Off/op consltj new/est sf 20 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$14.42
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.
$206.00
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.
$28.60 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $132.00 with HP OF SAN JOAQUIN 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 | $28.60 | ↑ +98% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $35.64 | ↑ +147% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $36.96 | ↑ +156% |
| UHC JLL | UHC JLL | $43.37 | ↑ +201% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $44.81 | ↑ +211% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $45.10 | ↑ +213% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $45.66 | ↑ +217% |
| UHC HMO | UHC HMO | $45.66 | ↑ +217% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $54.02 | ↑ +275% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $55.00 | ↑ +281% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $70.77 | ↑ +391% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $77.00 | ↑ +434% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $77.82 | ↑ +440% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $78.64 | ↑ +445% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $88.00 | ↑ +510% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $88.00 | ↑ +510% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $90.20 | ↑ +526% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $99.00 | ↑ +587% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $99.00 | ↑ +587% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $104.50 | ↑ +625% |
| BC MCAL | BC MCAL | $110.00 | ↑ +663% |
| KAISER MCAL | KAISER MCAL | $110.00 | ↑ +663% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $110.00 | ↑ +663% |
| MEDI-CAL | MEDI-CAL | $110.00 | ↑ +663% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $121.00 | ↑ +739% |
| HEALTHNET MCAL | HEALTHNET MCAL | $132.00 | ↑ +815% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $132.00 | ↑ +815% |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $163.17 | $63.39 – $240.10 |
| Mercy Medical Center Merced | Merced | $70.04 | $81.60 – $136.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $34.77 | $1.96 – $220.00 |
| ST HELENA HOSPITAL | Vallejo | $33.60 | $84.07 – $224.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $20.90 | $77.82 – $184.80 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $19.20 | $61.60 – $163.20 |
| ADVENTIST HEALTH DELANO | Delano | $95.60 | $478.00 – $616.62 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $120.78 | $20.67 – $159.50 |