X-ray mandible complete > 4 views 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

$127.12

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.

$1,816.00

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.

$11.99 with HUMANA MCR ADV - ALL PLANS vs $333.90 with THREE RIVERS PROVIDER NETWORK- 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 →

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
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $11.99 ↓ -91%
HEALTHNET MCARE HEALTHNET MCARE $11.99 ↓ -91%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $11.99 ↓ -91%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $11.99 ↓ -91%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $11.99 ↓ -91%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $11.99 ↓ -91%
UHC MCR ADV UHC MCR ADV $11.99 ↓ -91%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $11.99 ↓ -91%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $12.59 ↓ -90%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $13.19 ↓ -90%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $14.39 ↓ -89%
CIGNA- ALL PLANS CIGNA- ALL PLANS $14.61 ↓ -89%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $15.59 ↓ -88%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $15.59 ↓ -88%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $15.59 ↓ -88%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $16.06 ↓ -87%
KAISER MCR ADV KAISER MCR ADV $16.19 ↓ -87%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $16.19 ↓ -87%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $16.19 ↓ -87%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $16.69 ↓ -87%
UHC JLL UHC JLL $16.69 ↓ -87%
UHC HMO UHC HMO $16.69 ↓ -87%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $16.97 ↓ -87%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $17.47 ↓ -86%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $18.34 ↓ -86%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $21.93 ↓ -83%
BC MCAL BC MCAL $24.90 ↓ -80%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $34.04 ↓ -73%
KAISER MCAL KAISER MCAL $34.04 ↓ -73%
MEDI-CAL MEDI-CAL $34.04 ↓ -73%
HP MCAL PRO FEE HP MCAL PRO FEE $37.44 ↓ -71%
AETNA - ALL PLANS AETNA - ALL PLANS $39.54 ↓ -69%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $40.85 ↓ -68%
HEALTHNET MCAL HEALTHNET MCAL $40.85 ↓ -68%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $96.46 ↓ -24%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $137.89 ↑ +8%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $176.02 ↑ +38%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $275.78 ↑ +117%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $333.90 ↑ +163%

Visitor-reported prices

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X-ray mandible complete > 4 views at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $968.80 $142.00 – $142.00
St. John's Camarillo Hospital Camarillo $448.08 $73.87 – $797.94
Antioch Medical Center ANTIOCH $968.80 $142.00 – $142.00
Redwood City Medical Center Redwood City $968.80 $142.00 – $142.00
Santa Clara Medical Center SANTA CLARA $968.80 $142.00 – $142.00
Baldwin Park Medical Center BALDWIN PARK $504.40 $96.00 – $96.00
Riverside Medical Center RIVERSIDE $504.40 $96.00 – $96.00
Fremont Medical Center FREMONT $968.80 $142.00 – $142.00

All California hospitals for this procedure →