Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution 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

$0.91

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.

$13.00

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.

$0.01 with CIGNA- ALL PLANS vs $15.60 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 →

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
CIGNA- ALL PLANS CIGNA- ALL PLANS $0.01 ↓ -99%
UHC HMO UHC HMO $0.01 ↓ -99%
AETNA - ALL PLANS AETNA - ALL PLANS $0.01 ↓ -99%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $0.01 ↓ -99%
UHC JLL UHC JLL $0.01 ↓ -99%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $0.04 ↓ -96%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $7.80 ↑ +757%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $9.10 ↑ +900%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $11.05 ↑ +1114%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $11.54 ↑ +1168%
KAISER MCAL KAISER MCAL $13.00 ↑ +1329%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $13.00 ↑ +1329%
MEDI-CAL MEDI-CAL $13.00 ↑ +1329%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $13.00 ↑ +1329%
BC MCAL BC MCAL $13.00 ↑ +1329%
HP MCAL PRO FEE HP MCAL PRO FEE $14.30 ↑ +1471%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $15.60 ↑ +1614%
HEALTHNET MCAL HEALTHNET MCAL $15.60 ↑ +1614%

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $40.54 $0.01 – $0.01
St. John's Camarillo Hospital Camarillo $57.38 $35.37 – $102.18
Antioch Medical Center ANTIOCH $40.54 $0.01 – $0.01
Redwood City Medical Center Redwood City $40.54 $0.01 – $0.01
Santa Clara Medical Center SANTA CLARA $40.54 $0.01 – $0.01
Baldwin Park Medical Center BALDWIN PARK $37.65 $0.01 – $0.01
Riverside Medical Center RIVERSIDE $37.65 $0.01 – $0.01
Fremont Medical Center FREMONT $40.54 $0.01 – $0.01

All California hospitals for this procedure →