Removal of knee prosthesis at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$290.08
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.
$4,144.00
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.
$168.65 with MEDI-CAL vs $33,867.40 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 | $168.65 | ↓ -42% |
| BC MCAL | BC MCAL | $168.65 | ↓ -42% |
| KAISER MCAL | KAISER MCAL | $168.65 | ↓ -42% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $168.65 | ↓ -42% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $185.52 | ↓ -36% |
| HEALTHNET MCAL | HEALTHNET MCAL | $202.38 | ↓ -30% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $202.38 | ↓ -30% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $784.68 | ↑ +171% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $977.83 | ↑ +237% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,014.05 | ↑ +250% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $1,092.30 | ↑ +277% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,092.30 | ↑ +277% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $1,092.30 | ↑ +277% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $1,092.30 | ↑ +277% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,092.30 | ↑ +277% |
| UHC MCR ADV | UHC MCR ADV | $1,092.30 | ↑ +277% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $1,092.30 | ↑ +277% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $1,092.30 | ↑ +277% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $1,146.92 | ↑ +295% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,201.53 | ↑ +314% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $1,237.38 | ↑ +327% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $1,310.76 | ↑ +352% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,371.07 | ↑ +373% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,418.41 | ↑ +389% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,419.99 | ↑ +390% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,419.99 | ↑ +390% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,419.99 | ↑ +390% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,474.61 | ↑ +408% |
| KAISER MCR ADV | KAISER MCR ADV | $1,474.61 | ↑ +408% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,482.14 | ↑ +411% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,561.99 | ↑ +438% |
| UHC JLL | UHC JLL | $1,609.48 | ↑ +455% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,609.48 | ↑ +455% |
| UHC HMO | UHC HMO | $1,609.48 | ↑ +455% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $2,180.81 | ↑ +652% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $2,375.27 | ↑ +719% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $2,716.20 | ↑ +836% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $16,933.70 | ↑ +5738% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $33,867.40 | ↑ +11575% |
Visitor-reported prices
Comments
Removal of knee prosthesis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $2,087.25 | $810.77 – $3,071.32 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $787.36 | $34.70 – $27,245.96 |
| ST HELENA HOSPITAL | Vallejo | $688.80 | $65.00 – $2,712.21 |
| HANFORD COMMUNITY HOSPITAL | Selma | $787.36 | $663.00 – $16,512.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $621.60 | $95.00 – $16,512.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,735.04 | $60.00 – $1,822.07 |
| WILLITS HOSPITAL INC | Willits | $1,243.20 | $60.00 – $2,465.26 |
| SONORA COMMUNITY HOSPITAL | Sonora | $704.48 | $90.00 – $2,465.26 |