Sec abd wall suture evisceration/dehsn 49900 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$196.98
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.
$2,814.00
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.
$328.00 with MEDI-CAL vs $1,843.20 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 →
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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 | $328.00 | ↑ +67% |
| HEALTHNET MCAL | HEALTHNET MCAL | $328.00 | ↑ +67% |
| BC MCAL | BC MCAL | $328.00 | ↑ +67% |
| KAISER MCAL | KAISER MCAL | $328.00 | ↑ +67% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $328.00 | ↑ +67% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $328.00 | ↑ +67% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $328.00 | ↑ +67% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $532.48 | ↑ +170% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $663.55 | ↑ +237% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $688.13 | ↑ +249% |
| UHC MCR ADV | UHC MCR ADV | $788.32 | ↑ +300% |
| KAISER MCR ADV | KAISER MCR ADV | $788.32 | ↑ +300% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $788.32 | ↑ +300% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $788.32 | ↑ +300% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $788.32 | ↑ +300% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $788.32 | ↑ +300% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $788.32 | ↑ +300% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $788.32 | ↑ +300% |
| HEALTHNET MCARE | HEALTHNET MCARE | $788.32 | ↑ +300% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $788.32 | ↑ +300% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $827.74 | ↑ +320% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $834.36 | ↑ +324% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $839.68 | ↑ +326% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $867.15 | ↑ +340% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $924.73 | ↑ +369% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $945.98 | ↑ +380% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,005.77 | ↑ +411% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,024.00 | ↑ +420% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,024.82 | ↑ +420% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,024.82 | ↑ +420% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,024.82 | ↑ +420% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,101.59 | ↑ +459% |
| UHC JLL | UHC JLL | $1,101.59 | ↑ +459% |
| UHC HMO | UHC HMO | $1,101.59 | ↑ +459% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,127.30 | ↑ +472% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $1,479.88 | ↑ +651% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $1,576.64 | ↑ +700% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $1,638.56 | ↑ +732% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $1,843.20 | ↑ +836% |
Visitor-reported prices
Comments
Sec abd wall suture evisceration/dehsn 49900 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $6,023.10 | $1,921.00 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $6,183.24 | $5,592.00 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,024.23 | $5,835.00 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $2,967.69 | $2,335.00 – $2,335.00 |
| Redwood Memorial Hospital | Fortuna | $13,613.43 | $5,981.00 – $9,031.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,114.39 | $2,238.00 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $840.48 | $4,666.00 – $9,718.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,668.70 | $1,142.00 – $6,483.00 |