Revasc evasc tpvt angio sf 1st at LODI MEMORIAL HOSPITAL ASSOCIATION INC

975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301

Source: hospital's published price file ↗ · Published Aug 2, 2026 · Ingested Sep 16, 2026

$4,127.97

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$58,971.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$74.00 with BLUE CROSS NON-MCS - ALL OTHER PLANS vs $53,073.90 with THREE RIVERS PROVIDER NETWORK- 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 →

Payer
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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
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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
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $74.00 ↓ -98%
MEDI-CAL MEDI-CAL $80.00 ↓ -98%
BC MCAL BC MCAL $80.00 ↓ -98%
KAISER MCAL KAISER MCAL $80.00 ↓ -98%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $80.00 ↓ -98%
HP MCAL PRO FEE HP MCAL PRO FEE $88.00 ↓ -98%
HEALTHNET MCAL HEALTHNET MCAL $96.00 ↓ -98%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $96.00 ↓ -98%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $421.47 ↓ -90%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $421.47 ↓ -90%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $421.47 ↓ -90%
UHC MCR ADV UHC MCR ADV $421.47 ↓ -90%
HEALTHNET MCARE HEALTHNET MCARE $421.47 ↓ -90%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $421.47 ↓ -90%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $421.47 ↓ -90%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $421.47 ↓ -90%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $463.62 ↓ -89%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $505.76 ↓ -88%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $547.91 ↓ -87%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $547.91 ↓ -87%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $547.91 ↓ -87%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $568.98 ↓ -86%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $568.98 ↓ -86%
KAISER MCR ADV KAISER MCR ADV $568.98 ↓ -86%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $602.70 ↓ -85%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $614.08 ↓ -85%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $15,226.40 ↑ +269%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $15,332.46 ↑ +271%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $15,717.00 ↑ +281%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $19,106.60 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $19,814.26 ↑ +380%
UHC JLL UHC JLL $23,252.27 ↑ +463%
AETNA - ALL PLANS AETNA - ALL PLANS $24,024.79 ↑ +482%
UHC HMO UHC HMO $24,478.86 ↑ +493%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $24,478.86 ↑ +493%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $30,452.80 ↑ +638%
CIGNA- ALL PLANS CIGNA- ALL PLANS $53,073.90 ↑ +1186%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $53,073.90 ↑ +1186%

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Revasc evasc tpvt angio sf 1st at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $20,474.72 not published
Antioch Medical Center ANTIOCH $20,474.72 not published
Redwood City Medical Center Redwood City $20,474.72 not published
Santa Clara Medical Center SANTA CLARA $20,474.72 not published
Fremont Medical Center FREMONT $20,474.72 not published
Sacramento Medical Center SACRAMENTO $20,474.72 not published
Oakland Medical Center Oakland $20,474.72 not published
Walnut Creek Medical Center WALNUT CREEK $20,474.72 not published

All California hospitals for this procedure →