Pr hospital ip/obs care initial high level per day at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$30.31
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.
$433.00
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.
$80.10 with MEDI-CAL vs $380.70 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 | $80.10 | ↑ +164% |
| BC MCAL | BC MCAL | $80.10 | ↑ +164% |
| KAISER MCAL | KAISER MCAL | $80.10 | ↑ +164% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $80.10 | ↑ +164% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $88.11 | ↑ +191% |
| HEALTHNET MCAL | HEALTHNET MCAL | $96.12 | ↑ +217% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $96.12 | ↑ +217% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $109.98 | ↑ +263% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $137.05 | ↑ +352% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $142.13 | ↑ +369% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↑ +401% |
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↑ +401% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +401% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↑ +401% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↑ +401% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +401% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↑ +401% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↑ +401% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +412% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $156.85 | ↑ +417% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $164.69 | ↑ +443% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $172.33 | ↑ +469% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $172.54 | ↑ +469% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $173.43 | ↑ +472% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $188.22 | ↑ +521% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $203.91 | ↑ +573% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $203.91 | ↑ +573% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $203.91 | ↑ +573% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $207.74 | ↑ +585% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $211.50 | ↑ +598% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $224.30 | ↑ +640% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $230.33 | ↑ +660% |
| UHC JLL | UHC JLL | $264.84 | ↑ +774% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $264.84 | ↑ +774% |
| UHC HMO | UHC HMO | $264.84 | ↑ +774% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $272.16 | ↑ +798% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $302.40 | ↑ +898% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +903% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $380.70 | ↑ +1156% |
Visitor-reported prices
Comments
Pr hospital ip/obs care initial high level per day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $383.62 | $142.69 – $564.48 |
| St. Joseph's Behavioral Health Center | Stockton | $395.71 | $69.30 – $554.40 |
| Healdsburg Hospital | Healdsburg | $354.45 | not published |
| Mercy Medical Center Redding | Redding | $210.92 | $295.37 – $416.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $80.37 | $5.71 – $619.49 |
| ST HELENA HOSPITAL | Vallejo | $56.40 | $80.10 – $355.84 |
| HANFORD COMMUNITY HOSPITAL | Selma | $80.37 | $80.10 – $320.92 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $75.60 | $80.10 – $325.25 |