Tonsillectomy (age 12+) at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$63.49
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.
$907.00
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.
$50.00 with MEDI-CAL vs $8,745.94 with BRIGHT HEALTH - ALL 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 →
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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 |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $50.00 | ↓ -21% |
| BC MCAL | BC MCAL | $50.00 | ↓ -21% |
| KAISER MCAL | KAISER MCAL | $50.00 | ↓ -21% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $50.00 | ↓ -21% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $55.00 | ↓ -13% |
| HEALTHNET MCAL | HEALTHNET MCAL | $60.00 | ↓ -5% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $60.00 | ↓ -5% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $235.82 | ↑ +271% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $235.85 | ↑ +271% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $235.85 | ↑ +271% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $235.85 | ↑ +271% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $235.85 | ↑ +271% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $235.85 | ↑ +271% |
| UHC MCR ADV | UHC MCR ADV | $235.85 | ↑ +271% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $235.85 | ↑ +271% |
| HEALTHNET MCARE | HEALTHNET MCARE | $235.85 | ↑ +271% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $247.64 | ↑ +290% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $259.44 | ↑ +309% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $283.02 | ↑ +346% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $292.07 | ↑ +360% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $293.87 | ↑ +363% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $304.75 | ↑ +380% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $306.61 | ↑ +383% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $306.61 | ↑ +383% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $306.61 | ↑ +383% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $318.40 | ↑ +401% |
| KAISER MCR ADV | KAISER MCR ADV | $318.40 | ↑ +401% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $318.40 | ↑ +401% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $333.96 | ↑ +426% |
| UHC HMO | UHC HMO | $333.96 | ↑ +426% |
| UHC JLL | UHC JLL | $333.96 | ↑ +426% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $337.27 | ↑ +431% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $343.63 | ↑ +441% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $344.40 | ↑ +442% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $455.21 | ↑ +617% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $655.40 | ↑ +932% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $816.30 | ↑ +1186% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $4,372.97 | ↑ +6788% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $8,745.94 | ↑ +13675% |
Visitor-reported prices
Comments
Tonsillectomy (age 12+) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $8,657.60 | not published |
| Antioch Medical Center | ANTIOCH | $8,657.60 | not published |
| Redwood City Medical Center | Redwood City | $8,657.60 | not published |
| Santa Clara Medical Center | SANTA CLARA | $8,657.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,456.00 | not published |
| Riverside Medical Center | RIVERSIDE | $1,456.00 | not published |
| Fremont Medical Center | FREMONT | $8,657.60 | not published |
| Panorama Medical Center | PANORAMA CITY | $1,456.00 | not published |