Kit lead specify 5-6-5 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$2,972.06
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.
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What you pay up front if you don't use insurance.
$42,458.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$4,465.08 with HEALTHNET MCAL vs $28,260.00 with HP OF SAN JOAQUIN MCAL — 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 →
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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 ?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 |
|---|---|---|---|
| HEALTHNET MCAL | HEALTHNET MCAL | $4,465.08 | ↑ +50% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $5,500.00 | ↑ +85% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $5,735.65 | ↑ +93% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $5,878.08 | ↑ +98% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $6,373.20 | ↑ +114% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $6,662.58 | ↑ +124% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $7,324.99 | ↑ +146% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $7,596.29 | ↑ +156% |
| UHC JLL | UHC JLL | $7,673.16 | ↑ +158% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $7,686.72 | ↑ +159% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $8,077.84 | ↑ +172% |
| UHC HMO | UHC HMO | $8,077.84 | ↑ +172% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $9,210.50 | ↑ +210% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $9,269.28 | ↑ +212% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $10,173.60 | ↑ +242% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $18,086.40 | ↑ +509% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $20,347.20 | ↑ +585% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $20,347.20 | ↑ +585% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $20,347.20 | ↑ +585% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $21,477.60 | ↑ +623% |
| MEDI-CAL | MEDI-CAL | $22,608.00 | ↑ +661% |
| KAISER MCAL | KAISER MCAL | $22,608.00 | ↑ +661% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $25,320.96 | ↑ +752% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $28,260.00 | ↑ +851% |
Visitor-reported prices
Comments
Kit lead specify 5-6-5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $7,278.53 | not published |
| St. John's Camarillo Hospital | Camarillo | $17,578.26 | $535.68 – $1,740.96 |
| Antioch Medical Center | ANTIOCH | $7,278.53 | not published |
| Redwood City Medical Center | Redwood City | $7,278.53 | not published |
| Santa Clara Medical Center | SANTA CLARA | $7,278.53 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $11,602.50 | not published |
| Riverside Medical Center | RIVERSIDE | $11,602.50 | not published |
| Fremont Medical Center | FREMONT | $7,278.53 | not published |