Pr hospital ip/obs care initial straightforward or low level per day at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$14.35
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.
?
What you pay up front if you don't use insurance.
$205.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.30 with MEDI-CAL vs $180.00 with THREE RIVERS PROVIDER NETWORK- ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $34.30 | ↑ +139% |
| BC MCAL | BC MCAL | $34.30 | ↑ +139% |
| KAISER MCAL | KAISER MCAL | $34.30 | ↑ +139% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $34.30 | ↑ +139% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $37.73 | ↑ +163% |
| HEALTHNET MCAL | HEALTHNET MCAL | $41.16 | ↑ +187% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $41.16 | ↑ +187% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $52.00 | ↑ +262% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $64.80 | ↑ +352% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $67.20 | ↑ +368% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $73.78 | ↑ +414% |
| KAISER MCR ADV | KAISER MCR ADV | $73.78 | ↑ +414% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $73.78 | ↑ +414% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $73.78 | ↑ +414% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $73.78 | ↑ +414% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $73.78 | ↑ +414% |
| HEALTHNET MCARE | HEALTHNET MCARE | $73.78 | ↑ +414% |
| UHC MCR ADV | UHC MCR ADV | $73.78 | ↑ +414% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $73.78 | ↑ +414% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $73.78 | ↑ +414% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $77.47 | ↑ +440% |
| UHC JLL | UHC JLL | $78.86 | ↑ +450% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $81.16 | ↑ +466% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $81.48 | ↑ +468% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $82.00 | ↑ +471% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $83.02 | ↑ +479% |
| UHC HMO | UHC HMO | $83.02 | ↑ +479% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $88.54 | ↑ +517% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $95.91 | ↑ +568% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $95.91 | ↑ +568% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $95.91 | ↑ +568% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $98.22 | ↑ +584% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $99.60 | ↑ +594% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $105.51 | ↑ +635% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $114.56 | ↑ +698% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $128.68 | ↑ +797% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $142.98 | ↑ +896% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $147.56 | ↑ +928% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $180.00 | ↑ +1154% |
Visitor-reported prices
Comments
Pr hospital ip/obs care initial straightforward or low level per day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $191.81 | $61.11 – $282.24 |
| Healdsburg Hospital | Healdsburg | $151.98 | not published |
| Mercy Medical Center Redding | Redding | $104.95 | $78.23 – $207.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $38.00 | $2.88 – $157.25 |
| ST HELENA HOSPITAL | Vallejo | $26.70 | $34.30 – $174.36 |
| HANFORD COMMUNITY HOSPITAL | Selma | $38.00 | $34.30 – $229.35 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $31.05 | $34.30 – $159.37 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $132.00 | $34.30 – $134.35 |