Established Patient Office Visit (level 2) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$35.63
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.
?
What you pay up front if you don't use insurance.
$509.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.10 with MEDI-CAL vs $115.20 with THREE RIVERS PROVIDER NETWORK- ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $18.10 | ↓ -49% |
| BC MCAL | BC MCAL | $18.10 | ↓ -49% |
| KAISER MCAL | KAISER MCAL | $18.10 | ↓ -49% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $18.10 | ↓ -49% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $19.91 | ↓ -44% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $21.72 | ↓ -39% |
| HEALTHNET MCAL | HEALTHNET MCAL | $21.72 | ↓ -39% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $28.89 | ↓ -19% |
| HEALTHNET MCARE | HEALTHNET MCARE | $31.08 | ↓ -13% |
| KAISER MCR ADV | KAISER MCR ADV | $31.08 | ↓ -13% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $31.08 | ↓ -13% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $31.08 | ↓ -13% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $31.08 | ↓ -13% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $31.08 | ↓ -13% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $31.08 | ↓ -13% |
| UHC MCR ADV | UHC MCR ADV | $31.08 | ↓ -13% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $31.08 | ↓ -13% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $31.08 | ↓ -13% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $31.26 | ↓ -12% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $33.28 | ↓ -7% |
| UHC JLL | UHC JLL | $33.87 | ↓ -5% |
| UHC HMO | UHC HMO | $33.87 | ↓ -5% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $33.87 | ↓ -5% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $34.19 | ↓ -4% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $37.30 | ↑ +5% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $40.40 | ↑ +13% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $40.40 | ↑ +13% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $40.40 | ↑ +13% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $41.47 | ↑ +16% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $41.96 | ↑ +18% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $41.96 | ↑ +18% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $43.01 | ↑ +21% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $44.44 | ↑ +25% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $45.28 | ↑ +27% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $62.16 | ↑ +74% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $72.42 | ↑ +103% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $82.36 | ↑ +131% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $115.20 | ↑ +223% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.01 | $28.15 – $226.00 |
| Banner Lassen Medical Center | Susanville | $737.20 | $29.86 – $276.45 |
| Arroyo Grande Hospital | Santa Maria | $130.54 | $16.37 – $305.00 |
| Mark Twain Medical Center | San Andreas | $68.60 | $8.28 – $32.00 |
| French Hospital | San Luis Obispo | $119.56 | $16.37 – $298.90 |
| Bakersfield Memorial Hospital | Bakersfield | $86.25 | $32.25 – $232.00 |
| Healdsburg Hospital | Healdsburg | $205.02 | not published |
| Redwood Memorial Hospital | Fortuna | $55.08 | not published |