Device intraute mirena at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$268.22
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.
$3,831.74
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.
$453.61 with BLUE CROSS EXCHANGE vs $3,896.40 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 |
|---|---|---|---|
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $453.61 | ↑ +69% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $504.03 | ↑ +88% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $844.22 | ↑ +215% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,052.03 | ↑ +292% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,090.99 | ↑ +307% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,103.98 | ↑ +312% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,214.63 | ↑ +353% |
| UHC JLL | UHC JLL | $1,214.63 | ↑ +353% |
| UHC HMO | UHC HMO | $1,214.63 | ↑ +353% |
| HILL PHYSICIANS GROUP - ALL OTHER PLANS | HILL PHYSICIANS GROUP - ALL OTHER PLANS | $1,231.31 | ↑ +359% |
| HILL PHYSICIANS GROUP MCARE PRO | HILL PHYSICIANS GROUP MCARE PRO | $1,231.31 | ↑ +359% |
| HILL PHYSICIANS GROUP MCARE PRIM | HILL PHYSICIANS GROUP MCARE PRIM | $1,231.31 | ↑ +359% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,238.93 | ↑ +362% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $1,331.27 | ↑ +396% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,461.15 | ↑ +445% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,473.35 | ↑ +449% |
| BC MCAL | BC MCAL | $1,592.90 | ↑ +494% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,594.60 | ↑ +495% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $2,272.90 | ↑ +747% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $2,597.60 | ↑ +868% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $2,662.54 | ↑ +893% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $2,922.30 | ↑ +990% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $2,922.30 | ↑ +990% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $3,084.65 | ↑ +1050% |
| MEDI-CAL | MEDI-CAL | $3,247.00 | ↑ +1111% |
| KAISER MCAL | KAISER MCAL | $3,247.00 | ↑ +1111% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $3,247.00 | ↑ +1111% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $3,571.70 | ↑ +1232% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $3,766.52 | ↑ +1304% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $3,896.40 | ↑ +1353% |
| HEALTHNET MCAL | HEALTHNET MCAL | $3,896.40 | ↑ +1353% |
Visitor-reported prices
Comments
Device intraute mirena at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $2,125.00 | not published |
| Antioch Medical Center | ANTIOCH | $2,125.00 | not published |
| Redwood City Medical Center | Redwood City | $2,125.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $2,125.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,973.22 | not published |
| Riverside Medical Center | RIVERSIDE | $1,973.22 | not published |
| Fremont Medical Center | FREMONT | $2,125.00 | not published |
| Panorama Medical Center | PANORAMA CITY | $1,973.22 | not published |