Clip ligating vesolock lg at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$406.91
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.
$5,813.00
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.
$278.67 with HEALTHNET MCAL vs $1,763.75 with HP OF SAN JOAQUIN 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 |
|---|---|---|---|
| HEALTHNET MCAL | HEALTHNET MCAL | $278.67 | ↓ -32% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $357.97 | ↓ -12% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $366.86 | ↓ -10% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $397.76 | ↓ -2% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $415.82 | ↑ +2% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $457.16 | ↑ +12% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $474.10 | ↑ +17% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $479.74 | ↑ +18% |
| UHC JLL | UHC JLL | $556.36 | ↑ +37% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $574.84 | ↑ +41% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $578.51 | ↑ +42% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $585.71 | ↑ +44% |
| UHC HMO | UHC HMO | $585.71 | ↑ +44% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $634.95 | ↑ +56% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,128.80 | ↑ +177% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $1,157.02 | ↑ +184% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,269.90 | ↑ +212% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $1,269.90 | ↑ +212% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,269.90 | ↑ +212% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,340.45 | ↑ +229% |
| MEDI-CAL | MEDI-CAL | $1,411.00 | ↑ +247% |
| KAISER MCAL | KAISER MCAL | $1,411.00 | ↑ +247% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $1,580.32 | ↑ +288% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $1,763.75 | ↑ +333% |
Visitor-reported prices
Comments
Clip ligating vesolock lg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $977.62 | $143.04 – $464.88 |
| Baldwin Park Medical Center | BALDWIN PARK | $14,898.00 | not published |
| Riverside Medical Center | RIVERSIDE | $14,898.00 | not published |
| Banner Lassen Medical Center | Susanville | $13,295.73 | $128.33 – $303.61 |
| Panorama Medical Center | PANORAMA CITY | $14,898.00 | not published |
| Petaluma Valley Hospital | Petaluma | $6,434.67 | not published |
| Arroyo Grande Hospital | Santa Maria | $2,103.20 | $36.34 – $154.84 |
| French Hospital | San Luis Obispo | $1,926.29 | $30.02 – $154.84 |