Prev med cnsl indiv apprx 15 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$5.32
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.
$76.00
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.
$16.12 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS 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 |
|---|---|---|---|
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $16.12 | ↑ +203% |
| BC MCAL | BC MCAL | $17.82 | ↑ +235% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $20.09 | ↑ +278% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $20.83 | ↑ +292% |
| UHC JLL | UHC JLL | $24.45 | ↑ +360% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $25.26 | ↑ +375% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $25.42 | ↑ +378% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $25.74 | ↑ +384% |
| UHC HMO | UHC HMO | $25.74 | ↑ +384% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $27.79 | ↑ +422% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $30.45 | ↑ +472% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $31.00 | ↑ +483% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $39.89 | ↑ +650% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $43.40 | ↑ +716% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $44.32 | ↑ +733% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $49.60 | ↑ +832% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $49.60 | ↑ +832% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $50.84 | ↑ +856% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $55.80 | ↑ +949% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $55.80 | ↑ +949% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $58.90 | ↑ +1007% |
| KAISER MCAL | KAISER MCAL | $62.00 | ↑ +1065% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $62.00 | ↑ +1065% |
| MEDI-CAL | MEDI-CAL | $62.00 | ↑ +1065% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $68.20 | ↑ +1182% |
| HEALTHNET MCAL | HEALTHNET MCAL | $74.40 | ↑ +1298% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $74.40 | ↑ +1298% |
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↑ +2757% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +2757% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +2757% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↑ +2757% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↑ +2757% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↑ +2757% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↑ +2757% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↑ +2757% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +2814% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | ↑ +3329% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +5614% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 15 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $51.00 | not published |
| Sequoia Hospital | Redwood City | $7.28 | $8.60 – $236.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $14.44 | $0.71 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $18.15 | $121.00 – $121.00 |
| HANFORD COMMUNITY HOSPITAL | Selma | $11.78 | $27.79 – $104.16 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $9.30 | $23.73 – $87.42 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $50.16 | $20.67 – $278.92 |
| WILLITS HOSPITAL INC | Willits | $22.80 | $27.55 – $407.41 |