Care mgmt svc bhvl hlth cond at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$10.01
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.
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What you pay up front if you don't use insurance.
$143.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$27.30 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $126.00 with HEALTHNET MCAL — 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 →
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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 ?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 | $27.30 | ↑ +173% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $34.02 | ↑ +240% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $35.28 | ↑ +252% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $36.70 | ↑ +267% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $38.89 | ↑ +289% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $38.89 | ↑ +289% |
| UHC MCR ADV | UHC MCR ADV | $38.89 | ↑ +289% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $38.89 | ↑ +289% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $38.89 | ↑ +289% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $38.89 | ↑ +289% |
| HEALTHNET MCARE | HEALTHNET MCARE | $38.89 | ↑ +289% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $38.89 | ↑ +289% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $39.97 | ↑ +299% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $40.83 | ↑ +308% |
| UHC JLL | UHC JLL | $41.40 | ↑ +314% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $42.21 | ↑ +322% |
| UHC HMO | UHC HMO | $42.21 | ↑ +322% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $42.78 | ↑ +327% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $43.05 | ↑ +330% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $46.67 | ↑ +366% |
| KAISER MCR ADV | KAISER MCR ADV | $49.42 | ↑ +394% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $49.42 | ↑ +394% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $50.56 | ↑ +405% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $50.56 | ↑ +405% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $50.56 | ↑ +405% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $51.57 | ↑ +415% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $52.50 | ↑ +424% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $55.61 | ↑ +456% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $67.56 | ↑ +575% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $75.06 | ↑ +650% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $94.50 | ↑ +844% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $98.84 | ↑ +887% |
| BC MCAL | BC MCAL | $105.00 | ↑ +949% |
| MEDI-CAL | MEDI-CAL | $105.00 | ↑ +949% |
| KAISER MCAL | KAISER MCAL | $105.00 | ↑ +949% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $105.00 | ↑ +949% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $115.50 | ↑ +1054% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $126.00 | ↑ +1159% |
| HEALTHNET MCAL | HEALTHNET MCAL | $126.00 | ↑ +1159% |
Visitor-reported prices
Comments
Care mgmt svc bhvl hlth cond at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $273.28 | not published |
| Antioch Medical Center | ANTIOCH | $273.28 | not published |
| Redwood City Medical Center | Redwood City | $273.28 | not published |
| Santa Clara Medical Center | SANTA CLARA | $273.28 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $122.20 | not published |
| Riverside Medical Center | RIVERSIDE | $122.20 | not published |
| Fremont Medical Center | FREMONT | $273.28 | not published |
| Panorama Medical Center | PANORAMA CITY | $122.20 | not published |