Dilation salivary duct 42650 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

$18.48

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.

$264.00

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.

$30.16 with MEDI-CAL vs $304.00 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
MEDI-CAL MEDI-CAL $30.16 ↑ +63%
KAISER MCAL KAISER MCAL $30.16 ↑ +63%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $37.70 ↑ +104%
BC MCAL BC MCAL $40.00 ↑ +116%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $40.00 ↑ +116%
HEALTHNET MCAL HEALTHNET MCAL $43.10 ↑ +133%
HP MCAL PRO FEE HP MCAL PRO FEE $44.00 ↑ +138%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $54.54 ↑ +195%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $54.54 ↑ +195%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $54.54 ↑ +195%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $54.54 ↑ +195%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $54.54 ↑ +195%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $54.54 ↑ +195%
UHC MCR ADV UHC MCR ADV $54.54 ↑ +195%
HEALTHNET MCARE HEALTHNET MCARE $54.54 ↑ +195%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $54.60 ↑ +195%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $57.27 ↑ +210%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $59.99 ↑ +225%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $65.45 ↑ +254%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $68.04 ↑ +268%
CIGNA- ALL PLANS CIGNA- ALL PLANS $68.71 ↑ +272%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $70.56 ↑ +282%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $70.90 ↑ +284%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $70.90 ↑ +284%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $70.90 ↑ +284%
KAISER MCR ADV KAISER MCR ADV $73.63 ↑ +298%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $73.63 ↑ +298%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $73.63 ↑ +298%
UHC JLL UHC JLL $76.53 ↑ +314%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $76.53 ↑ +314%
UHC HMO UHC HMO $76.53 ↑ +314%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $77.99 ↑ +322%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $79.46 ↑ +330%
AETNA - ALL PLANS AETNA - ALL PLANS $80.83 ↑ +337%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $106.69 ↑ +477%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $151.75 ↑ +721%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +739%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $189.00 ↑ +923%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +1545%

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Dilation salivary duct 42650 at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $5,633.60 not published
Antioch Medical Center ANTIOCH $5,633.60 not published
Redwood City Medical Center Redwood City $5,633.60 not published
Santa Clara Medical Center SANTA CLARA $5,633.60 not published
Baldwin Park Medical Center BALDWIN PARK $3,062.80 not published
Riverside Medical Center RIVERSIDE $3,062.80 not published
Fremont Medical Center FREMONT $5,633.60 not published
Panorama Medical Center PANORAMA CITY $3,062.80 not published

All California hospitals for this procedure →