Pr discharge day management hospital ip/obs <=30 min on ecounter date at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$14.28
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.
$204.00
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.
$37.60 with MEDI-CAL vs $179.10 with THREE RIVERS PROVIDER NETWORK- ALL 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 →
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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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $37.60 | ↑ +163% |
| BC MCAL | BC MCAL | $37.60 | ↑ +163% |
| KAISER MCAL | KAISER MCAL | $37.60 | ↑ +163% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $37.60 | ↑ +163% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $41.36 | ↑ +190% |
| HEALTHNET MCAL | HEALTHNET MCAL | $45.12 | ↑ +216% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $45.12 | ↑ +216% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $51.74 | ↑ +262% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $64.48 | ↑ +352% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $66.86 | ↑ +368% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $75.80 | ↑ +431% |
| KAISER MCR ADV | KAISER MCR ADV | $75.80 | ↑ +431% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $75.80 | ↑ +431% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $75.80 | ↑ +431% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $75.80 | ↑ +431% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $75.80 | ↑ +431% |
| HEALTHNET MCARE | HEALTHNET MCARE | $75.80 | ↑ +431% |
| UHC MCR ADV | UHC MCR ADV | $75.80 | ↑ +431% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $75.80 | ↑ +431% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $75.80 | ↑ +431% |
| UHC JLL | UHC JLL | $78.47 | ↑ +450% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $79.59 | ↑ +457% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $81.07 | ↑ +468% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $81.59 | ↑ +471% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $82.60 | ↑ +478% |
| UHC HMO | UHC HMO | $82.60 | ↑ +478% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $83.06 | ↑ +482% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $83.38 | ↑ +484% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $90.96 | ↑ +537% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $97.73 | ↑ +584% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $98.54 | ↑ +590% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $98.54 | ↑ +590% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $98.54 | ↑ +590% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $99.50 | ↑ +597% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $108.39 | ↑ +659% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $120.36 | ↑ +743% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $128.04 | ↑ +797% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $151.60 | ↑ +962% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $179.10 | ↑ +1154% |
Visitor-reported prices
Comments
Pr discharge day management hospital ip/obs <=30 min on ecounter date at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $127.21 | $49.42 – $187.18 |
| St. Joseph's Behavioral Health Center | Stockton | $66.24 | $11.60 – $96.83 |
| Mercy Medical Center Redding | Redding | $103.43 | $138.67 – $204.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $37.81 | $2.06 – $125.07 |
| ST HELENA HOSPITAL | Vallejo | $26.85 | $37.60 – $133.46 |
| HANFORD COMMUNITY HOSPITAL | Selma | $37.81 | $37.60 – $229.35 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $29.85 | $37.60 – $131.05 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $131.34 | $37.60 – $116.14 |