Cath 2lum 14.5frx43cm maxid kt mahurkar at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$394.59
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.
$5,637.00
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.
$293.28 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $1,611.91 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 | $293.28 | ↓ -26% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $365.47 | ↓ -7% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $379.01 | ↓ -4% |
| UHC JLL | UHC JLL | $444.77 | ↑ +13% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $459.55 | ↑ +16% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $462.48 | ↑ +17% |
| UHC HMO | UHC HMO | $468.23 | ↑ +19% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $468.23 | ↑ +19% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $553.96 | ↑ +40% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $564.00 | ↑ +43% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $725.76 | ↑ +84% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $806.41 | ↑ +104% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $902.40 | ↑ +129% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $924.96 | ↑ +134% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,015.20 | ↑ +157% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,015.20 | ↑ +157% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $1,015.20 | ↑ +157% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,015.20 | ↑ +157% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,071.60 | ↑ +172% |
| KAISER MCAL | KAISER MCAL | $1,128.00 | ↑ +186% |
| MEDI-CAL | MEDI-CAL | $1,128.00 | ↑ +186% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $1,263.36 | ↑ +220% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $1,410.00 | ↑ +257% |
| HEALTHNET MCAL | HEALTHNET MCAL | $1,611.91 | ↑ +309% |
Visitor-reported prices
Comments
Cath 2lum 14.5frx43cm maxid kt mahurkar at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,272.39 | $32.13 – $92.82 |
| Baldwin Park Medical Center | BALDWIN PARK | $2,448.81 | not published |
| Riverside Medical Center | RIVERSIDE | $2,448.81 | not published |
| Banner Lassen Medical Center | Susanville | $754.45 | $128.33 – $303.61 |
| Panorama Medical Center | PANORAMA CITY | $2,448.81 | not published |
| Petaluma Valley Hospital | Petaluma | $1,550.40 | not published |
| Arroyo Grande Hospital | Santa Maria | $1,244.20 | $28.06 – $119.56 |
| French Hospital | San Luis Obispo | $1,139.55 | $23.18 – $119.56 |