Splint func pos polyflex ii med at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$3.08
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.
$44.00
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.
$8.69 with HEALTHNET MCAL vs $50.40 with HP OF SAN JOAQUIN MCAL — 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 |
|---|---|---|---|
| HEALTHNET MCAL | HEALTHNET MCAL | $8.69 | ↑ +182% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $11.16 | ↑ +262% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $11.44 | ↑ +271% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $12.40 | ↑ +303% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $12.97 | ↑ +321% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $14.26 | ↑ +363% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $14.78 | ↑ +380% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $14.96 | ↑ +386% |
| UHC JLL | UHC JLL | $17.35 | ↑ +463% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $17.93 | ↑ +482% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $18.04 | ↑ +486% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $18.26 | ↑ +493% |
| UHC HMO | UHC HMO | $18.26 | ↑ +493% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $19.80 | ↑ +543% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $21.00 | ↑ +582% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $29.40 | ↑ +855% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $35.20 | ↑ +1043% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $36.08 | ↑ +1071% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $39.60 | ↑ +1186% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $39.60 | ↑ +1186% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $41.80 | ↑ +1257% |
| MEDI-CAL | MEDI-CAL | $42.00 | ↑ +1264% |
| BC MCAL | BC MCAL | $42.00 | ↑ +1264% |
| KAISER MCAL | KAISER MCAL | $42.00 | ↑ +1264% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $42.00 | ↑ +1264% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $46.20 | ↑ +1400% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $48.72 | ↑ +1482% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $50.40 | ↑ +1536% |
Visitor-reported prices
Comments
Splint func pos polyflex ii med at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baldwin Park Medical Center | BALDWIN PARK | $26.44 | not published |
| Riverside Medical Center | RIVERSIDE | $26.44 | not published |
| Panorama Medical Center | PANORAMA CITY | $26.44 | not published |
| Arroyo Grande Hospital | Santa Maria | $52.22 | $20.70 – $88.20 |
| French Hospital | San Luis Obispo | $47.83 | $17.10 – $88.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $109.45 | $15.00 – $54.00 |
| Bakersfield Memorial Hospital | Bakersfield | $108.27 | $15.00 – $58.20 |
| St. Joseph's Medical Center Stockton | Stockton | $78.21 | $14.04 – $54.00 |