Stockton Medical Center - Modesto — price list

← Hospital overviewVerified from Stockton Medical Center - Modesto’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.

168 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 1" Inpatient & outpatient	6621 CDM	$2,393	$1,340	—	—
"LASER DESTR PULSES, HAIR, 101 - 200" Inpatient & outpatient	17999.0021 CDM	$9,030	$5,057	$240 – $752	—
"ROOM & BOARD-SEMIPRIVATE, MED/SURG/GYN" Inpatient	6021 CDM	$8,186	$4,584	—	—
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Inpatient	121 MS-DRG	—	—	$4,442 – $17,832	—
ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM Inpatient & outpatient	14021 CPT	$12,010	$6,726	$2,210 – $6,922	—
AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL Inpatient & outpatient	21127 CPT	$25,570	$14,319	$7,148 – $22,386	—
AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL Inpatient & outpatient	21125 CPT	$16,620	$9,307	$7,148 – $22,386	—
APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX Inpatient & outpatient	21100 CPT	$21,310	$11,934	$7,148 – $22,386	—
APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC Inpatient & outpatient	21110 CPT	$9,390	$5,258	$1,790 – $5,606	—
ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT Inpatient & outpatient	21242 CPT	$21,310	$11,934	$7,148 – $22,386	—
ARTHROTOMY TEMPOROMANDIBULAR JOINT Inpatient & outpatient	21010 CPT	$14,610	$8,182	$3,919 – $12,272	—
ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT Inpatient & outpatient	21240 CPT	$21,310	$11,934	$7,148 – $22,386	—
ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT Inpatient & outpatient	21243 CPT	$27,450	$15,372	$22,222 – $69,590	—
BIOPSY SOFT TISSUE BACK/FLANK DEEP Inpatient & outpatient	21925 CPT	$12,380	$6,933	$1,958 – $6,131	—
BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL Inpatient & outpatient	21920 CPT	$10,860	$6,082	$1,958 – $6,131	—
BIOPSY SOFT TISSUE NECK/THORAX Inpatient & outpatient	21550 CPT	$11,810	$6,614	$1,958 – $6,131	—
BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD Inpatient & outpatient	15821 CPT	$12,270	$6,871	$2,210 – $6,922	—
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC Inpatient	217 MS-DRG	—	—	$35,468 – $142,373	—
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Inpatient	216 MS-DRG	—	—	$29,246 – $117,396	—
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC Inpatient	218 MS-DRG	—	—	$35,468 – $142,373	—
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC Inpatient	219 MS-DRG	—	—	$29,311 – $117,658	—
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC Inpatient	221 MS-DRG	—	—	$37,898 – $152,126	—
CARPECTOMY 1 BONE Inpatient & outpatient	25210 CPT	$12,510	$7,006	$3,921 – $12,278	—
CARPECTOMY ALL BONES PROXIMAL ROW Inpatient & outpatient	25215 CPT	$6,750	$3,780	$3,921 – $12,278	—
CLOSED TREATMENT STERNUM FRACTURE Inpatient & outpatient	21820 CPT	$2,010	$1,126	$290 – $908	—
CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION Inpatient & outpatient	21401 CPT	$7,380	$4,133	$1,790 – $5,606	—
CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION Inpatient & outpatient	21451 CPT	$10,690	$5,986	$1,790 – $5,606	—
CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION Inpatient & outpatient	21450 CPT	$3,280	$1,837	$615 – $1,927	—
CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION Inpatient & outpatient	21453 CPT	$25,710	$14,398	$7,148 – $22,386	—
CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION Inpatient & outpatient	21315 CPT	$8,860	$4,962	$1,790 – $5,606	—