Alteplase 100 mg infusion from pyxis vial 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

$4,047.29

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.

$57,818.41

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.

$17.52 with BLUE CROSS EXCHANGE vs $2,972.30 with HP OF SAN JOAQUIN PPO - 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $17.52 ↓ -100%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $19.47 ↓ -100%
KAISER MCR ADV KAISER MCR ADV $98.59 ↓ -98%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $98.59 ↓ -98%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $98.59 ↓ -98%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $98.59 ↓ -98%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $98.59 ↓ -98%
UHC MCR ADV UHC MCR ADV $98.59 ↓ -98%
HEALTHNET MCARE HEALTHNET MCARE $98.59 ↓ -98%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $98.59 ↓ -98%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $98.59 ↓ -98%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $118.30 ↓ -97%
BC MCAL BC MCAL $125.78 ↓ -97%
MEDI-CAL MEDI-CAL $131.81 ↓ -97%
KAISER MCAL KAISER MCAL $131.81 ↓ -97%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $147.62 ↓ -96%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $164.76 ↓ -96%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $177.46 ↓ -96%
HEALTHNET MCAL HEALTHNET MCAL $188.35 ↓ -95%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $197.17 ↓ -95%
AETNA - ALL PLANS AETNA - ALL PLANS $211.12 ↓ -95%
UHC HMO UHC HMO $255.45 ↓ -94%
UHC JLL UHC JLL $255.45 ↓ -94%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $813.47 ↓ -80%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $1,013.71 ↓ -75%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $1,051.26 ↓ -74%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $1,063.77 ↓ -74%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $1,282.78 ↓ -68%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,298.74 ↓ -68%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $1,407.93 ↓ -65%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $1,536.52 ↓ -62%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $2,502.99 ↓ -38%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $2,565.57 ↓ -37%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $2,815.87 ↓ -30%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $2,815.87 ↓ -30%
CIGNA- ALL PLANS CIGNA- ALL PLANS $2,815.87 ↓ -30%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $2,972.30 ↓ -27%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $14,196.02 $94.00 – $94.00
St. John's Camarillo Hospital Camarillo $8,148.12 $44.51 – $197.54
Antioch Medical Center ANTIOCH $14,196.02 $94.00 – $94.00
Redwood City Medical Center Redwood City $14,196.02 $94.00 – $94.00
Santa Clara Medical Center SANTA CLARA $14,196.02 $94.00 – $94.00
Baldwin Park Medical Center BALDWIN PARK $13,182.02 $94.00 – $94.00
Riverside Medical Center RIVERSIDE $13,182.02 $94.00 – $94.00
Fremont Medical Center FREMONT $14,196.02 $94.00 – $94.00

All California hospitals for this procedure →