Hydrogel drg > 48 sq in w/b 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

$5.81

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.

$83.00

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.

$10.81 with AETNA - ALL PLANS vs $91.30 with HP MCAL PRO FEE — 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
AETNA - ALL PLANS AETNA - ALL PLANS $10.81 ↑ +86%
UHC HMO UHC HMO $14.09 ↑ +143%
UHC JLL UHC JLL $14.09 ↑ +143%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $14.09 ↑ +143%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $15.08 ↑ +160%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $18.79 ↑ +223%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $19.49 ↑ +235%
BC MCAL BC MCAL $19.65 ↑ +238%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $23.78 ↑ +309%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $28.48 ↑ +390%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $29.00 ↑ +399%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $33.89 ↑ +483%
UHC MCR ADV UHC MCR ADV $33.89 ↑ +483%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $33.89 ↑ +483%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $33.89 ↑ +483%
KAISER MCR ADV KAISER MCR ADV $33.89 ↑ +483%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $33.89 ↑ +483%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $33.89 ↑ +483%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $33.89 ↑ +483%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $33.89 ↑ +483%
HEALTHNET MCARE HEALTHNET MCARE $33.89 ↑ +483%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $33.89 ↑ +483%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $35.58 ↑ +512%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $37.28 ↑ +542%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $37.32 ↑ +542%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $37.99 ↑ +554%
CIGNA- ALL PLANS CIGNA- ALL PLANS $41.50 ↑ +614%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $44.06 ↑ +658%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $44.06 ↑ +658%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $46.40 ↑ +699%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $51.85 ↑ +792%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $52.20 ↑ +798%
MEDI-CAL MEDI-CAL $58.00 ↑ +898%
KAISER MCAL KAISER MCAL $58.00 ↑ +898%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $64.96 ↑ +1018%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $67.78 ↑ +1067%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $72.50 ↑ +1148%
HEALTHNET MCAL HEALTHNET MCAL $82.88 ↑ +1327%
HP MCAL PRO FEE HP MCAL PRO FEE $91.30 ↑ +1471%

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Hydrogel drg > 48 sq in w/b at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $15.77 $13.56 – $166.00
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $54.78 $14.09 – $120.35
WILLITS HOSPITAL INC Willits $24.90 $10.61 – $83.00
SONORA COMMUNITY HOSPITAL Sonora $14.11 $13.72 – $166.00
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $22.41 $11.19 – $83.00
UKIAH ADVENTIST HOSPITAL Ukiah $16.60 $10.61 – $83.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $47.13 – $47.13
Providence Saint Joseph Medical Center Burbank not published $47.13 – $47.13

All California hospitals for this procedure →