Special supplies phys/qhp at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$683.85
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.
$9,769.27
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.
$0.28 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $17.60 with HP MCAL PRO FEE — 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 | $0.28 | ↓ -100% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.34 | ↓ -100% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $0.36 | ↓ -100% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $0.36 | ↓ -100% |
| UHC JLL | UHC JLL | $0.42 | ↓ -100% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $0.43 | ↓ -100% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $0.43 | ↓ -100% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.44 | ↓ -100% |
| UHC HMO | UHC HMO | $0.44 | ↓ -100% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $0.52 | ↓ -100% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $0.53 | ↓ -100% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $0.68 | ↓ -100% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $0.76 | ↓ -100% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $0.85 | ↓ -100% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $0.87 | ↓ -100% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $0.95 | ↓ -100% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $0.95 | ↓ -100% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $0.95 | ↓ -100% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1.01 | ↓ -100% |
| KAISER MCAL | KAISER MCAL | $1.06 | ↓ -100% |
| MEDI-CAL | MEDI-CAL | $1.06 | ↓ -100% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $1.19 | ↓ -100% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $1.33 | ↓ -100% |
| HEALTHNET MCAL | HEALTHNET MCAL | $1.51 | ↓ -100% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $11.20 | ↓ -98% |
| BC MCAL | BC MCAL | $16.00 | ↓ -98% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $17.60 | ↓ -97% |
Visitor-reported prices
Comments
Special supplies phys/qhp at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| ADVENTIST HEALTH DELANO | Delano | $405.20 | $1.58 – $2.04 |
| SONORA COMMUNITY HOSPITAL | Sonora | $541.80 | $1.80 – $76.84 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley | $539.36 | $2.67 – $2.67 |
| UKIAH ADVENTIST HOSPITAL | Ukiah | $488.56 | $1.13 – $66.41 |