Dihydroergotamine 0.05 mg/ml IV syringe - cnr 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

$120.96

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.

$1,727.94

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.

$15.53 with BLUE CROSS EXCHANGE vs $140.36 with HP HEALTHY KIDS PRO FEE — 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $15.53 ↓ -87%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $17.25 ↓ -86%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $21.58 ↓ -82%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $26.89 ↓ -78%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $27.89 ↓ -77%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $28.22 ↓ -77%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $34.03 ↓ -72%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $34.45 ↓ -72%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $37.35 ↓ -69%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $40.76 ↓ -66%
UHC HMO UHC HMO $57.08 ↓ -53%
UHC JLL UHC JLL $57.08 ↓ -53%
CIGNA- ALL PLANS CIGNA- ALL PLANS $60.00 ↓ -50%
BC MCAL BC MCAL $64.87 ↓ -46%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $66.40 ↓ -45%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $68.06 ↓ -44%
AETNA - ALL PLANS AETNA - ALL PLANS $69.24 ↓ -43%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $74.70 ↓ -38%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $74.70 ↓ -38%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $78.85 ↓ -35%
MEDI-CAL MEDI-CAL $83.00 ↓ -31%
KAISER MCAL KAISER MCAL $83.00 ↓ -31%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $84.70 ↓ -30%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $92.96 ↓ -23%
HILL PHYSICIANS GROUP MCARE PRIM HILL PHYSICIANS GROUP MCARE PRIM $96.00 ↓ -21%
HILL PHYSICIANS GROUP MCARE PRO HILL PHYSICIANS GROUP MCARE PRO $96.00 ↓ -21%
HILL PHYSICIANS GROUP - ALL OTHER PLANS HILL PHYSICIANS GROUP - ALL OTHER PLANS $96.00 ↓ -21%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $103.75 ↓ -14%
HEALTHNET MCAL HEALTHNET MCAL $118.61 ↓ -2%
HP MCAL PRO FEE HP MCAL PRO FEE $133.10 ↑ +10%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $140.36 ↑ +16%

Visitor-reported prices

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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $186.26 $97.00 – $97.00
St. John's Camarillo Hospital Camarillo $123.08 $39.44 – $219.18
Antioch Medical Center ANTIOCH $186.26 $97.00 – $97.00
Redwood City Medical Center Redwood City $186.26 $97.00 – $97.00
Santa Clara Medical Center SANTA CLARA $186.26 $97.00 – $97.00
Baldwin Park Medical Center BALDWIN PARK $172.95 $97.00 – $97.00
Riverside Medical Center RIVERSIDE $172.95 $97.00 – $97.00
Fremont Medical Center FREMONT $186.26 $97.00 – $97.00

All California hospitals for this procedure →