Destroy cth facet jnt addl 64634 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

$15.96

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.

$228.00

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.

$15.00 with MEDI-CAL vs $205.20 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 →

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
MEDI-CAL MEDI-CAL $15.00 ↓ -6%
BC MCAL BC MCAL $15.00 ↓ -6%
KAISER MCAL KAISER MCAL $15.00 ↓ -6%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $15.00 ↓ -6%
HP MCAL PRO FEE HP MCAL PRO FEE $16.50 ↑ +3%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $18.00 ↑ +13%
HEALTHNET MCAL HEALTHNET MCAL $18.00 ↑ +13%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $57.68 ↑ +261%
HEALTHNET MCARE HEALTHNET MCARE $57.68 ↑ +261%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $57.68 ↑ +261%
KAISER MCR ADV KAISER MCR ADV $57.68 ↑ +261%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $57.68 ↑ +261%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $57.68 ↑ +261%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $57.68 ↑ +261%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $57.68 ↑ +261%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $57.68 ↑ +261%
UHC MCR ADV UHC MCR ADV $57.68 ↑ +261%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $59.28 ↑ +271%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $60.56 ↑ +279%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $63.45 ↑ +298%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $69.22 ↑ +334%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $73.87 ↑ +363%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $74.98 ↑ +370%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $74.98 ↑ +370%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $74.98 ↑ +370%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $76.61 ↑ +380%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $77.87 ↑ +388%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $77.87 ↑ +388%
CIGNA- ALL PLANS CIGNA- ALL PLANS $78.59 ↑ +392%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $82.48 ↑ +417%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $84.04 ↑ +427%
AETNA - ALL PLANS AETNA - ALL PLANS $84.13 ↑ +427%
UHC JLL UHC JLL $89.90 ↑ +463%
UHC HMO UHC HMO $90.92 ↑ +470%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $90.92 ↑ +470%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $115.36 ↑ +623%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $164.75 ↑ +932%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $183.06 ↑ +1047%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $205.20 ↑ +1186%

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Destroy cth facet jnt addl 64634 at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,736.00 not published
Antioch Medical Center ANTIOCH $1,736.00 not published
Redwood City Medical Center Redwood City $1,736.00 not published
Santa Clara Medical Center SANTA CLARA $1,736.00 not published
Baldwin Park Medical Center BALDWIN PARK $1,336.40 not published
Riverside Medical Center RIVERSIDE $1,336.40 not published
Fremont Medical Center FREMONT $1,736.00 not published
Panorama Medical Center PANORAMA CITY $1,336.40 not published

All California hospitals for this procedure →