In-111 autol wbc diag per dose 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

$300.65

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.

$4,295.00

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.

$1,103.19 with ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS vs $4,080.25 with HP OF SAN JOAQUIN PPO - 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
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $1,103.19 ↑ +267%
UHC MCR ADV UHC MCR ADV $1,103.19 ↑ +267%
KAISER MCR ADV KAISER MCR ADV $1,103.19 ↑ +267%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $1,103.19 ↑ +267%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $1,103.19 ↑ +267%
HEALTHNET MCARE HEALTHNET MCARE $1,103.19 ↑ +267%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $1,103.19 ↑ +267%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $1,103.19 ↑ +267%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $1,103.19 ↑ +267%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $1,116.70 ↑ +271%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $1,323.83 ↑ +340%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $1,391.58 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $1,443.12 ↑ +380%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $1,760.95 ↑ +486%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,782.85 ↑ +493%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,985.74 ↑ +560%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $2,001.47 ↑ +566%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $2,109.27 ↑ +602%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $2,147.50 ↑ +614%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $2,206.38 ↑ +634%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $2,223.94 ↑ +640%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $2,276.35 ↑ +657%
UHC HMO UHC HMO $3,003.43 ↑ +899%
UHC JLL UHC JLL $3,003.43 ↑ +899%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $3,436.00 ↑ +1043%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $3,521.90 ↑ +1071%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $3,865.50 ↑ +1186%
CIGNA- ALL PLANS CIGNA- ALL PLANS $3,865.50 ↑ +1186%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $3,865.50 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $4,080.25 ↑ +1257%

Visitor-reported prices

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In-111 autol wbc diag per dose at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $8,554.56 $6,062.00 – $6,062.00
Antioch Medical Center ANTIOCH $8,554.56 $6,062.00 – $6,062.00
Redwood City Medical Center Redwood City $8,554.56 $6,062.00 – $6,062.00
Santa Clara Medical Center SANTA CLARA $8,554.56 $6,062.00 – $6,062.00
Baldwin Park Medical Center BALDWIN PARK $6,139.64 $5,406.00 – $5,406.00
Riverside Medical Center RIVERSIDE $6,139.64 $5,406.00 – $5,406.00
Fremont Medical Center FREMONT $8,554.56 $6,062.00 – $6,062.00
Panorama Medical Center PANORAMA CITY $6,139.64 $5,406.00 – $5,406.00

All California hospitals for this procedure →