Graft xenmtrx sft rect 19x28cm at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$446.25
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.
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What you pay up front if you don't use insurance.
$6,375.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$74.00 with BLUE CROSS NON-MCS - ALL OTHER PLANS vs $884.45 with HP OF SAN JOAQUIN PPO - ALL OTHER PLANS — 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 →
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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 ?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 |
|---|---|---|---|
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $74.00 | ↓ -83% |
| HEALTHNET MCAL | HEALTHNET MCAL | $183.87 | ↓ -59% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $200.00 | ↓ -55% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $236.19 | ↓ -47% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $240.00 | ↓ -46% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $242.06 | ↓ -46% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $274.37 | ↓ -39% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $280.00 | ↓ -37% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $301.64 | ↓ -32% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $312.82 | ↓ -30% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $316.54 | ↓ -29% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $340.00 | ↓ -24% |
| UHC JLL | UHC JLL | $367.09 | ↓ -18% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $379.29 | ↓ -15% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $381.71 | ↓ -14% |
| UHC HMO | UHC HMO | $386.46 | ↓ -13% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $386.46 | ↓ -13% |
| MEDI-CAL | MEDI-CAL | $400.00 | ↓ -10% |
| KAISER MCAL | KAISER MCAL | $400.00 | ↓ -10% |
| BC MCAL | BC MCAL | $400.00 | ↓ -10% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $400.00 | ↓ -10% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $440.00 | ↓ -1% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $480.00 | ↑ +8% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $763.42 | ↑ +71% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $837.90 | ↑ +88% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $837.90 | ↑ +88% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $884.45 | ↑ +98% |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 19x28cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,151.46 | $63.84 – $207.48 |
| Baldwin Park Medical Center | BALDWIN PARK | $5,172.23 | not published |
| Riverside Medical Center | RIVERSIDE | $5,172.23 | not published |
| Banner Lassen Medical Center | Susanville | $687.12 | $348.50 – $824.50 |
| Panorama Medical Center | PANORAMA CITY | $5,172.23 | not published |
| Petaluma Valley Hospital | Petaluma | $5,410.08 | not published |
| Arroyo Grande Hospital | Santa Maria | $2,103.20 | $61.18 – $260.68 |
| French Hospital | San Luis Obispo | $1,926.29 | $50.54 – $260.68 |