Fixtn pq skel dstl rad fx/epiphysl sep 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

$167.02

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.

Full explanation →

What you pay up front if you don't use insurance.

$2,386.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.00 with MEDI-CAL vs $8,631.30 with BRIGHT HEALTH - 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 →

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 $17.00 ↓ -90%
BC MCAL BC MCAL $17.00 ↓ -90%
KAISER MCAL KAISER MCAL $17.00 ↓ -90%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $17.00 ↓ -90%
HP MCAL PRO FEE HP MCAL PRO FEE $18.70 ↓ -89%
HEALTHNET MCAL HEALTHNET MCAL $20.40 ↓ -88%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $20.40 ↓ -88%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $450.84 ↑ +170%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $561.82 ↑ +236%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $582.62 ↑ +249%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $650.24 ↑ +289%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $650.24 ↑ +289%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $650.24 ↑ +289%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $650.24 ↑ +289%
HEALTHNET MCARE HEALTHNET MCARE $650.24 ↑ +289%
UHC MCR ADV UHC MCR ADV $650.24 ↑ +289%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $650.24 ↑ +289%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $650.24 ↑ +289%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $682.75 ↑ +309%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $710.94 ↑ +326%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $715.26 ↑ +328%
CIGNA- ALL PLANS CIGNA- ALL PLANS $760.37 ↑ +355%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $780.29 ↑ +367%
AETNA - ALL PLANS AETNA - ALL PLANS $801.98 ↑ +380%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $845.31 ↑ +406%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $845.31 ↑ +406%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $845.31 ↑ +406%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $851.57 ↑ +410%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $867.00 ↑ +419%
KAISER MCR ADV KAISER MCR ADV $877.82 ↑ +426%
UHC JLL UHC JLL $886.37 ↑ +431%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $886.37 ↑ +431%
UHC HMO UHC HMO $886.37 ↑ +431%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $929.84 ↑ +457%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $1,252.99 ↑ +650%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,338.32 ↑ +701%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $1,560.60 ↑ +834%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $4,315.65 ↑ +2484%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $8,631.30 ↑ +5068%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Fixtn pq skel dstl rad fx/epiphysl sep at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $10,925.60 not published
Antioch Medical Center ANTIOCH $10,925.60 not published
Redwood City Medical Center Redwood City $10,925.60 not published
Santa Clara Medical Center SANTA CLARA $10,925.60 not published
Baldwin Park Medical Center BALDWIN PARK $4,914.00 not published
Riverside Medical Center RIVERSIDE $4,914.00 not published
Fremont Medical Center FREMONT $10,925.60 not published
Panorama Medical Center PANORAMA CITY $4,914.00 not published

All California hospitals for this procedure →