Sbsq psyc collab care mgmt at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$32.76
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.
$468.00
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.
$65.26 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $267.99 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 | $65.26 | ↑ +99% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $81.32 | ↑ +148% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $84.34 | ↑ +157% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $90.08 | ↑ +175% |
| HEALTHNET MCARE | HEALTHNET MCARE | $90.08 | ↑ +175% |
| UHC MCR ADV | UHC MCR ADV | $90.08 | ↑ +175% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $90.08 | ↑ +175% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $90.08 | ↑ +175% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $90.08 | ↑ +175% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $90.08 | ↑ +175% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $90.08 | ↑ +175% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $91.52 | ↑ +179% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $94.58 | ↑ +189% |
| UHC JLL | UHC JLL | $98.97 | ↑ +202% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $99.09 | ↑ +202% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $99.62 | ↑ +204% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $102.91 | ↑ +214% |
| UHC HMO | UHC HMO | $104.19 | ↑ +218% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $104.19 | ↑ +218% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $108.10 | ↑ +230% |
| MEDI-CAL | MEDI-CAL | $112.14 | ↑ +242% |
| BC MCAL | BC MCAL | $112.14 | ↑ +242% |
| KAISER MCAL | KAISER MCAL | $112.14 | ↑ +242% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $112.14 | ↑ +242% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $117.10 | ↑ +257% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $117.10 | ↑ +257% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $117.10 | ↑ +257% |
| KAISER MCR ADV | KAISER MCR ADV | $121.61 | ↑ +271% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $121.61 | ↑ +271% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $123.27 | ↑ +276% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $123.35 | ↑ +277% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $128.81 | ↑ +293% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $133.99 | ↑ +309% |
| HEALTHNET MCAL | HEALTHNET MCAL | $134.57 | ↑ +311% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $134.57 | ↑ +311% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $161.49 | ↑ +393% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $179.44 | ↑ +448% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $225.90 | ↑ +590% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $267.99 | ↑ +718% |
Visitor-reported prices
Comments
Sbsq psyc collab care mgmt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $65.55 | $2.25 – $483.08 |
| HANFORD COMMUNITY HOSPITAL | Selma | $47.69 | $90.08 – $483.08 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $37.65 | $76.08 – $489.60 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $227.70 | $20.67 – $201.91 |
| WILLITS HOSPITAL INC | Willits | $103.50 | $85.44 – $490.37 |
| SONORA COMMUNITY HOSPITAL | Sonora | $58.65 | $90.08 – $490.37 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $93.15 | $76.08 – $523.31 |
| ADVENTIST HEALTH TULARE | Tulare | $47.69 | $79.63 – $423.60 |