Ip/obs cnsltj new/est low 45 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

$23.87

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.

$341.00

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.

$54.08 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $304.00 with BRIGHT HEALTH - ALL 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 $54.08 ↑ +127%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $67.39 ↑ +182%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $69.89 ↑ +193%
AETNA - ALL PLANS AETNA - ALL PLANS $84.74 ↑ +255%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $85.28 ↑ +257%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $102.15 ↑ +328%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $104.00 ↑ +336%
CIGNA- ALL PLANS CIGNA- ALL PLANS $130.68 ↑ +447%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $133.83 ↑ +461%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $145.60 ↑ +510%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $148.70 ↑ +523%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $152.00 ↑ +537%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $152.00 ↑ +537%
HEALTHNET MCARE HEALTHNET MCARE $152.00 ↑ +537%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $152.00 ↑ +537%
UHC MCR ADV UHC MCR ADV $152.00 ↑ +537%
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +537%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $152.00 ↑ +537%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $152.00 ↑ +537%
UHC HMO UHC HMO $152.59 ↑ +539%
UHC JLL UHC JLL $152.59 ↑ +539%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $152.59 ↑ +539%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +550%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $166.40 ↑ +597%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $166.40 ↑ +597%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $170.56 ↑ +615%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $182.40 ↑ +664%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $187.20 ↑ +684%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $187.20 ↑ +684%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $197.60 ↑ +728%
BC MCAL BC MCAL $208.00 ↑ +771%
MEDI-CAL MEDI-CAL $208.00 ↑ +771%
KAISER MCAL KAISER MCAL $208.00 ↑ +771%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $208.00 ↑ +771%
HP MCAL PRO FEE HP MCAL PRO FEE $228.80 ↑ +859%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $249.60 ↑ +946%
HEALTHNET MCAL HEALTHNET MCAL $249.60 ↑ +946%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +1174%

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Ip/obs cnsltj new/est low 45 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $81.26 $31.57 – $119.56
Healdsburg Hospital Healdsburg $99.96 not published
REEDLEY COMMUNITY HOSPITAL Reedley $55.67 $3.29 – $675.81
ST HELENA HOSPITAL Vallejo $55.65 $141.17 – $371.00
HANFORD COMMUNITY HOSPITAL Selma $39.52 $130.68 – $349.44
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $37.20 $102.08 – $278.72
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $193.38 $20.67 – $301.60
WILLITS HOSPITAL INC Willits $87.90 $115.27 – $407.41

All California hospitals for this procedure →