Pr hospital ip/obs care subsequent high level per day at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$20.72
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.
$296.00
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.
$45.80 with MEDI-CAL vs $304.00 with BRIGHT HEALTH - 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 | $45.80 | ↑ +121% |
| BC MCAL | BC MCAL | $45.80 | ↑ +121% |
| KAISER MCAL | KAISER MCAL | $45.80 | ↑ +121% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $45.80 | ↑ +121% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $50.38 | ↑ +143% |
| HEALTHNET MCAL | HEALTHNET MCAL | $54.96 | ↑ +165% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $54.96 | ↑ +165% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $74.88 | ↑ +261% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $93.31 | ↑ +350% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $96.77 | ↑ +367% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $107.44 | ↑ +419% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $107.44 | ↑ +419% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $107.44 | ↑ +419% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $107.44 | ↑ +419% |
| HEALTHNET MCARE | HEALTHNET MCARE | $107.44 | ↑ +419% |
| UHC MCR ADV | UHC MCR ADV | $107.44 | ↑ +419% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $107.44 | ↑ +419% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $107.44 | ↑ +419% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $112.81 | ↑ +444% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $117.33 | ↑ +466% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $118.08 | ↑ +470% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $118.18 | ↑ +470% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $118.72 | ↑ +473% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $128.93 | ↑ +522% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $136.36 | ↑ +558% |
| UHC HMO | UHC HMO | $136.36 | ↑ +558% |
| UHC JLL | UHC JLL | $136.36 | ↑ +558% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $139.67 | ↑ +574% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $139.67 | ↑ +574% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $139.67 | ↑ +574% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $141.44 | ↑ +583% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $144.00 | ↑ +595% |
| KAISER MCR ADV | KAISER MCR ADV | $145.04 | ↑ +600% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $153.64 | ↑ +642% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +648% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $168.20 | ↑ +712% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $185.30 | ↑ +794% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $259.20 | ↑ +1151% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +1367% |
Visitor-reported prices
Comments
Pr hospital ip/obs care subsequent high level per day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $197.14 | $76.58 – $290.08 |
| St. Joseph's Behavioral Health Center | Stockton | $187.29 | $32.80 – $262.40 |
| Healdsburg Hospital | Healdsburg | $239.70 | not published |
| Mercy Medical Center Redding | Redding | $145.51 | $168.89 – $287.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $54.72 | $2.94 – $619.49 |
| ST HELENA HOSPITAL | Vallejo | $38.70 | $45.80 – $186.51 |
| HANFORD COMMUNITY HOSPITAL | Selma | $54.72 | $45.80 – $229.35 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $44.85 | $45.80 – $185.83 |