Vaccine rotavirus pentavalent (rv5) live 3 dose oral 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

$19.74

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.

$282.00

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.

$12.00 with UHC JLL vs $52.80 with HP OF SAN JOAQUIN MCAL — 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
UHC JLL UHC JLL $12.00 ↓ -39%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $12.22 ↓ -38%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $13.00 ↓ -34%
UHC HMO UHC HMO $13.00 ↓ -34%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $15.23 ↓ -23%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $15.79 ↓ -20%
AETNA - ALL PLANS AETNA - ALL PLANS $19.15 ↓ -3%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $19.27 ↓ -2%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $23.08 ↑ +17%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $23.50 ↑ +19%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $30.80 ↑ +56%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $35.20 ↑ +78%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $36.82 ↑ +87%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $37.40 ↑ +89%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $38.54 ↑ +95%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $40.91 ↑ +107%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $42.30 ↑ +114%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $42.30 ↑ +114%
CIGNA- ALL PLANS CIGNA- ALL PLANS $42.30 ↑ +114%
MEDI-CAL MEDI-CAL $44.00 ↑ +123%
BC MCAL BC MCAL $44.00 ↑ +123%
KAISER MCAL KAISER MCAL $44.00 ↑ +123%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $44.00 ↑ +123%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $44.65 ↑ +126%
HP MCAL PRO FEE HP MCAL PRO FEE $48.40 ↑ +145%
HEALTHNET MCAL HEALTHNET MCAL $52.80 ↑ +167%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $52.80 ↑ +167%

Visitor-reported prices

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Vaccine rotavirus pentavalent (rv5) live 3 dose oral at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $225.12 not published
Antioch Medical Center ANTIOCH $225.12 not published
Redwood City Medical Center Redwood City $225.12 not published
Santa Clara Medical Center SANTA CLARA $225.12 not published
Baldwin Park Medical Center BALDWIN PARK $166.51 not published
Riverside Medical Center RIVERSIDE $166.51 not published
Fremont Medical Center FREMONT $225.12 not published
Panorama Medical Center PANORAMA CITY $166.51 not published

All California hospitals for this procedure →