Surgical repair stomach bleedin ulcer 43501 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$314.09
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.
?
What you pay up front if you don't use insurance.
$4,487.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$80.00 with MEDI-CAL vs $2,961.90 with THREE RIVERS PROVIDER NETWORK- ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $80.00 | ↓ -75% |
| BC MCAL | BC MCAL | $80.00 | ↓ -75% |
| KAISER MCAL | KAISER MCAL | $80.00 | ↓ -75% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $80.00 | ↓ -75% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $88.00 | ↓ -72% |
| HEALTHNET MCAL | HEALTHNET MCAL | $96.00 | ↓ -69% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $96.00 | ↓ -69% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $855.66 | ↑ +172% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,066.28 | ↑ +239% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,105.78 | ↑ +252% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $1,223.14 | ↑ +289% |
| KAISER MCR ADV | KAISER MCR ADV | $1,223.14 | ↑ +289% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,223.14 | ↑ +289% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $1,223.14 | ↑ +289% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $1,223.14 | ↑ +289% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $1,223.14 | ↑ +289% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,223.14 | ↑ +289% |
| UHC MCR ADV | UHC MCR ADV | $1,223.14 | ↑ +289% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $1,223.14 | ↑ +289% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $1,223.14 | ↑ +289% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $1,284.30 | ↑ +309% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,340.75 | ↑ +327% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,345.45 | ↑ +328% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $1,349.31 | ↑ +330% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $1,467.77 | ↑ +367% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,514.11 | ↑ +382% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,590.08 | ↑ +406% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,590.08 | ↑ +406% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,590.08 | ↑ +406% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,616.21 | ↑ +415% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,645.50 | ↑ +424% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,749.09 | ↑ +457% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,821.91 | ↑ +480% |
| UHC JLL | UHC JLL | $1,821.91 | ↑ +480% |
| UHC HMO | UHC HMO | $1,821.91 | ↑ +480% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $2,321.45 | ↑ +639% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $2,378.08 | ↑ +657% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $2,446.28 | ↑ +679% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $2,961.90 | ↑ +843% |
Visitor-reported prices
Comments
Surgical repair stomach bleedin ulcer 43501 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $2,362.97 | $848.04 – $3,477.04 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $852.53 | $39.28 – $2,321.45 |
| HANFORD COMMUNITY HOSPITAL | Selma | $852.53 | $50.00 – $2,321.45 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $673.05 | $50.00 – $2,430.86 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,961.42 | $50.00 – $1,865.49 |
| WILLITS HOSPITAL INC | Willits | $1,346.10 | $75.00 – $2,393.76 |
| SONORA COMMUNITY HOSPITAL | Sonora | $762.79 | $147.80 – $2,393.76 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,211.49 | $45.00 – $2,430.86 |