Off/op cnsltj new/est low 30 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$21.07
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.
$301.00
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.
$44.72 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $230.40 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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $44.72 | ↑ +112% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $55.73 | ↑ +164% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $57.79 | ↑ +174% |
| UHC JLL | UHC JLL | $67.82 | ↑ +222% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $70.07 | ↑ +233% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $70.52 | ↑ +235% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $71.40 | ↑ +239% |
| UHC HMO | UHC HMO | $71.40 | ↑ +239% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $84.47 | ↑ +301% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $86.00 | ↑ +308% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $108.89 | ↑ +417% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $110.66 | ↑ +425% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $122.96 | ↑ +484% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $134.40 | ↑ +538% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $137.60 | ↑ +553% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $141.04 | ↑ +569% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $153.60 | ↑ +629% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $154.80 | ↑ +635% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $154.80 | ↑ +635% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $163.40 | ↑ +676% |
| MEDI-CAL | MEDI-CAL | $172.00 | ↑ +716% |
| KAISER MCAL | KAISER MCAL | $172.00 | ↑ +716% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $192.00 | ↑ +811% |
| BC MCAL | BC MCAL | $192.00 | ↑ +811% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $211.20 | ↑ +902% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $215.00 | ↑ +920% |
| HEALTHNET MCAL | HEALTHNET MCAL | $230.40 | ↑ +993% |
Visitor-reported prices
Comments
Off/op cnsltj new/est low 30 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $209.79 | $81.50 – $308.70 |
| Mercy Medical Center Merced | Merced | $88.58 | $103.20 – $172.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $53.39 | $2.74 – $384.00 |
| ST HELENA HOSPITAL | Vallejo | $49.20 | $117.59 – $328.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $36.48 | $108.89 – $322.56 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $28.80 | $85.96 – $270.72 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $185.46 | $20.67 – $278.40 |