Histamine 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

$2.07

Cash price

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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.

$29.53

Gross charge

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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.

$6.83 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $324.68 with BLUE CROSS NON-MCS - 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 →

Payer
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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
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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
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $6.83 ↑ +230%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $8.51 ↑ +311%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $8.82 ↑ +326%
BC MCAL BC MCAL $10.47 ↑ +406%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $10.76 ↑ +420%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $10.90 ↑ +427%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $12.89 ↑ +523%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $13.13 ↑ +534%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $21.00 ↑ +914%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $21.53 ↑ +940%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $23.63 ↑ +1042%
CIGNA- ALL PLANS CIGNA- ALL PLANS $23.63 ↑ +1042%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $23.63 ↑ +1042%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $23.63 ↑ +1042%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $24.94 ↑ +1105%
MEDI-CAL MEDI-CAL $26.25 ↑ +1168%
HEALTHNET MCAL HEALTHNET MCAL $26.25 ↑ +1168%
KAISER MCAL KAISER MCAL $26.25 ↑ +1168%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $26.25 ↑ +1168%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $26.25 ↑ +1168%
KAISER MCR ADV KAISER MCR ADV $29.53 ↑ +1327%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $29.53 ↑ +1327%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $29.53 ↑ +1327%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $29.53 ↑ +1327%
HEALTHNET MCARE HEALTHNET MCARE $29.53 ↑ +1327%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $29.53 ↑ +1327%
UHC MCR ADV UHC MCR ADV $29.53 ↑ +1327%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $29.53 ↑ +1327%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $29.53 ↑ +1327%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $35.44 ↑ +1612%
UHC HMO UHC HMO $42.53 ↑ +1955%
UHC JLL UHC JLL $42.53 ↑ +1955%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $53.15 ↑ +2468%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $59.06 ↑ +2753%
AETNA - ALL PLANS AETNA - ALL PLANS $98.12 ↑ +4640%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $292.21 ↑ +14016%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $324.68 ↑ +15585%

Visitor-reported prices

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Histamine at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $52.08 $27.00 – $27.00
Antioch Medical Center ANTIOCH $52.08 $27.00 – $27.00
Redwood City Medical Center Redwood City $52.08 $27.00 – $27.00
Santa Clara Medical Center SANTA CLARA $52.08 $27.00 – $27.00
Baldwin Park Medical Center BALDWIN PARK $238.16 $20.00 – $20.00
Riverside Medical Center RIVERSIDE $238.16 $20.00 – $20.00
Fremont Medical Center FREMONT $52.08 $27.00 – $27.00
Banner Lassen Medical Center Susanville $17.53 $5.91 – $43.31

All California hospitals for this procedure →