Medical services after hrs at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$3.99
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.
?
What you pay up front if you don't use insurance.
$57.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.82 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $68.40 with HP OF SAN JOAQUIN MCAL — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $14.82 | ↑ +271% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $18.47 | ↑ +363% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $19.15 | ↑ +380% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $21.41 | ↑ +437% |
| UHC JLL | UHC JLL | $22.48 | ↑ +463% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $23.22 | ↑ +482% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $23.37 | ↑ +486% |
| UHC HMO | UHC HMO | $23.66 | ↑ +493% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $23.66 | ↑ +493% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $27.99 | ↑ +602% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $28.50 | ↑ +614% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $29.05 | ↑ +628% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $36.67 | ↑ +819% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $39.90 | ↑ +900% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $45.60 | ↑ +1043% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $45.60 | ↑ +1043% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $46.74 | ↑ +1071% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $51.30 | ↑ +1186% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $51.30 | ↑ +1186% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $54.15 | ↑ +1257% |
| BC MCAL | BC MCAL | $57.00 | ↑ +1329% |
| KAISER MCAL | KAISER MCAL | $57.00 | ↑ +1329% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $57.00 | ↑ +1329% |
| MEDI-CAL | MEDI-CAL | $57.00 | ↑ +1329% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $62.70 | ↑ +1471% |
| HEALTHNET MCAL | HEALTHNET MCAL | $68.40 | ↑ +1614% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $68.40 | ↑ +1614% |
Visitor-reported prices
Comments
Medical services after hrs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $10.83 | $21.41 – $114.00 |
| ST HELENA HOSPITAL | Vallejo | $9.30 | $22.42 – $62.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $10.83 | $21.41 – $95.76 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $8.55 | $22.99 – $80.37 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $37.62 | $20.67 – $82.65 |
| WILLITS HOSPITAL INC | Willits | $17.10 | $21.41 – $57.00 |
| SONORA COMMUNITY HOSPITAL | Sonora | $30.26 | $29.13 – $114.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $15.39 | $21.41 – $57.00 |