Stockton Medical Center - Manteca — price list

← Hospital overviewVerified from Stockton Medical Center - Manteca’s published price file

Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

40 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC" Inpatient	559 MS-DRG	—	—	$5,781 – $23,204	—
"FACILITY USE-O.R., EMERGENT - SUBSEQUENT ADD'L 30 MIN" Inpatient & outpatient	6592 CDM	$2,400	$1,344	—	—
"FACILITY USE-O.R., URGENT - SUBSEQUENT ADD'L 30 MIN" Inpatient & outpatient	6593 CDM	$2,130	$1,193	—	—
"FACILITY USE-OPERATING ROOM, SUBSEQUENT ADD'L 30 MIN" Inpatient & outpatient	6591 CDM	$2,000	$1,120	—	—
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" Inpatient	759 MS-DRG	—	—	$4,219 – $16,935	—
AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE Inpatient & outpatient	25907 CPT	$13,010	$7,286	$3,921 – $12,278	—
AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION Inpatient & outpatient	25909 CPT	$14,230	$7,969	$8,633 – $27,033	—
CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Inpatient	259 MS-DRG	—	—	$17,302 – $69,450	—
DENTAL AND ORAL DISEASES WITHOUT CC/MCC Inpatient	159 MS-DRG	—	—	$5,018 – $20,143	—
DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ Inpatient & outpatient	25922 CPT	$9,130	$5,113	$1,934 – $6,056	—
EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR Inpatient & outpatient	15922 CPT	$20,180	$11,301	$4,424 – $13,854	—
EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR Inpatient & outpatient	15920 CPT	$4,790	$2,682	$3,458 – $10,830	—
EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT Inpatient & outpatient	15941 CPT	$12,790	$7,162	$3,458 – $10,830	—
EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY Inpatient & outpatient	15945 CPT	$9,830	$5,505	$2,210 – $6,922	—
EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN Inpatient & outpatient	15946 CPT	$9,830	$5,505	$2,210 – $6,922	—
EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE Inpatient & outpatient	15940 CPT	$15,350	$8,596	$3,458 – $10,830	—
EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE Inpatient & outpatient	15944 CPT	$20,180	$11,301	$4,424 – $13,854	—
EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR Inpatient & outpatient	15936 CPT	$9,830	$5,505	$2,210 – $6,922	—
EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC Inpatient & outpatient	15937 CPT	$10,010	$5,606	$2,210 – $6,922	—
EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY Inpatient & outpatient	15935 CPT	$20,180	$11,301	$4,424 – $13,854	—
EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY Inpatient & outpatient	15933 CPT	$12,790	$7,162	$3,458 – $10,830	—
EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC Inpatient & outpatient	15958 CPT	$19,880	$11,133	$4,424 – $13,854	—
EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY Inpatient & outpatient	15953 CPT	$19,880	$11,133	$4,424 – $13,854	—
EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY Inpatient & outpatient	15951 CPT	$12,790	$7,162	$3,458 – $10,830	—
EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN Inpatient & outpatient	15956 CPT	$12,010	$6,726	$2,210 – $6,922	—
EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE Inpatient & outpatient	15952 CPT	$11,470	$6,423	$2,210 – $6,922	—
EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR Inpatient & outpatient	15950 CPT	$11,050	$6,188	$1,958 – $6,131	—
EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE Inpatient & outpatient	15931 CPT	$11,050	$6,188	$3,458 – $10,830	—
EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR Inpatient & outpatient	15934 CPT	$20,180	$11,301	$4,424 – $13,854	—
INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD Inpatient & outpatient	22859 CPT	$9,290	$5,202	—	—