Esophagoscopy balloon <30mm 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

$28.14

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.

$402.00

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.

$15.00 with MEDI-CAL vs $1,887.64 with BLUE SHIELD NON-EPN — 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 $15.00 ↓ -47%
BC MCAL BC MCAL $15.00 ↓ -47%
KAISER MCAL KAISER MCAL $15.00 ↓ -47%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $15.00 ↓ -47%
HP MCAL PRO FEE HP MCAL PRO FEE $16.50 ↓ -41%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $18.00 ↓ -36%
HEALTHNET MCAL HEALTHNET MCAL $18.00 ↓ -36%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $106.04 ↑ +277%
UHC MCR ADV UHC MCR ADV $106.04 ↑ +277%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $106.04 ↑ +277%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $106.04 ↑ +277%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $106.04 ↑ +277%
HEALTHNET MCARE HEALTHNET MCARE $106.04 ↑ +277%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $106.04 ↑ +277%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $106.04 ↑ +277%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $111.34 ↑ +296%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $116.64 ↑ +314%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $127.25 ↑ +352%
CIGNA- ALL PLANS CIGNA- ALL PLANS $137.67 ↑ +389%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $137.85 ↑ +390%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $137.85 ↑ +390%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $137.85 ↑ +390%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $143.15 ↑ +409%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $143.15 ↑ +409%
KAISER MCR ADV KAISER MCR ADV $143.15 ↑ +409%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $151.64 ↑ +439%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $154.50 ↑ +449%
UHC HMO UHC HMO $157.70 ↑ +460%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $157.70 ↑ +460%
UHC JLL UHC JLL $157.70 ↑ +460%
AETNA - ALL PLANS AETNA - ALL PLANS $165.73 ↑ +489%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $319.31 ↑ +1035%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $1,786.22 ↑ +6248%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $1,887.64 ↑ +6608%

Visitor-reported prices

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Esophagoscopy balloon <30mm at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $10,684.80 not published
St. John's Camarillo Hospital Camarillo $883.01 $252.22 – $4,032.00
Antioch Medical Center ANTIOCH $10,684.80 not published
Redwood City Medical Center Redwood City $10,684.80 not published
Santa Clara Medical Center SANTA CLARA $10,684.80 not published
Baldwin Park Medical Center BALDWIN PARK $3,484.00 not published
Riverside Medical Center RIVERSIDE $3,484.00 not published
Fremont Medical Center FREMONT $10,684.80 not published

All California hospitals for this procedure →