Ntrprof ph1/ntrnet/ehr 31/> at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$12.60
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.
$180.00
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.
$45.76 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $211.20 with HEALTHNET 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 | $45.76 | ↑ +263% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $49.98 | ↑ +297% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $52.82 | ↑ +319% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $63.62 | ↑ +405% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $63.62 | ↑ +405% |
| UHC MCR ADV | UHC MCR ADV | $63.62 | ↑ +405% |
| KAISER MCR ADV | KAISER MCR ADV | $63.62 | ↑ +405% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $63.62 | ↑ +405% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $63.62 | ↑ +405% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $63.62 | ↑ +405% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $63.62 | ↑ +405% |
| HEALTHNET MCARE | HEALTHNET MCARE | $63.62 | ↑ +405% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $63.62 | ↑ +405% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $66.80 | ↑ +430% |
| UHC JLL | UHC JLL | $69.40 | ↑ +451% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $69.87 | ↑ +455% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $69.98 | ↑ +455% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $71.70 | ↑ +469% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $72.16 | ↑ +473% |
| UHC HMO | UHC HMO | $73.06 | ↑ +480% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $73.06 | ↑ +480% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $76.34 | ↑ +506% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $82.71 | ↑ +556% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $82.71 | ↑ +556% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $82.71 | ↑ +556% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $85.89 | ↑ +582% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $86.43 | ↑ +586% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $90.98 | ↑ +622% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $113.24 | ↑ +799% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $127.24 | ↑ +910% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $158.40 | ↑ +1157% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $158.40 | ↑ +1157% |
| BC MCAL | BC MCAL | $176.00 | ↑ +1297% |
| MEDI-CAL | MEDI-CAL | $176.00 | ↑ +1297% |
| KAISER MCAL | KAISER MCAL | $176.00 | ↑ +1297% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $176.00 | ↑ +1297% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $193.60 | ↑ +1437% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $211.20 | ↑ +1576% |
| HEALTHNET MCAL | HEALTHNET MCAL | $211.20 | ↑ +1576% |
Visitor-reported prices
Comments
Ntrprof ph1/ntrnet/ehr 31/> at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $33.44 | $2.05 – $352.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $33.44 | $49.98 – $295.68 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $26.40 | $49.98 – $248.16 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $116.16 | $20.67 – $255.20 |
| WILLITS HOSPITAL INC | Willits | $52.80 | $52.82 – $176.00 |
| SONORA COMMUNITY HOSPITAL | Sonora | $29.92 | $49.98 – $264.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $47.52 | $49.98 – $523.31 |
| ADVENTIST HEALTH TULARE | Tulare | $33.44 | $49.98 – $176.00 |