Annual Physical, New Patient (age 18-39) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$23.03
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.
?
What you pay up front if you don't use insurance.
$329.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$62.14 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $304.00 with BRIGHT HEALTH - ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $62.14 | ↑ +170% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $77.44 | ↑ +236% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $80.30 | ↑ +249% |
| UHC JLL | UHC JLL | $94.24 | ↑ +309% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $97.37 | ↑ +323% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $97.99 | ↑ +325% |
| UHC HMO | UHC HMO | $99.21 | ↑ +331% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $99.21 | ↑ +331% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $111.79 | ↑ +385% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $117.37 | ↑ +410% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $119.50 | ↑ +419% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↑ +560% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↑ +560% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↑ +560% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +560% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↑ +560% |
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↑ +560% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +560% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↑ +560% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $153.77 | ↑ +568% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +573% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $167.30 | ↑ +626% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $170.86 | ↑ +642% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | ↑ +692% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $191.20 | ↑ +730% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $191.20 | ↑ +730% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $195.98 | ↑ +751% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $215.10 | ↑ +834% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $215.10 | ↑ +834% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $227.05 | ↑ +886% |
| BC MCAL | BC MCAL | $239.00 | ↑ +938% |
| MEDI-CAL | MEDI-CAL | $239.00 | ↑ +938% |
| KAISER MCAL | KAISER MCAL | $239.00 | ↑ +938% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $239.00 | ↑ +938% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $262.90 | ↑ +1042% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $286.80 | ↑ +1145% |
| HEALTHNET MCAL | HEALTHNET MCAL | $286.80 | ↑ +1145% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +1220% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $160.14 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| Mercy Medical Center Merced | Merced | $180.77 | $114.10 – $347.49 |
| St. Mary Medical Center | Long Beach | $183.61 | $49.50 – $570.50 |
| Glendale Memorial Hospital Health Center | Glendale | $67.49 | $51.75 – $482.64 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $48.83 | $2.81 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $44.70 | $120.69 – $298.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $45.41 | $105.01 – $401.52 |