Phentolaine mesylate inj at LODI MEMORIAL HOSPITAL ASSOCIATION INC

975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301

Source: hospital's published price file ↗ · Published Aug 2, 2026 · Ingested Sep 16, 2026

$621.47

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$8,878.11

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$16.32 with BLUE CROSS EXCHANGE vs $8,434.20 with HP OF SAN JOAQUIN PPO - ALL OTHER PLANS — 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 →

Payer
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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
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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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $16.32 ↓ -97%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $18.14 ↓ -97%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $288.63 ↓ -54%
KAISER MCR ADV KAISER MCR ADV $288.63 ↓ -54%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $288.63 ↓ -54%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $288.63 ↓ -54%
UHC MCR ADV UHC MCR ADV $288.63 ↓ -54%
HEALTHNET MCARE HEALTHNET MCARE $288.63 ↓ -54%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $288.63 ↓ -54%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $288.63 ↓ -54%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $288.63 ↓ -54%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $346.35 ↓ -44%
MEDI-CAL MEDI-CAL $518.31 ↓ -17%
KAISER MCAL KAISER MCAL $518.31 ↓ -17%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $519.53 ↓ -16%
BC MCAL BC MCAL $556.02 ↓ -11%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $577.25 ↓ -7%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $580.50 ↓ -7%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $647.88 ↑ +4%
HEALTHNET MCAL HEALTHNET MCAL $740.66 ↑ +19%
AETNA - ALL PLANS AETNA - ALL PLANS $946.26 ↑ +52%
UHC JLL UHC JLL $1,144.97 ↑ +84%
UHC HMO UHC HMO $1,144.97 ↑ +84%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $2,308.31 ↑ +271%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $2,876.51 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $2,983.05 ↑ +380%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $3,018.56 ↑ +386%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $3,640.03 ↑ +486%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $3,685.30 ↑ +493%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $3,995.15 ↑ +543%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $4,360.04 ↑ +602%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $5,500.00 ↑ +785%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $7,102.49 ↑ +1043%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $7,990.30 ↑ +1186%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $7,990.30 ↑ +1186%
CIGNA- ALL PLANS CIGNA- ALL PLANS $7,990.30 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $8,434.20 ↑ +1257%

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Phentolaine mesylate inj at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $858.86 $436.00 – $436.00
St. John's Camarillo Hospital Camarillo $1,314.00 $41.47 – $2,340.00
Antioch Medical Center ANTIOCH $858.86 $436.00 – $436.00
Redwood City Medical Center Redwood City $858.86 $436.00 – $436.00
Santa Clara Medical Center SANTA CLARA $858.86 $436.00 – $436.00
Baldwin Park Medical Center BALDWIN PARK $797.51 $436.00 – $436.00
Riverside Medical Center RIVERSIDE $797.51 $436.00 – $436.00
Fremont Medical Center FREMONT $858.86 $436.00 – $436.00

All California hospitals for this procedure →