New Patient Office Visit (level 4) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$61.46
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.
$878.00
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.
$68.90 with MEDI-CAL vs $302.40 with THREE RIVERS PROVIDER NETWORK- ALL PLANS — 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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $68.90 | ↑ +12% |
| BC MCAL | BC MCAL | $68.90 | ↑ +12% |
| KAISER MCAL | KAISER MCAL | $68.90 | ↑ +12% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $68.90 | ↑ +12% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $75.79 | ↑ +23% |
| HEALTHNET MCAL | HEALTHNET MCAL | $82.68 | ↑ +35% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $82.68 | ↑ +35% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $87.36 | ↑ +42% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $108.86 | ↑ +77% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $112.90 | ↑ +84% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $116.78 | ↑ +90% |
| KAISER MCR ADV | KAISER MCR ADV | $116.78 | ↑ +90% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $116.78 | ↑ +90% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $116.78 | ↑ +90% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $116.78 | ↑ +90% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $116.78 | ↑ +90% |
| HEALTHNET MCARE | HEALTHNET MCARE | $116.78 | ↑ +90% |
| UHC MCR ADV | UHC MCR ADV | $116.78 | ↑ +90% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $116.78 | ↑ +90% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $116.78 | ↑ +90% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $128.46 | ↑ +109% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $136.89 | ↑ +123% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $137.76 | ↑ +124% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $140.14 | ↑ +128% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $146.98 | ↑ +139% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $151.81 | ↑ +147% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $151.81 | ↑ +147% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $151.81 | ↑ +147% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $157.65 | ↑ +157% |
| UHC JLL | UHC JLL | $157.72 | ↑ +157% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $165.01 | ↑ +168% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $166.04 | ↑ +170% |
| UHC HMO | UHC HMO | $166.04 | ↑ +170% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $167.00 | ↑ +172% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $216.18 | ↑ +252% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $233.56 | ↑ +280% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $240.21 | ↑ +291% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $302.40 | ↑ +392% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,667.98 | $231.65 – $548.05 |
| Arroyo Grande Hospital | Santa Maria | $1,043.90 | $98.83 – $454.00 |
| Mark Twain Medical Center | San Andreas | $291.05 | $58.73 – $222.46 |
| French Hospital | San Luis Obispo | $725.20 | $98.01 – $355.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $111.00 – $384.00 |
| Bakersfield Memorial Hospital | Bakersfield | $208.83 | $104.00 – $314.82 |
| Healdsburg Hospital | Healdsburg | $633.42 | not published |