Ntrprof ph1/ntrnet/ehr 5/> at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$6.16
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.
$88.00
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.
$21.84 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $75.60 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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $21.84 | ↑ +255% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $27.22 | ↑ +342% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $28.22 | ↑ +358% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $30.16 | ↑ +390% |
| HEALTHNET MCARE | HEALTHNET MCARE | $30.16 | ↑ +390% |
| UHC MCR ADV | UHC MCR ADV | $30.16 | ↑ +390% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $30.16 | ↑ +390% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $30.16 | ↑ +390% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $30.16 | ↑ +390% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $30.16 | ↑ +390% |
| KAISER MCR ADV | KAISER MCR ADV | $30.16 | ↑ +390% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $30.16 | ↑ +390% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $30.16 | ↑ +390% |
| MEDI-CAL | MEDI-CAL | $31.45 | ↑ +411% |
| BC MCAL | BC MCAL | $31.45 | ↑ +411% |
| KAISER MCAL | KAISER MCAL | $31.45 | ↑ +411% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $31.45 | ↑ +411% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $31.67 | ↑ +414% |
| UHC JLL | UHC JLL | $33.12 | ↑ +438% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $33.18 | ↑ +439% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $34.22 | ↑ +456% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $34.44 | ↑ +459% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $34.60 | ↑ +462% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $34.87 | ↑ +466% |
| UHC HMO | UHC HMO | $34.87 | ↑ +466% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $36.19 | ↑ +488% |
| HEALTHNET MCAL | HEALTHNET MCAL | $37.74 | ↑ +513% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $37.74 | ↑ +513% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $39.21 | ↑ +537% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $39.21 | ↑ +537% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $39.21 | ↑ +537% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $40.72 | ↑ +561% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $41.25 | ↑ +570% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $41.85 | ↑ +579% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $43.13 | ↑ +600% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $50.36 | ↑ +718% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $54.05 | ↑ +777% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $60.32 | ↑ +879% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $75.60 | ↑ +1127% |
Visitor-reported prices
Comments
Ntrprof ph1/ntrnet/ehr 5/> at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $15.96 | $1.04 – $62.90 |
| ST HELENA HOSPITAL | Vallejo | $11.40 | $31.45 – $61.31 |
| HANFORD COMMUNITY HOSPITAL | Selma | $15.96 | $30.16 – $57.38 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $12.60 | $30.33 – $57.38 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $55.44 | $20.67 – $57.38 |
| WILLITS HOSPITAL INC | Willits | $36.30 | $30.16 – $57.38 |
| SONORA COMMUNITY HOSPITAL | Sonora | $14.28 | $30.16 – $57.38 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $22.68 | $30.33 – $523.31 |