Allograft graftjacket 2x12cm-q4107-cost per sq cm 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

$11.83

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.

Full explanation →

What you pay up front if you don't use insurance.

$169.00

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.

$43.94 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $346.14 with UHC JLL — 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
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $43.94 ↑ +271%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $47.19 ↑ +299%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $52.44 ↑ +343%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $54.76 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $56.78 ↑ +380%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $57.46 ↑ +386%
AETNA - ALL PLANS AETNA - ALL PLANS $68.85 ↑ +482%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $69.29 ↑ +486%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $70.15 ↑ +493%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $76.05 ↑ +543%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $83.00 ↑ +602%
BC MCAL BC MCAL $131.81 ↑ +1014%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $135.20 ↑ +1043%
MEDI-CAL MEDI-CAL $137.30 ↑ +1061%
KAISER MCAL KAISER MCAL $137.30 ↑ +1061%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $138.58 ↑ +1071%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $139.47 ↑ +1079%
HEALTHNET MCARE HEALTHNET MCARE $139.47 ↑ +1079%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $139.47 ↑ +1079%
KAISER MCR ADV KAISER MCR ADV $139.47 ↑ +1079%
UHC MCR ADV UHC MCR ADV $139.47 ↑ +1079%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $139.47 ↑ +1079%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $139.47 ↑ +1079%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $139.47 ↑ +1079%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $139.47 ↑ +1079%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $152.10 ↑ +1186%
CIGNA- ALL PLANS CIGNA- ALL PLANS $152.10 ↑ +1186%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $152.10 ↑ +1186%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $153.78 ↑ +1200%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $160.55 ↑ +1257%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $167.36 ↑ +1315%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $169.00 ↑ +1329%
HEALTHNET MCAL HEALTHNET MCAL $169.00 ↑ +1329%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $251.05 ↑ +2022%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $278.94 ↑ +2258%
UHC HMO UHC HMO $346.14 ↑ +2826%
UHC JLL UHC JLL $346.14 ↑ +2826%

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $4,677.40 not published
St. John's Camarillo Hospital Camarillo $7,999.20 $119.88 – $4,982.64
Antioch Medical Center ANTIOCH $4,677.40 not published
Redwood City Medical Center Redwood City $4,677.40 not published
Santa Clara Medical Center SANTA CLARA $4,677.40 not published
Baldwin Park Medical Center BALDWIN PARK $4,343.30 not published
Riverside Medical Center RIVERSIDE $4,343.30 not published
Fremont Medical Center FREMONT $4,677.40 not published

All California hospitals for this procedure →