Cystogram >= 3 views supervision & interpretation 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

$169.61

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.

$2,423.00

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.

$15.28 with HEALTHNET MCARE vs $920.30 with BRIGHT HEALTH - 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
HEALTHNET MCARE HEALTHNET MCARE $15.28 ↓ -91%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $15.28 ↓ -91%
UHC MCR ADV UHC MCR ADV $15.28 ↓ -91%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $15.28 ↓ -91%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $15.28 ↓ -91%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $15.28 ↓ -91%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $15.28 ↓ -91%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $15.28 ↓ -91%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $15.34 ↓ -91%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $16.04 ↓ -91%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $16.81 ↓ -90%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $18.34 ↓ -89%
CIGNA- ALL PLANS CIGNA- ALL PLANS $18.53 ↓ -89%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $19.12 ↓ -89%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $19.82 ↓ -88%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $19.86 ↓ -88%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $19.86 ↓ -88%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $19.86 ↓ -88%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $20.63 ↓ -88%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $20.63 ↓ -88%
KAISER MCR ADV KAISER MCR ADV $20.63 ↓ -88%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $20.87 ↓ -88%
UHC JLL UHC JLL $20.87 ↓ -88%
UHC HMO UHC HMO $20.87 ↓ -88%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $22.26 ↓ -87%
BC MCAL BC MCAL $22.57 ↓ -87%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $23.38 ↓ -86%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $28.39 ↓ -83%
MEDI-CAL MEDI-CAL $33.16 ↓ -80%
KAISER MCAL KAISER MCAL $33.16 ↓ -80%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $33.16 ↓ -80%
HP MCAL PRO FEE HP MCAL PRO FEE $36.48 ↓ -78%
HEALTHNET MCAL HEALTHNET MCAL $39.79 ↓ -77%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $39.79 ↓ -77%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $53.10 ↓ -69%
AETNA - ALL PLANS AETNA - ALL PLANS $65.64 ↓ -61%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $297.21 ↑ +75%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $460.15 ↑ +171%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $920.30 ↑ +443%

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,428.00 $476.00 – $476.00
St. John's Camarillo Hospital Camarillo $453.77 $71.95 – $1,782.69
Antioch Medical Center ANTIOCH $1,428.00 $476.00 – $476.00
Redwood City Medical Center Redwood City $1,428.00 $476.00 – $476.00
Santa Clara Medical Center SANTA CLARA $1,428.00 $476.00 – $476.00
Baldwin Park Medical Center BALDWIN PARK $852.80 $324.00 – $324.00
Riverside Medical Center RIVERSIDE $852.80 $324.00 – $324.00
Fremont Medical Center FREMONT $1,428.00 $476.00 – $476.00

All California hospitals for this procedure →