Doxycycline hyclate 100 mg intravenous powder for solution 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

$42.31

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.

$604.43

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.

$0.11 with BLUE CROSS EXCHANGE vs $863.72 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 →

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 $0.11 ↓ -100%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $0.12 ↓ -100%
AETNA - ALL PLANS AETNA - ALL PLANS $0.23 ↓ -99%
UHC JLL UHC JLL $0.28 ↓ -99%
UHC HMO UHC HMO $0.28 ↓ -99%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $157.15 ↑ +271%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $195.83 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $203.09 ↑ +380%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $205.50 ↑ +386%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $247.81 ↑ +486%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $250.90 ↑ +493%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $271.99 ↑ +543%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $296.83 ↑ +602%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $483.54 ↑ +1043%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $495.63 ↑ +1071%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $543.98 ↑ +1186%
CIGNA- ALL PLANS CIGNA- ALL PLANS $543.98 ↑ +1186%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $543.98 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $574.20 ↑ +1257%
MEDI-CAL MEDI-CAL $604.43 ↑ +1329%
KAISER MCAL KAISER MCAL $604.43 ↑ +1329%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $676.96 ↑ +1500%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $755.53 ↑ +1686%
HEALTHNET MCAL HEALTHNET MCAL $863.72 ↑ +1941%

Visitor-reported prices

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Doxycycline hyclate 100 mg intravenous powder for solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $62.96 $0.11 – $0.11
St. John's Camarillo Hospital Camarillo $38.11 $23.49 – $67.86
Antioch Medical Center ANTIOCH $62.96 $0.11 – $0.11
Redwood City Medical Center Redwood City $62.96 $0.11 – $0.11
Santa Clara Medical Center SANTA CLARA $62.96 $0.11 – $0.11
Baldwin Park Medical Center BALDWIN PARK $58.46 $0.11 – $0.11
Riverside Medical Center RIVERSIDE $58.46 $0.11 – $0.11
Fremont Medical Center FREMONT $62.96 $0.11 – $0.11

All California hospitals for this procedure →