Levothyroxine 100 mcg intravenous powder for solution at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$152.66
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.
$2,180.92
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.
$5.91 with BLUE CROSS EXCHANGE vs $3,116.53 with HEALTHNET 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 |
|---|---|---|---|
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $5.91 | ↓ -96% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $6.57 | ↓ -96% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $13.46 | ↓ -91% |
| UHC JLL | UHC JLL | $16.29 | ↓ -89% |
| UHC HMO | UHC HMO | $16.29 | ↓ -89% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $567.04 | ↑ +271% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $706.62 | ↑ +363% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $732.79 | ↑ +380% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $741.51 | ↑ +386% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $894.18 | ↑ +486% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $905.30 | ↑ +493% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $981.41 | ↑ +543% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,071.05 | ↑ +602% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,744.74 | ↑ +1043% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $1,788.35 | ↑ +1071% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,962.83 | ↑ +1186% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,962.83 | ↑ +1186% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $1,962.83 | ↑ +1186% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $2,071.87 | ↑ +1257% |
| MEDI-CAL | MEDI-CAL | $2,180.92 | ↑ +1329% |
| KAISER MCAL | KAISER MCAL | $2,180.92 | ↑ +1329% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $2,442.63 | ↑ +1500% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $2,726.15 | ↑ +1686% |
| HEALTHNET MCAL | HEALTHNET MCAL | $3,116.53 | ↑ +1941% |
Visitor-reported prices
Comments
Levothyroxine 100 mcg intravenous powder for solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $248.30 | $14.52 – $15.61 |
| Providence St Joseph Hospital Eureka | Eureka | $248.30 | $15.40 – $18.15 |
| Redwood Memorial Hospital | Fortuna | $225.92 | $15.40 – $18.20 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,582.49 | $14.52 – $15.61 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $258.92 | $10.41 – $18.61 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $586.16 | $9.71 – $39.19 |
| Providence Saint Joseph Medical Center | Burbank | $240.73 | $9.71 – $39.27 |
| St Jude Medical Center | Fullerton | $258.92 | $10.34 – $18.84 |