Pr discharge day management hospital ip/obs > 30 min on encounter date at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$20.16
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.
$288.00
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.
$53.40 with MEDI-CAL vs $253.80 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 | $53.40 | ↑ +165% |
| BC MCAL | BC MCAL | $53.40 | ↑ +165% |
| KAISER MCAL | KAISER MCAL | $53.40 | ↑ +165% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $53.40 | ↑ +165% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $58.74 | ↑ +191% |
| HEALTHNET MCAL | HEALTHNET MCAL | $64.08 | ↑ +218% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $64.08 | ↑ +218% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $73.32 | ↑ +264% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $91.37 | ↑ +353% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $94.75 | ↑ +370% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $108.11 | ↑ +436% |
| KAISER MCR ADV | KAISER MCR ADV | $108.11 | ↑ +436% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $108.11 | ↑ +436% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $108.11 | ↑ +436% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $108.11 | ↑ +436% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $108.11 | ↑ +436% |
| HEALTHNET MCARE | HEALTHNET MCARE | $108.11 | ↑ +436% |
| UHC MCR ADV | UHC MCR ADV | $108.11 | ↑ +436% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $108.11 | ↑ +436% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $108.11 | ↑ +436% |
| UHC JLL | UHC JLL | $111.19 | ↑ +452% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $113.52 | ↑ +463% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $114.89 | ↑ +470% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $115.62 | ↑ +474% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $117.06 | ↑ +481% |
| UHC HMO | UHC HMO | $117.06 | ↑ +481% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $118.92 | ↑ +490% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $123.15 | ↑ +511% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $129.73 | ↑ +544% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $138.49 | ↑ +587% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $140.54 | ↑ +597% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $140.54 | ↑ +597% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $140.54 | ↑ +597% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $141.00 | ↑ +599% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $154.60 | ↑ +667% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $173.99 | ↑ +763% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $181.44 | ↑ +800% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $216.22 | ↑ +973% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $253.80 | ↑ +1159% |
Visitor-reported prices
Comments
Pr discharge day management hospital ip/obs > 30 min on encounter date at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $194.48 | $75.55 – $286.16 |
| Mercy Medical Center Redding | Redding | $151.09 | $196.92 – $298.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $53.58 | $3.02 – $178.38 |
| ST HELENA HOSPITAL | Vallejo | $37.95 | $53.40 – $192.93 |
| HANFORD COMMUNITY HOSPITAL | Selma | $53.58 | $53.40 – $229.35 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $42.30 | $53.40 – $186.88 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $186.12 | $53.40 – $158.32 |
| WILLITS HOSPITAL INC | Willits | $84.60 | $53.40 – $176.62 |