Envrn ivntj med mgmt psyc pt at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$10.15
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.
$145.00
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.
$74.00 with BLUE CROSS NON-MCS - ALL OTHER PLANS vs $174.00 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 NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $74.00 | ↑ +629% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $87.00 | ↑ +757% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $92.61 | ↑ +812% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $101.50 | ↑ +900% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $110.82 | ↑ +992% |
| UHC JLL | UHC JLL | $112.25 | ↑ +1006% |
| UHC HMO | UHC HMO | $112.25 | ↑ +1006% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $112.25 | ↑ +1006% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $116.00 | ↑ +1043% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $123.25 | ↑ +1114% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $128.76 | ↑ +1169% |
| BC MCAL | BC MCAL | $145.00 | ↑ +1329% |
| KAISER MCAL | KAISER MCAL | $145.00 | ↑ +1329% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $145.00 | ↑ +1329% |
| MEDI-CAL | MEDI-CAL | $145.00 | ↑ +1329% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $152.16 | ↑ +1399% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $159.50 | ↑ +1471% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $160.80 | ↑ +1484% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $174.00 | ↑ +1614% |
| HEALTHNET MCAL | HEALTHNET MCAL | $174.00 | ↑ +1614% |
Visitor-reported prices
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Envrn ivntj med mgmt psyc pt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $27.55 | $74.00 – $290.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $95.70 | $20.67 – $210.25 |
| WILLITS HOSPITAL INC | Willits | $43.50 | $76.84 – $160.80 |
| SONORA COMMUNITY HOSPITAL | Sonora | $24.65 | $76.84 – $290.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $39.15 | $75.60 – $160.80 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $29.00 | $66.41 – $160.80 |