Tacrolimus 1 mg capsule, immediate-release at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$4.53
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.
$64.71
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.
$0.45 with AETNA - ALL PLANS vs $41.88 with HEALTHNET MCAL — 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 |
|---|---|---|---|
| AETNA - ALL PLANS | AETNA - ALL PLANS | $0.45 | ↓ -90% |
| UHC JLL | UHC JLL | $0.54 | ↓ -88% |
| UHC HMO | UHC HMO | $0.54 | ↓ -88% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $2.14 | ↓ -53% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $2.38 | ↓ -47% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $7.62 | ↑ +68% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $9.49 | ↑ +109% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $9.85 | ↑ +117% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $9.96 | ↑ +120% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $12.01 | ↑ +165% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $12.16 | ↑ +168% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $13.19 | ↑ +191% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $14.39 | ↑ +218% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $23.44 | ↑ +417% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $24.03 | ↑ +430% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $26.37 | ↑ +482% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $26.37 | ↑ +482% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $26.37 | ↑ +482% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $27.84 | ↑ +515% |
| MEDI-CAL | MEDI-CAL | $29.30 | ↑ +547% |
| KAISER MCAL | KAISER MCAL | $29.30 | ↑ +547% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $32.82 | ↑ +625% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $36.63 | ↑ +709% |
| HEALTHNET MCAL | HEALTHNET MCAL | $41.88 | ↑ +825% |
Visitor-reported prices
Comments
Tacrolimus 1 mg capsule, immediate-release at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $34.61 | $0.30 – $11.70 |
| Petaluma Valley Hospital | Petaluma | $5.61 | $0.39 – $5.09 |
| Arroyo Grande Hospital | Santa Maria | $20.55 | $0.30 – $5.88 |
| Mark Twain Medical Center | San Andreas | $12.08 | $4.70 – $17.77 |
| French Hospital | San Luis Obispo | $18.82 | $0.30 – $5.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $53.06 | $0.30 – $3.20 |
| Bakersfield Memorial Hospital | Bakersfield | $52.49 | $0.30 – $3.16 |
| Queen of The Valley Medical Center | Napa | $24.17 | $0.39 – $5.51 |