Tc-99m succimer (dmsa) at LODI MEMORIAL HOSPITAL ASSOCIATION INC

975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301

Source: hospital's published price file ↗ · Published Aug 2, 2026 · Ingested Sep 16, 2026

$206.43

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,949.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$65.62 with BLUE CROSS EXCHANGE vs $2,801.55 with HP OF SAN JOAQUIN PPO - ALL OTHER 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 →

Payer
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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
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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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $65.62 ↓ -68%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $72.91 ↓ -65%
BC MCAL BC MCAL $139.49 ↓ -32%
MEDI-CAL MEDI-CAL $145.30 ↓ -30%
KAISER MCAL KAISER MCAL $145.30 ↓ -30%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $162.74 ↓ -21%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $181.63 ↓ -12%
HEALTHNET MCAL HEALTHNET MCAL $207.64 ↑ +1%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $659.93 ↑ +220%
UHC MCR ADV UHC MCR ADV $659.93 ↑ +220%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $659.93 ↑ +220%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $659.93 ↑ +220%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $659.93 ↑ +220%
HEALTHNET MCARE HEALTHNET MCARE $659.93 ↑ +220%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $659.93 ↑ +220%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $659.93 ↑ +220%
KAISER MCR ADV KAISER MCR ADV $659.93 ↑ +220%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $766.74 ↑ +271%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $791.92 ↑ +284%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $955.48 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $990.86 ↑ +380%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,187.87 ↑ +475%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $1,209.09 ↑ +486%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,224.13 ↑ +493%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $1,319.86 ↑ +539%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $1,448.25 ↑ +602%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $1,474.50 ↑ +614%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $1,562.97 ↑ +657%
UHC HMO UHC HMO $1,796.65 ↑ +770%
UHC JLL UHC JLL $1,796.65 ↑ +770%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $2,359.20 ↑ +1043%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $2,418.18 ↑ +1071%
CIGNA- ALL PLANS CIGNA- ALL PLANS $2,654.10 ↑ +1186%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $2,654.10 ↑ +1186%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $2,654.10 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $2,801.55 ↑ +1257%

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Tc-99m succimer (dmsa) at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,303.12 $639.00 – $639.00
Antioch Medical Center ANTIOCH $1,303.12 $639.00 – $639.00
Redwood City Medical Center Redwood City $1,303.12 $639.00 – $639.00
Santa Clara Medical Center SANTA CLARA $1,303.12 $639.00 – $639.00
Baldwin Park Medical Center BALDWIN PARK $995.90 $570.00 – $570.00
Riverside Medical Center RIVERSIDE $995.90 $570.00 – $570.00
Fremont Medical Center FREMONT $1,303.12 $639.00 – $639.00
Panorama Medical Center PANORAMA CITY $995.90 $570.00 – $570.00

All California hospitals for this procedure →