1st inpatient critical care pr day age 28 days/less than 99468 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$156.17
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,231.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$152.00 with KAISER MCR ADV vs $1,943.10 with THREE RIVERS PROVIDER NETWORK- ALL PLANS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↓ -3% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↓ -3% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↓ -3% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↓ -3% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↓ -3% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↓ -3% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↓ -3% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↓ -3% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↓ -1% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | ↑ +17% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $273.60 | ↑ +75% |
| MEDI-CAL | MEDI-CAL | $299.00 | ↑ +91% |
| BC MCAL | BC MCAL | $299.00 | ↑ +91% |
| KAISER MCAL | KAISER MCAL | $299.00 | ↑ +91% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $299.00 | ↑ +91% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +95% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $328.90 | ↑ +111% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $358.80 | ↑ +130% |
| HEALTHNET MCAL | HEALTHNET MCAL | $358.80 | ↑ +130% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $561.34 | ↑ +259% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $699.52 | ↑ +348% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $725.42 | ↑ +365% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $822.45 | ↑ +427% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $879.58 | ↑ +463% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $885.19 | ↑ +467% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $939.95 | ↑ +502% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,018.28 | ↑ +552% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,018.28 | ↑ +552% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,018.28 | ↑ +552% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,057.44 | ↑ +577% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,060.28 | ↑ +579% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,120.10 | ↑ +617% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,122.81 | ↑ +619% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,205.03 | ↑ +672% |
| UHC HMO | UHC HMO | $1,205.03 | ↑ +672% |
| UHC JLL | UHC JLL | $1,205.03 | ↑ +672% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $1,389.10 | ↑ +789% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $1,543.47 | ↑ +888% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $1,943.10 | ↑ +1144% |
Visitor-reported prices
Comments
1st inpatient critical care pr day age 28 days/less than 99468 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $410.21 | $25.98 – $1,601.83 |
| HANFORD COMMUNITY HOSPITAL | Selma | $410.21 | $139.00 – $1,601.83 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $323.85 | $299.00 – $1,623.45 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,424.94 | $278.92 – $1,347.88 |
| WILLITS HOSPITAL INC | Willits | $647.70 | $299.00 – $1,626.00 |
| SONORA COMMUNITY HOSPITAL | Sonora | $367.03 | $152.00 – $1,626.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $582.93 | $299.00 – $1,623.45 |
| ADVENTIST HEALTH TULARE | Tulare | $410.21 | $299.00 – $1,404.62 |