Ocular instrumnt screen bil at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$3.99
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.
$57.00
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.
$7.42 with UHC JLL vs $68.40 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 →
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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 |
|---|---|---|---|
| UHC JLL | UHC JLL | $7.42 | ↑ +86% |
| UHC HMO | UHC HMO | $7.42 | ↑ +86% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $7.42 | ↑ +86% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $15.56 | ↑ +290% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $32.72 | ↑ +720% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $34.20 | ↑ +757% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $34.58 | ↑ +767% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $39.90 | ↑ +900% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $42.89 | ↑ +975% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $45.60 | ↑ +1043% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $45.74 | ↑ +1046% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $48.45 | ↑ +1114% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $50.62 | ↑ +1169% |
| BC MCAL | BC MCAL | $57.00 | ↑ +1329% |
| KAISER MCAL | KAISER MCAL | $57.00 | ↑ +1329% |
| MEDI-CAL | MEDI-CAL | $57.00 | ↑ +1329% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $57.00 | ↑ +1329% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $62.70 | ↑ +1471% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $68.40 | ↑ +1614% |
| HEALTHNET MCAL | HEALTHNET MCAL | $68.40 | ↑ +1614% |
Visitor-reported prices
Comments
Ocular instrumnt screen bil at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $10.83 | $0.16 – $114.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $37.62 | $7.42 – $132.37 |
| WILLITS HOSPITAL INC | Willits | $17.10 | $7.28 – $57.00 |
| SONORA COMMUNITY HOSPITAL | Sonora | $9.69 | $32.72 – $114.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $15.39 | $7.28 – $57.00 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $11.40 | $7.01 – $953.28 |
| Petaluma Valley Hospital | Petaluma | not published | $577.05 – $577.05 |
| Queen of The Valley Medical Center | Napa | not published | $729.25 – $729.25 |