Pr prolonged e&m service office outpatient each 15 minutes (g2212) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$5.53
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.
$79.00
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.
$19.76 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $91.20 with HP OF SAN JOAQUIN MCAL — 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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $19.76 | ↑ +257% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $24.62 | ↑ +345% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $25.54 | ↑ +362% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $27.47 | ↑ +397% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $27.47 | ↑ +397% |
| UHC MCR ADV | UHC MCR ADV | $27.47 | ↑ +397% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $27.47 | ↑ +397% |
| KAISER MCR ADV | KAISER MCR ADV | $27.47 | ↑ +397% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $27.47 | ↑ +397% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $27.47 | ↑ +397% |
| HEALTHNET MCARE | HEALTHNET MCARE | $27.47 | ↑ +397% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $27.47 | ↑ +397% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $27.47 | ↑ +397% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $28.84 | ↑ +422% |
| UHC JLL | UHC JLL | $29.97 | ↑ +442% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $30.22 | ↑ +446% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $30.96 | ↑ +460% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $31.16 | ↑ +463% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $31.55 | ↑ +471% |
| UHC HMO | UHC HMO | $31.55 | ↑ +471% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $32.96 | ↑ +496% |
| BC MCAL | BC MCAL | $33.64 | ↑ +508% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $35.71 | ↑ +546% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $35.71 | ↑ +546% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $37.08 | ↑ +571% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $37.32 | ↑ +575% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $38.00 | ↑ +587% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $39.28 | ↑ +610% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $48.90 | ↑ +784% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $54.33 | ↑ +882% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $54.94 | ↑ +893% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $60.80 | ↑ +999% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $68.40 | ↑ +1137% |
| MEDI-CAL | MEDI-CAL | $76.00 | ↑ +1274% |
| KAISER MCAL | KAISER MCAL | $76.00 | ↑ +1274% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $76.00 | ↑ +1274% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $83.60 | ↑ +1412% |
| HEALTHNET MCAL | HEALTHNET MCAL | $91.20 | ↑ +1549% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $91.20 | ↑ +1549% |
Visitor-reported prices
Comments
Pr prolonged e&m service office outpatient each 15 minutes (g2212) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $54.57 | not published |
| Redwood Memorial Hospital | Fortuna | $47.94 | not published |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $15.01 | $27.47 – $152.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $14.44 | $27.47 – $127.68 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $11.40 | $27.64 – $107.16 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $52.14 | $20.67 – $110.20 |
| WILLITS HOSPITAL INC | Willits | $23.70 | $27.47 – $76.84 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $21.33 | $27.64 – $523.31 |