EKG for initial prevent exam g0403 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$16.66
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.
$238.00
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.
$7.28 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $294.33 with BLUE CROSS NON-MCS - ALL OTHER 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 →
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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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $7.28 | ↓ -56% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $9.07 | ↓ -46% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $9.41 | ↓ -44% |
| UHC JLL | UHC JLL | $11.04 | ↓ -34% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $11.41 | ↓ -32% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $11.48 | ↓ -31% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $11.62 | ↓ -30% |
| UHC HMO | UHC HMO | $11.62 | ↓ -30% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $13.75 | ↓ -17% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $14.00 | ↓ -16% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $16.02 | ↓ -4% |
| UHC MCR ADV | UHC MCR ADV | $16.02 | ↓ -4% |
| KAISER MCR ADV | KAISER MCR ADV | $16.02 | ↓ -4% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $16.02 | ↓ -4% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $16.02 | ↓ -4% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $16.02 | ↓ -4% |
| HEALTHNET MCARE | HEALTHNET MCARE | $16.02 | ↓ -4% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $16.02 | ↓ -4% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $16.02 | ↓ -4% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $19.22 | ↑ +15% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $22.40 | ↑ +34% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $22.96 | ↑ +38% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $25.20 | ↑ +51% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $25.20 | ↑ +51% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $25.20 | ↑ +51% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $25.20 | ↑ +51% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $26.60 | ↑ +60% |
| MEDI-CAL | MEDI-CAL | $28.00 | ↑ +68% |
| KAISER MCAL | KAISER MCAL | $28.00 | ↑ +68% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $28.84 | ↑ +73% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $31.36 | ↑ +88% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $32.04 | ↑ +92% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $35.00 | ↑ +110% |
| HEALTHNET MCAL | HEALTHNET MCAL | $40.01 | ↑ +140% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $264.90 | ↑ +1490% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $294.33 | ↑ +1667% |
Visitor-reported prices
Comments
EKG for initial prevent exam g0403 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $45.22 | $238.00 – $675.81 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $157.08 | $45.11 – $714.00 |
| WILLITS HOSPITAL INC | Willits | $71.40 | $238.00 – $407.41 |
| SONORA COMMUNITY HOSPITAL | Sonora | $40.46 | $16.02 – $324.73 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $64.26 | $16.08 – $523.31 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $47.60 | $238.00 – $504.83 |
| Petaluma Valley Hospital | Petaluma | not published | $218.51 – $218.51 |
| Queen of The Valley Medical Center | Napa | not published | $276.14 – $276.14 |