Prev med cnsl indiv apprx 45 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$16.17
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.
$231.00
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.
$52.84 with BC MCAL vs $330.10 with HEALTHNET 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 |
|---|---|---|---|
| BC MCAL | BC MCAL | $52.84 | ↑ +227% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $60.06 | ↑ +271% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $74.84 | ↑ +363% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $77.62 | ↑ +380% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $94.11 | ↑ +482% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $94.71 | ↑ +486% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $113.44 | ↑ +602% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $115.50 | ↑ +614% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $148.63 | ↑ +819% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↑ +840% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↑ +840% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↑ +840% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +840% |
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↑ +840% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +840% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↑ +840% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↑ +840% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +859% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $165.14 | ↑ +921% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | ↑ +1028% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $184.80 | ↑ +1043% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $189.42 | ↑ +1071% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $207.90 | ↑ +1186% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $207.90 | ↑ +1186% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $207.90 | ↑ +1186% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $207.90 | ↑ +1186% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $219.45 | ↑ +1257% |
| MEDI-CAL | MEDI-CAL | $231.00 | ↑ +1329% |
| KAISER MCAL | KAISER MCAL | $231.00 | ↑ +1329% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $258.72 | ↑ +1500% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $273.60 | ↑ +1592% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $288.75 | ↑ +1686% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +1780% |
| HEALTHNET MCAL | HEALTHNET MCAL | $330.10 | ↑ +1941% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 45 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sequoia Hospital | Redwood City | $21.48 | $25.37 – $236.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $43.89 | $51.68 – $675.81 |
| ST HELENA HOSPITAL | Vallejo | $43.05 | $287.00 – $287.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $152.46 | $231.00 – $693.00 |
| WILLITS HOSPITAL INC | Willits | $69.30 | $231.00 – $407.41 |
| SONORA COMMUNITY HOSPITAL | Sonora | $39.27 | $152.00 – $343.96 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $62.37 | $231.00 – $684.56 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $46.20 | $231.00 – $504.83 |