Icd cobalt xt dr MRI is1 df1 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$8,837.36
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.
?
What you pay up front if you don't use insurance.
$126,248.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,500.00 with FIRST HEALTH- ALL PLANS vs $52,891.25 with HP OF SAN JOAQUIN MCAL — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $5,500.00 | ↓ -38% |
| HEALTHNET MCAL | HEALTHNET MCAL | $8,356.82 | ↓ -5% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $10,734.81 | ↑ +21% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $11,001.38 | ↑ +24% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $11,928.03 | ↑ +35% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $12,469.64 | ↑ +41% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $13,709.41 | ↑ +55% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $14,217.17 | ↑ +61% |
| UHC JLL | UHC JLL | $14,361.03 | ↑ +63% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $14,386.42 | ↑ +63% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $15,118.43 | ↑ +71% |
| UHC HMO | UHC HMO | $15,118.43 | ↑ +71% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $17,238.32 | ↑ +95% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $17,348.33 | ↑ +96% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $19,040.85 | ↑ +115% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $33,850.40 | ↑ +283% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $38,081.70 | ↑ +331% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $38,081.70 | ↑ +331% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $38,081.70 | ↑ +331% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $40,197.35 | ↑ +355% |
| MEDI-CAL | MEDI-CAL | $42,313.00 | ↑ +379% |
| KAISER MCAL | KAISER MCAL | $42,313.00 | ↑ +379% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $47,390.56 | ↑ +436% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $52,891.25 | ↑ +498% |
Visitor-reported prices
Comments
Icd cobalt xt dr MRI is1 df1 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $48,300.00 | not published |
| St. John's Camarillo Hospital | Camarillo | $54,116.66 | $7,408.80 – $24,078.60 |
| Antioch Medical Center | ANTIOCH | $48,300.00 | not published |
| Redwood City Medical Center | Redwood City | $48,300.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $48,300.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $26,520.00 | not published |
| Riverside Medical Center | RIVERSIDE | $26,520.00 | not published |
| Fremont Medical Center | FREMONT | $48,300.00 | not published |