Hydroxyzine hcl 50 mg/ml intramuscular solution 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

$5.74

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.

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

$82.00

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.

$5.91 with BLUE CROSS EXCHANGE vs $34.80 with HP HEALTHY KIDS 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $5.91 ↑ +3%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $6.24 ↑ +9%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $6.57 ↑ +14%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $7.78 ↑ +36%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $8.06 ↑ +40%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $8.16 ↑ +42%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $9.84 ↑ +71%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $9.96 ↑ +74%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $10.80 ↑ +88%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $11.79 ↑ +105%
UHC HMO UHC HMO $13.00 ↑ +126%
UHC JLL UHC JLL $13.00 ↑ +126%
CIGNA- ALL PLANS CIGNA- ALL PLANS $15.30 ↑ +167%
AETNA - ALL PLANS AETNA - ALL PLANS $15.77 ↑ +175%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $19.20 ↑ +234%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $19.68 ↑ +243%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $21.00 ↑ +266%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $21.60 ↑ +276%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $21.60 ↑ +276%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $22.80 ↑ +297%
KAISER MCAL KAISER MCAL $24.00 ↑ +318%
MEDI-CAL MEDI-CAL $24.00 ↑ +318%
BC MCAL BC MCAL $26.11 ↑ +355%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $26.88 ↑ +368%
HILL PHYSICIANS GROUP MCARE PRIM HILL PHYSICIANS GROUP MCARE PRIM $29.08 ↑ +407%
HILL PHYSICIANS GROUP MCARE PRO HILL PHYSICIANS GROUP MCARE PRO $29.08 ↑ +407%
HILL PHYSICIANS GROUP - ALL OTHER PLANS HILL PHYSICIANS GROUP - ALL OTHER PLANS $29.08 ↑ +407%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $30.00 ↑ +423%
HP MCAL PRO FEE HP MCAL PRO FEE $33.00 ↑ +475%
HEALTHNET MCAL HEALTHNET MCAL $34.30 ↑ +498%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $34.80 ↑ +506%

Visitor-reported prices

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Hydroxyzine hcl 50 mg/ml intramuscular solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $72.65 $17.00 – $17.00
St. John's Camarillo Hospital Camarillo $29.35 $13.91 – $52.26
Antioch Medical Center ANTIOCH $72.65 $17.00 – $17.00
Redwood City Medical Center Redwood City $72.65 $17.00 – $17.00
Santa Clara Medical Center SANTA CLARA $72.65 $17.00 – $17.00
Baldwin Park Medical Center BALDWIN PARK $67.46 $17.00 – $17.00
Riverside Medical Center RIVERSIDE $67.46 $17.00 – $17.00
Fremont Medical Center FREMONT $72.65 $17.00 – $17.00

All California hospitals for this procedure →