unnegotiated chargemaster list prices average 14.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.62× Divergence

1.3× Medicare

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

Quantile Tail Spread+29% Upper Tail

Q25 1.29× · Q50 1.42× · Q75 1.83×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.0× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.5× MedicareGood

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

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at St Joseph's Medical Center of Stockton

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 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`	—	$39,802	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,521	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,548	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$23,579	$17,936	unverified
Total knee replacement CPT Code: `27447`	—	$18,255	$13,523	unverified
Total hip replacement CPT Code: `27130`	—	$16,430	$13,413	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,506	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,278	$6,109	1.4×
Breast lump removal CPT Code: `19120`	—	$5,433	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	—	$5,007	$3,629	1.4×
C-section delivery (full package) CPT Code: `59510`	—	$4,893	$2,975	1.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,603	$3,372	1.4×
Bunion correction surgery CPT Code: `28296`	—	$4,603	$3,446	1.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,282	$2,680	1.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,236	$2,540	1.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,673	$1,256	1.3×
Blood transfusion CPT Code: `36430`	$1,031	$1,558	$498	3.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,330	$987	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	$931	$1,291	$855	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,294	$981	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$943	$1,166	$272	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,361	$932	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,895	$778	$583	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,128	$784	$448	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,078	$729	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,650	$632	$338	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,268	$473	$258	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$238	$474	$123	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,022	$431	$303	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,890	$402	$242	1.7×
Rabies immune globulin HCPCS Code: `90375`	$3,716	$418	$322	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,590	$379	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,590	$379	$168	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,778	$350	$167	2.1×
CT scan, sinuses CPT Code: `70486`	$528	$365	$166	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$197	$380	$148	unverified
CT scan, pelvis CPT Code: `72192`	$1,678	$348	$163	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$138	$289	$201	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$152	$309	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$199	$304	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$199	$304	$87	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$306	$245	$134	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,370	$270	$160	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$243	$243	$126	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$177	$234	$151	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$267	$245	$132	unverified
Ultrasound, pelvis CPT Code: `76856`	$270	$245	$130	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$71	$185	$86	2.2×
X-ray, lower back CPT Code: `72110`	$429	$176	$112	1.6×
X-ray, chest (two views) CPT Code: `71046`	$296	$136	$93	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$103	$128	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$56	$151	$110	1.4×
X-ray, chest (single view) CPT Code: `71045`	$228	$125	$92	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$220	$84	$64	1.3×
Typhoid vaccine HCPCS Code: `90675`	$414	$497	$347	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$370	$370	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$305	$305	$9	33.9×
Blood test, basic metabolic panel CPT Code: `80048`	$290	$290	$9	32.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$302	$302	$20	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$161	$161	$8	20.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$94	$185	$111	1.7×
Culture, blood CPT Code: `87040`	$172	$172	$11	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$134	$134	$3	44.7×
Blood test, potassium CPT Code: `84132`	$109	$109	$5	21.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$83	$83	$4	20.8×
Culture, bacterial CPT Code: `87070`	$78	$78	$9	8.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$29	$59	$35	1.7×
Blood antibody screen CPT Code: `86850`	$28	$76	$46	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$44	$91	$56	1.6×
Blood test, hemoglobin CPT Code: `85018`	$41	$41	$3	13.7×
Blood test, magnesium CPT Code: `83735`	$49	$49	$7	7.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$30	$61	$39	1.6×
Blood test, calcium CPT Code: `82310`	$25	$25	$5	5.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$136	$10	$5	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$7	$5	1.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$170	$5	$4	1.3×
Blood test, sodium CPT Code: `84295`	$154	$6	$5	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$49	$19	$18	1.1×
Blood test, amylase CPT Code: `82150`	$60	$7	$7	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$89	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$61	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$84	$7	$7	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$3	$6	$6	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$80	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$56	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$96	$13	$14	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$47	$17	$19	0.9×
Blood test, vitamin D CPT Code: `82306`	$12	$20	$31	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$15	$25	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$24	$19	$37	0.5×
Drug screening test HCPCS Code: `G0480`	$20	$20	$116	0.2×

Showing top 25 high-impact procedures of 91 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 20.3%

Audit a Bill or Quote at St Joseph's Medical Center of Stockton (Zero PHI Required)

CMS CCN: 050084

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $39,802

1. Amount on Your Bill or Quote ($) Pre-filled with St Joseph's Medical Center of Stockton’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 501(r) AGB Cap: $19,430 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $19,430

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.3% of gross = $19,430).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Joseph's Medical Center of Stockton's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$64,750 Above Fair BaseRate

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

Your bill ($95,525) is $64,750 above the denoised Fair BaseRate ($30,775) and 4.1× the $23,504 Medicare rate.

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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (20.3% 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.

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 Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait227 min

Left ER Before Seen2%

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 Infectionsame

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 St Joseph's Medical Center of Stockton. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-12·administrative_or_closure
Met Requirements
Recorded
2024-04-01·administrative_or_closure
Closure Notice
Recorded
2023-02-24·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (559 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Joseph's Medical Center of Stockton.

Price Index: 1.26× regional baseline

Quality: 59/100 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 69/100 · Caution CMS CCN 050084

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 050084) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows4,396 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050084

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