Biopsy of upper nose/throat 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

$54.11

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.

$773.00

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.

$44.00 with MEDI-CAL vs $395.10 with THREE RIVERS PROVIDER NETWORK- 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 $44.00 ↓ -19%
BC MCAL BC MCAL $44.00 ↓ -19%
KAISER MCAL KAISER MCAL $44.00 ↓ -19%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $44.00 ↓ -19%
HP MCAL PRO FEE HP MCAL PRO FEE $48.40 ↓ -11%
HEALTHNET MCAL HEALTHNET MCAL $52.80 ↓ -2%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $52.80 ↓ -2%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $114.14 ↑ +111%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $117.04 ↑ +116%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $117.04 ↑ +116%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $117.04 ↑ +116%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $117.04 ↑ +116%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $117.04 ↑ +116%
UHC MCR ADV UHC MCR ADV $117.04 ↑ +116%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $117.04 ↑ +116%
HEALTHNET MCARE HEALTHNET MCARE $117.04 ↑ +116%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $122.89 ↑ +127%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $128.74 ↑ +138%
CIGNA- ALL PLANS CIGNA- ALL PLANS $132.55 ↑ +145%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $140.45 ↑ +160%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $142.24 ↑ +163%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $147.50 ↑ +173%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $151.67 ↑ +180%
UHC HMO UHC HMO $151.67 ↑ +180%
UHC JLL UHC JLL $151.67 ↑ +180%
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +181%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $152.15 ↑ +181%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $152.15 ↑ +181%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $152.15 ↑ +181%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +187%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $158.00 ↑ +192%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $158.00 ↑ +192%
AETNA - ALL PLANS AETNA - ALL PLANS $161.66 ↑ +199%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $167.37 ↑ +209%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $170.53 ↑ +215%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $208.64 ↑ +286%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +462%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $317.22 ↑ +486%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $395.10 ↑ +630%

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Biopsy of upper nose/throat at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $8,965.60 not published
Antioch Medical Center ANTIOCH $8,965.60 not published
Redwood City Medical Center Redwood City $8,965.60 not published
Santa Clara Medical Center SANTA CLARA $8,965.60 not published
Baldwin Park Medical Center BALDWIN PARK $3,400.80 not published
Riverside Medical Center RIVERSIDE $3,400.80 not published
Fremont Medical Center FREMONT $8,965.60 not published
Panorama Medical Center PANORAMA CITY $3,400.80 not published

All California hospitals for this procedure →