Established Patient Office Visit (level 4) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$49.35
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.
$705.00
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.
$37.50 with MEDI-CAL vs $233.10 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 | $37.50 | ↓ -24% |
| BC MCAL | BC MCAL | $37.50 | ↓ -24% |
| KAISER MCAL | KAISER MCAL | $37.50 | ↓ -24% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $37.50 | ↓ -24% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $41.25 | ↓ -16% |
| HEALTHNET MCAL | HEALTHNET MCAL | $45.00 | ↓ -9% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $45.00 | ↓ -9% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $67.34 | ↑ +36% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $83.92 | ↑ +70% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $84.93 | ↑ +72% |
| KAISER MCR ADV | KAISER MCR ADV | $84.93 | ↑ +72% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $84.93 | ↑ +72% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $84.93 | ↑ +72% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $84.93 | ↑ +72% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $84.93 | ↑ +72% |
| HEALTHNET MCARE | HEALTHNET MCARE | $84.93 | ↑ +72% |
| UHC MCR ADV | UHC MCR ADV | $84.93 | ↑ +72% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $84.93 | ↑ +72% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $84.93 | ↑ +72% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $87.02 | ↑ +76% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $89.46 | ↑ +81% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $93.42 | ↑ +89% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $94.20 | ↑ +91% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $101.92 | ↑ +107% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $103.43 | ↑ +110% |
| UHC JLL | UHC JLL | $103.43 | ↑ +110% |
| UHC HMO | UHC HMO | $103.43 | ↑ +110% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $106.19 | ↑ +115% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $110.41 | ↑ +124% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $110.41 | ↑ +124% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $110.41 | ↑ +124% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $114.66 | ↑ +132% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $121.45 | ↑ +146% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $123.74 | ↑ +151% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $151.59 | ↑ +207% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $166.64 | ↑ +238% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $169.86 | ↑ +244% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $233.10 | ↑ +372% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| Mark Twain Medical Center | San Andreas | $212.46 | $55.63 – $210.70 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |