Tca peel dermal 15789 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

$133.91

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.

$1,913.00

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.

$152.00 with KAISER MCR ADV vs $1,817.35 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
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +14%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $152.00 ↑ +14%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $152.00 ↑ +14%
HEALTHNET MCARE HEALTHNET MCARE $152.00 ↑ +14%
UHC MCR ADV UHC MCR ADV $152.00 ↑ +14%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $152.00 ↑ +14%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $152.00 ↑ +14%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $152.00 ↑ +14%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +16%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $182.40 ↑ +36%
KAISER MCAL KAISER MCAL $182.80 ↑ +37%
MEDI-CAL MEDI-CAL $182.80 ↑ +37%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $228.50 ↑ +71%
HEALTHNET MCAL HEALTHNET MCAL $261.22 ↑ +95%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $273.60 ↑ +104%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $288.82 ↑ +116%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +127%
BC MCAL BC MCAL $361.06 ↑ +170%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $497.38 ↑ +271%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $619.81 ↑ +363%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $642.77 ↑ +380%
AETNA - ALL PLANS AETNA - ALL PLANS $779.36 ↑ +482%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $784.33 ↑ +486%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $939.47 ↑ +602%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $956.50 ↑ +614%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $1,230.82 ↑ +819%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $1,367.60 ↑ +921%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $1,530.40 ↑ +1043%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $1,568.66 ↑ +1071%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $1,721.70 ↑ +1186%
CIGNA- ALL PLANS CIGNA- ALL PLANS $1,721.70 ↑ +1186%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $1,721.70 ↑ +1186%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $1,721.70 ↑ +1186%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $1,817.35 ↑ +1257%

Visitor-reported prices

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Tca peel dermal 15789 at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,680.00 not published
Antioch Medical Center ANTIOCH $1,680.00 not published
Redwood City Medical Center Redwood City $1,680.00 not published
Santa Clara Medical Center SANTA CLARA $1,680.00 not published
Fremont Medical Center FREMONT $1,680.00 not published
Sacramento Medical Center SACRAMENTO $1,680.00 not published
Oakland Medical Center Oakland $1,680.00 not published
Walnut Creek Medical Center WALNUT CREEK $1,680.00 not published

All California hospitals for this procedure →