Treat thigh fracture at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$231.84
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.
$3,312.00
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.
$55.00 with MEDI-CAL vs $4,241.76 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 | $55.00 | ↓ -76% |
| BC MCAL | BC MCAL | $55.00 | ↓ -76% |
| KAISER MCAL | KAISER MCAL | $55.00 | ↓ -76% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $55.00 | ↓ -76% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $60.50 | ↓ -74% |
| HEALTHNET MCAL | HEALTHNET MCAL | $66.00 | ↓ -72% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $66.00 | ↓ -72% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $861.12 | ↑ +271% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $894.05 | ↑ +286% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $894.05 | ↑ +286% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $894.05 | ↑ +286% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $894.05 | ↑ +286% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $894.05 | ↑ +286% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $894.05 | ↑ +286% |
| UHC MCR ADV | UHC MCR ADV | $894.05 | ↑ +286% |
| HEALTHNET MCARE | HEALTHNET MCARE | $894.05 | ↑ +286% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $938.75 | ↑ +305% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $983.46 | ↑ +324% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $1,072.86 | ↑ +363% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,073.09 | ↑ +363% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,093.24 | ↑ +372% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,112.83 | ↑ +380% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,127.34 | ↑ +386% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,162.27 | ↑ +401% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,162.27 | ↑ +401% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,162.27 | ↑ +401% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $1,206.97 | ↑ +421% |
| KAISER MCR ADV | KAISER MCR ADV | $1,206.97 | ↑ +421% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,206.97 | ↑ +421% |
| UHC HMO | UHC HMO | $1,277.38 | ↑ +451% |
| UHC JLL | UHC JLL | $1,277.38 | ↑ +451% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,277.38 | ↑ +451% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,278.49 | ↑ +451% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,302.63 | ↑ +462% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $1,881.71 | ↑ +712% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $2,120.88 | ↑ +815% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $2,393.25 | ↑ +932% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $2,980.80 | ↑ +1186% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $4,241.76 | ↑ +1730% |
Visitor-reported prices
Comments
Treat thigh fracture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,920.77 | $1,921.00 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $3,666.90 | $2,283.13 – $7,455.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,283.60 | $2,068.15 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,763.07 | $2,166.52 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $10,239.78 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,323.16 | $2,237.46 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,541.76 | $1,757.92 – $5,171.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,933.40 | $1,142.00 – $4,776.00 |