Off/op cnsltj new/est mod 40 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$30.17
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.
$431.00
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.
$62.66 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $344.39 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 | $62.66 | ↑ +108% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $78.08 | ↑ +159% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $80.98 | ↑ +168% |
| UHC JLL | UHC JLL | $95.03 | ↑ +215% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $98.18 | ↑ +225% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $98.81 | ↑ +228% |
| UHC HMO | UHC HMO | $100.04 | ↑ +232% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $100.04 | ↑ +232% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $118.36 | ↑ +292% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $120.50 | ↑ +299% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $155.06 | ↑ +414% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $172.29 | ↑ +471% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $174.98 | ↑ +480% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $192.80 | ↑ +539% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $197.62 | ↑ +555% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $216.90 | ↑ +619% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $216.90 | ↑ +619% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $216.90 | ↑ +619% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $219.10 | ↑ +626% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $228.95 | ↑ +659% |
| MEDI-CAL | MEDI-CAL | $241.00 | ↑ +699% |
| KAISER MCAL | KAISER MCAL | $241.00 | ↑ +699% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $269.92 | ↑ +795% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $301.25 | ↑ +899% |
| BC MCAL | BC MCAL | $313.00 | ↑ +937% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $344.30 | ↑ +1041% |
| HEALTHNET MCAL | HEALTHNET MCAL | $344.39 | ↑ +1041% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $319.02 | $123.92 – $469.42 |
| Mercy Medical Center Merced | Merced | $121.03 | $134.00 – $235.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $76.57 | $4.41 – $626.00 |
| ST HELENA HOSPITAL | Vallejo | $70.50 | $189.09 – $470.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $59.47 | $174.98 – $525.84 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $72.75 | $136.90 – $379.93 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $265.98 | $20.67 – $363.00 |