Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 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

$358.96

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.

$5,128.00

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.

$25.00 with MEDI-CAL vs $304.00 with BRIGHT HEALTH - 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 →

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
MEDI-CAL MEDI-CAL $25.00 ↓ -93%
BC MCAL BC MCAL $25.00 ↓ -93%
KAISER MCAL KAISER MCAL $25.00 ↓ -93%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $25.00 ↓ -93%
HP MCAL PRO FEE HP MCAL PRO FEE $27.50 ↓ -92%
HEALTHNET MCAL HEALTHNET MCAL $30.00 ↓ -92%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $30.00 ↓ -92%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $54.08 ↓ -85%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $67.39 ↓ -81%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $69.89 ↓ -81%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $74.59 ↓ -79%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $74.59 ↓ -79%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $74.59 ↓ -79%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $74.59 ↓ -79%
HEALTHNET MCARE HEALTHNET MCARE $74.59 ↓ -79%
UHC MCR ADV UHC MCR ADV $74.59 ↓ -79%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $74.59 ↓ -79%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $74.59 ↓ -79%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $78.32 ↓ -78%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $82.05 ↓ -77%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $85.28 ↓ -76%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $89.51 ↓ -75%
CIGNA- ALL PLANS CIGNA- ALL PLANS $96.79 ↓ -73%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $96.97 ↓ -73%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $96.97 ↓ -73%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $96.97 ↓ -73%
AETNA - ALL PLANS AETNA - ALL PLANS $97.03 ↓ -73%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $100.70 ↓ -72%
KAISER MCR ADV KAISER MCR ADV $100.70 ↓ -72%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $102.15 ↓ -72%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $106.66 ↓ -70%
UHC JLL UHC JLL $113.64 ↓ -68%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $113.64 ↓ -68%
UHC HMO UHC HMO $113.64 ↓ -68%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $150.30 ↓ -58%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↓ -57%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $167.00 ↓ -53%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $187.20 ↓ -48%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↓ -15%

Visitor-reported prices

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Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $4,844.00 not published
St. John's Camarillo Hospital Camarillo $1,012.60 $101.91 – $1,806.00
Antioch Medical Center ANTIOCH $4,844.00 not published
Redwood City Medical Center Redwood City $4,844.00 not published
Santa Clara Medical Center SANTA CLARA $4,844.00 not published
Baldwin Park Medical Center BALDWIN PARK $3,562.00 not published
Riverside Medical Center RIVERSIDE $3,562.00 not published
Fremont Medical Center FREMONT $4,844.00 not published

All California hospitals for this procedure →