Mycophenolate mofetil 250 mg capsule 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

$1.74

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.

$24.84

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.

$0.25 with BLUE CROSS EXCHANGE vs $19.97 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $0.25 ↓ -86%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $0.28 ↓ -84%
AETNA - ALL PLANS AETNA - ALL PLANS $0.34 ↓ -80%
UHC JLL UHC JLL $0.41 ↓ -76%
UHC HMO UHC HMO $0.41 ↓ -76%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $3.63 ↑ +109%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $4.53 ↑ +160%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $4.69 ↑ +170%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $4.75 ↑ +173%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $5.73 ↑ +229%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $5.80 ↑ +233%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $6.29 ↑ +261%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $6.86 ↑ +294%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $11.18 ↑ +543%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $11.46 ↑ +559%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $12.58 ↑ +623%
CIGNA- ALL PLANS CIGNA- ALL PLANS $12.58 ↑ +623%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $12.58 ↑ +623%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $13.27 ↑ +663%
MEDI-CAL MEDI-CAL $13.97 ↑ +703%
KAISER MCAL KAISER MCAL $13.97 ↑ +703%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $15.65 ↑ +799%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $17.47 ↑ +904%
HEALTHNET MCAL HEALTHNET MCAL $19.97 ↑ +1048%

Visitor-reported prices

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Mycophenolate mofetil 250 mg capsule at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $21.03 $0.24 – $25.74
Petaluma Valley Hospital Petaluma $5.61 $0.31 – $0.60
Arroyo Grande Hospital Santa Maria $46.23 $0.25 – $85.26
Mark Twain Medical Center San Andreas $58.71 $5.04 – $19.07
French Hospital San Luis Obispo $42.34 $0.24 – $85.26
Mercy Hospitals – Bakersfield Bakersfield $21.15 $0.15 – $3.20
Bakersfield Memorial Hospital Bakersfield $15.79 $0.25 – $3.16
Queen of The Valley Medical Center Napa $28.37 $0.31 – $0.65

All California hospitals for this procedure →