Crtj pericardial window/prtl resecj w/drg/bx at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$177.10
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.
$2,530.00
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.
$480.22 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $1,662.30 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 →
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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 | $480.22 | ↑ +171% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $598.43 | ↑ +238% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $620.59 | ↑ +250% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $717.78 | ↑ +305% |
| UHC MCR ADV | UHC MCR ADV | $717.78 | ↑ +305% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $717.78 | ↑ +305% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $717.78 | ↑ +305% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $717.78 | ↑ +305% |
| KAISER MCR ADV | KAISER MCR ADV | $717.78 | ↑ +305% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $717.78 | ↑ +305% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $717.78 | ↑ +305% |
| HEALTHNET MCARE | HEALTHNET MCARE | $717.78 | ↑ +305% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $717.78 | ↑ +305% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $752.47 | ↑ +325% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $753.67 | ↑ +326% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $757.27 | ↑ +328% |
| MEDI-CAL | MEDI-CAL | $774.76 | ↑ +337% |
| BC MCAL | BC MCAL | $774.76 | ↑ +337% |
| KAISER MCAL | KAISER MCAL | $774.76 | ↑ +337% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $774.76 | ↑ +337% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $789.56 | ↑ +346% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $852.24 | ↑ +381% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $861.34 | ↑ +386% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $897.13 | ↑ +407% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $907.06 | ↑ +412% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $923.50 | ↑ +421% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $929.71 | ↑ +425% |
| HEALTHNET MCAL | HEALTHNET MCAL | $929.71 | ↑ +425% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $933.11 | ↑ +427% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $933.11 | ↑ +427% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $933.11 | ↑ +427% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,026.43 | ↑ +480% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,032.47 | ↑ +483% |
| UHC JLL | UHC JLL | $1,032.47 | ↑ +483% |
| UHC HMO | UHC HMO | $1,032.47 | ↑ +483% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $1,334.64 | ↑ +654% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $1,413.86 | ↑ +698% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $1,435.56 | ↑ +711% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $1,662.30 | ↑ +839% |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,335.68 | $4,666.00 – $16,338.00 |
| St Jude Medical Center | Fullerton | $15,565.44 | $4,188.00 – $18,454.00 |
| Providence St Joseph Hospital Orange | Orange | $12,468.00 | $4,971.00 – $17,143.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $480.70 | $22.26 – $1,413.86 |
| Providence Holy Cross Medical Center | Mission Hills | $9,135.35 | $1,142.00 – $7,953.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $480.70 | $100.00 – $1,413.86 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $379.50 | $70.00 – $1,442.10 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $1,669.80 | $70.00 – $1,216.55 |