Adj gastric band via subq port at LODI MEMORIAL HOSPITAL ASSOCIATION INC

975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301

Source: hospital's published price file ↗ · Published Aug 2, 2026 · Ingested Sep 16, 2026

$119.00

Cash price

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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.

$1,700.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$38.00 with AETNA - ALL PLANS vs $4,954.00 with UHC ALL PAYER - ALL OTHER 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 →

Payer
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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
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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
AETNA - ALL PLANS AETNA - ALL PLANS $38.00 ↓ -68%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $74.00 ↓ -38%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $442.00 ↑ +271%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $550.80 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $571.20 ↑ +380%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $697.00 ↑ +486%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $834.87 ↑ +602%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $850.00 ↑ +614%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $1,093.78 ↑ +819%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $1,190.00 ↑ +900%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,190.00 ↑ +900%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $1,196.28 ↑ +905%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $1,196.28 ↑ +905%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $1,196.28 ↑ +905%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $1,196.28 ↑ +905%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $1,196.28 ↑ +905%
HEALTHNET MCARE HEALTHNET MCARE $1,196.28 ↑ +905%
UHC MCR ADV UHC MCR ADV $1,196.28 ↑ +905%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $1,196.28 ↑ +905%
KAISER MCR ADV KAISER MCR ADV $1,196.28 ↑ +905%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $1,360.00 ↑ +1043%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $1,360.00 ↑ +1043%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $1,435.54 ↑ +1106%
CIGNA- ALL PLANS CIGNA- ALL PLANS $1,530.00 ↑ +1186%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $1,530.00 ↑ +1186%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $1,530.00 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $1,615.00 ↑ +1257%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $2,392.56 ↑ +1911%
UHC HMO UHC HMO $3,692.00 ↑ +3003%
UHC JLL UHC JLL $4,706.00 ↑ +3855%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $4,954.00 ↑ +4063%

Visitor-reported prices

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Adj gastric band via subq port at other California hospitals

Hospital City Cash price Negotiated range
Baldwin Park Medical Center BALDWIN PARK $1,684.80 not published
Riverside Medical Center RIVERSIDE $1,684.80 not published
Providence St Joseph Hospital Orange Orange $3,113.28 $991.55 – $4,971.00
Mercy San Juan Medical Center Carmichael $1,894.71 $196.79 – $1,540.06
REEDLEY COMMUNITY HOSPITAL Reedley $323.00 $38.00 – $2,099.75
Mercy General Hospital Sacramento $1,507.47 $626.15 – $1,789.00
San Marcos Medical Center SAN MARCOS $1,684.80 not published
West Los Angeles Medical Center LOS ANGELES $1,684.80 not published

All California hospitals for this procedure →