Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous 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

$54.27

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.

$775.32

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.

$0.87 with BLUE CROSS EXCHANGE vs $1,107.93 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 $0.87 ↓ -98%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $0.97 ↓ -98%
AETNA - ALL PLANS AETNA - ALL PLANS $3.42 ↓ -94%
UHC JLL UHC JLL $4.14 ↓ -92%
UHC HMO UHC HMO $4.14 ↓ -92%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $201.58 ↑ +271%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $251.20 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $260.51 ↑ +380%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $263.61 ↑ +386%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $317.88 ↑ +486%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $321.84 ↑ +493%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $348.89 ↑ +543%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $380.76 ↑ +602%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $620.26 ↑ +1043%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $635.76 ↑ +1071%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $697.79 ↑ +1186%
CIGNA- ALL PLANS CIGNA- ALL PLANS $697.79 ↑ +1186%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $697.79 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $736.55 ↑ +1257%
MEDI-CAL MEDI-CAL $775.32 ↑ +1329%
KAISER MCAL KAISER MCAL $775.32 ↑ +1329%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $868.36 ↑ +1500%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $969.15 ↑ +1686%
HEALTHNET MCAL HEALTHNET MCAL $1,107.93 ↑ +1942%

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Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $57.38 $18.09 – $52.26
Petaluma Valley Hospital Petaluma $89.76 $2.07 – $2.88
Arroyo Grande Hospital Santa Maria $115.99 $24.30 – $52.92
French Hospital San Luis Obispo $106.24 $46.44 – $168.56
Mercy Hospitals – Bakersfield Bakersfield $40.07 $12.40 – $31.00
Bakersfield Memorial Hospital Bakersfield $39.64 $7.75 – $31.00
Queen of The Valley Medical Center Napa $89.76 $2.24 – $2.88
Providence St Joseph Hospital Eureka Eureka $89.76 $2.67 – $2.88

All California hospitals for this procedure →