Established Patient Office Visit (level 5) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$61.39
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.
$877.00
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.
$57.20 with MEDI-CAL vs $325.80 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 | $57.20 | ↓ -7% |
| BC MCAL | BC MCAL | $57.20 | ↓ -7% |
| KAISER MCAL | KAISER MCAL | $57.20 | ↓ -7% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $57.20 | ↓ -7% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $62.92 | ↑ +2% |
| HEALTHNET MCAL | HEALTHNET MCAL | $68.64 | ↑ +12% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $68.64 | ↑ +12% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $94.12 | ↑ +53% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $117.29 | ↑ +91% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $121.63 | ↑ +98% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $126.33 | ↑ +106% |
| KAISER MCR ADV | KAISER MCR ADV | $126.33 | ↑ +106% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $126.33 | ↑ +106% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $126.33 | ↑ +106% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $126.33 | ↑ +106% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $126.33 | ↑ +106% |
| HEALTHNET MCARE | HEALTHNET MCARE | $126.33 | ↑ +106% |
| UHC MCR ADV | UHC MCR ADV | $126.33 | ↑ +106% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $126.33 | ↑ +106% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $126.33 | ↑ +106% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $126.39 | ↑ +106% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $133.24 | ↑ +117% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $138.96 | ↑ +126% |
| UHC JLL | UHC JLL | $146.10 | ↑ +138% |
| UHC HMO | UHC HMO | $146.10 | ↑ +138% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $146.10 | ↑ +138% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $148.42 | ↑ +142% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $151.60 | ↑ +147% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $164.23 | ↑ +168% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $164.23 | ↑ +168% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $164.23 | ↑ +168% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $170.55 | ↑ +178% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $177.78 | ↑ +190% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $180.65 | ↑ +194% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $222.02 | ↑ +262% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $232.91 | ↑ +279% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $252.66 | ↑ +312% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $325.80 | ↑ +431% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $822.12 | $102.00 – $313.56 |
| Arroyo Grande Hospital | Santa Maria | $254.66 | $82.05 – $480.00 |
| Mark Twain Medical Center | San Andreas | $317.69 | $71.92 – $272.44 |
| French Hospital | San Luis Obispo | $233.24 | $82.05 – $470.40 |
| Bakersfield Memorial Hospital | Bakersfield | $148.27 | $101.90 – $232.00 |
| Healdsburg Hospital | Healdsburg | $538.56 | not published |
| Redwood Memorial Hospital | Fortuna | $161.16 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $143.18 | $82.05 – $399.34 |