Hla i low res one antigen equiv ea 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

$4.53

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.

$64.66

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.

$15.60 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $1,271.93 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 $15.60 ↑ +244%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $19.44 ↑ +329%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $20.16 ↑ +345%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $24.60 ↑ +443%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $24.91 ↑ +450%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $29.47 ↑ +551%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $30.00 ↑ +562%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $48.00 ↑ +960%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $49.20 ↑ +986%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $54.00 ↑ +1092%
CIGNA- ALL PLANS CIGNA- ALL PLANS $54.00 ↑ +1092%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $54.00 ↑ +1092%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $54.00 ↑ +1092%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $57.00 ↑ +1158%
MEDI-CAL MEDI-CAL $60.00 ↑ +1225%
HEALTHNET MCAL HEALTHNET MCAL $60.00 ↑ +1225%
KAISER MCAL KAISER MCAL $60.00 ↑ +1225%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $60.00 ↑ +1225%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $60.00 ↑ +1225%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $74.33 ↑ +1541%
KAISER MCR ADV KAISER MCR ADV $74.33 ↑ +1541%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $74.33 ↑ +1541%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $74.33 ↑ +1541%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $74.33 ↑ +1541%
HEALTHNET MCARE HEALTHNET MCARE $74.33 ↑ +1541%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $74.33 ↑ +1541%
UHC MCR ADV UHC MCR ADV $74.33 ↑ +1541%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $74.33 ↑ +1541%
BC MCAL BC MCAL $89.04 ↑ +1866%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $89.20 ↑ +1869%
UHC JLL UHC JLL $107.04 ↑ +2263%
UHC HMO UHC HMO $107.04 ↑ +2263%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $133.79 ↑ +2853%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $148.66 ↑ +3182%
AETNA - ALL PLANS AETNA - ALL PLANS $306.33 ↑ +6662%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $1,144.73 ↑ +25170%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,271.93 ↑ +27978%

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Hla i low res one antigen equiv ea at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $178.64 $32.00 – $32.00
Antioch Medical Center ANTIOCH $178.64 $32.00 – $32.00
Redwood City Medical Center Redwood City $178.64 $32.00 – $32.00
Santa Clara Medical Center SANTA CLARA $178.64 $32.00 – $32.00
Fremont Medical Center FREMONT $178.64 $32.00 – $32.00
Banner Lassen Medical Center Susanville $66.76 $14.87 – $115.43
Sacramento Medical Center SACRAMENTO $178.64 $32.00 – $32.00
Oakland Medical Center Oakland $178.64 $32.00 – $32.00

All California hospitals for this procedure →