Off/op consltj new/est hi 55 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$37.10
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.
$530.00
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.
$84.24 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $467.50 with HP MCAL PRO FEE — 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 | $84.24 | ↑ +127% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $104.98 | ↑ +183% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $108.86 | ↑ +193% |
| UHC JLL | UHC JLL | $127.75 | ↑ +244% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $132.00 | ↑ +256% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $132.84 | ↑ +258% |
| UHC HMO | UHC HMO | $134.49 | ↑ +263% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $134.49 | ↑ +263% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $159.12 | ↑ +329% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $162.00 | ↑ +337% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $208.46 | ↑ +462% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $216.48 | ↑ +484% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $231.63 | ↑ +524% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $259.20 | ↑ +599% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $265.68 | ↑ +616% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $291.60 | ↑ +686% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $291.60 | ↑ +686% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $291.60 | ↑ +686% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $297.50 | ↑ +702% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $307.80 | ↑ +730% |
| MEDI-CAL | MEDI-CAL | $324.00 | ↑ +773% |
| KAISER MCAL | KAISER MCAL | $324.00 | ↑ +773% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $362.88 | ↑ +878% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $405.00 | ↑ +992% |
| BC MCAL | BC MCAL | $425.00 | ↑ +1046% |
| HEALTHNET MCAL | HEALTHNET MCAL | $463.00 | ↑ +1148% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $467.50 | ↑ +1160% |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $396.27 | $153.93 – $583.10 |
| Mercy Medical Center Merced | Merced | $151.93 | $134.00 – $295.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $100.70 | $5.45 – $850.00 |
| ST HELENA HOSPITAL | Vallejo | $84.15 | $233.80 – $561.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $80.75 | $216.48 – $714.00 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $63.75 | $169.72 – $410.49 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $349.80 | $20.67 – $363.00 |