LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $107.87 | $1,541.00 | $45.00 – $4,241.76 | 36 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $114.52 | $1,636.00 | $15.00 – $759.33 | 36 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $134.96 | $1,928.00 | $10.00 – $1,027.47 | 36 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $211.19 | $3,017.00 | $60.00 – $1,234.67 | 36 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $87.01 | $1,243.00 | $10.00 – $614.58 | 36 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $137.76 | $1,968.00 | $20.00 – $4,241.76 | 36 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $87.71 | $1,253.00 | $139.24 – $583.73 | 36 |
| Ghs community re-entry 15 minutes CPT 97537 | $22.61 | $323.00 | $33.69 – $499.00 | 24 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $46.06 | $658.00 | $15.00 – $304.00 | 36 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $14.91 | $213.00 | $9.00 – $304.00 | 36 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $46.06 | $658.00 | $37.86 – $304.00 | 36 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $16.80 | $240.00 | $15.00 – $304.00 | 36 |
| Ghs cricothyroidotomy CPT 31605 | $76.09 | $1,087.00 | $60.00 – $449.91 | 34 |
| Ghs dislocation elbow closed treatment CPT 24600 | $96.60 | $1,380.00 | $13.00 – $707.12 | 36 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $24.64 | $352.00 | $65.00 – $2,392.56 | 36 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $30.87 | $441.00 | $10.00 – $304.00 | 36 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $312.90 | $4,470.00 | $18.00 – $1,862.06 | 36 |
| Ghs elect vertical elct CPT 92547 | $5.46 | $78.00 | $1.28 – $17.60 | 34 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $46.13 | $659.00 | $13.00 – $304.00 | 36 |
| Ghs excision ingrown nail CPT 11765 | $99.26 | $1,418.00 | $22.00 – $304.00 | 36 |
| Ghs eye exam CPT 92002 | $15.05 | $215.00 | $32.80 – $304.00 | 36 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $65.45 | $935.00 | $105.14 – $490.44 | 36 |
| Ghs fb removal foot - deep - left CPT 28192 | $113.82 | $1,626.00 | $152.00 – $797.75 | 36 |
| Ghs fb removal from muscle - complicated CPT 20525 | $660.80 | $9,440.00 | $43.00 – $953.91 | 36 |
| Ghs fb removal - incisional CPT 10121 | $187.04 | $2,672.00 | $50.00 – $395.31 | 36 |
| Ghs fb removal - non-incisional CPT 20520 | $374.08 | $5,344.00 | $112.43 – $370.17 | 36 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $0.49 | $6.98 | $1.46 – $69.29 | 23 |
| Ghs fish cytogen CPT 88271 | $7.47 | $106.75 | $21.42 – $1,865.48 | 24 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $12.19 | $174.10 | $45.44 – $2,878.17 | 24 |
| Ghs flow volume loop CPT 94375 | $39.48 | $564.00 | $14.76 – $569.59 | 37 |
| Ghs gastric intub aspiration lavage CPT 43753 | $61.67 | $881.00 | $19.67 – $304.00 | 36 |
| Ghs histoplasma antigen CPT 87385 | $1.77 | $25.28 | $3.18 – $98.83 | 23 |
| Ghs HIV antibody CPT 86703 | $36.82 | $526.00 | $3.48 – $155.38 | 23 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $236.46 | $3,378.00 | $50.00 – $365.64 | 36 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $137.90 | $1,970.00 | $30.00 – $676.96 | 36 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $84.35 | $1,205.00 | $152.00 – $398.02 | 35 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $81.20 | $1,160.00 | $38.00 – $304.00 | 36 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $51.59 | $737.00 | $108.92 – $304.00 | 36 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $51.66 | $738.00 | $83.02 – $304.00 | 18 |
| Ghs inf midline insertion CPT 36140 | $203.21 | $2,903.00 | $35.00 – $933.42 | 36 |
| Ghs inhibitor screen CPT 85335 | $0.80 | $11.44 | $4.68 – $141.54 | 23 |
| Ghs init tx 1st degree burn CPT 16000 | $19.74 | $282.00 | $32.02 – $304.00 | 36 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $51.87 | $741.00 | $15.00 – $409.21 | 36 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $342.16 | $4,888.00 | $108.78 – $339.12 | 36 |
| Ghs inj tendon origin/insertion CPT 20551 | $14.21 | $203.00 | $3.00 – $304.00 | 36 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $33.46 | $478.00 | $53.06 – $211.20 | 36 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $66.29 | $947.00 | $7.00 – $418.81 | 36 |
| Ghs insertion of needle - bone CPT 36680 | $13.79 | $197.00 | $52.12 – $114.39 | 34 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $96.32 | $1,376.00 | $18.00 – $544.23 | 36 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $106.96 | $1,528.00 | $38.00 – $609.21 | 36 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $304.08 | $4,344.00 | $38.00 – $5,442.78 | 36 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $11.41 | $163.00 | $10.74 – $195.60 | 15 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $31.71 | $453.00 | $127.77 – $659.08 | 36 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $188.65 | $2,695.00 | $248.32 – $871.32 | 17 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $37.66 | $538.00 | $60.00 – $298.72 | 34 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $65.45 | $935.00 | $20.00 – $304.00 | 36 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $65.66 | $938.00 | $93.82 – $327.62 | 36 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $70.35 | $1,005.00 | $21.00 – $370.94 | 36 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $78.33 | $1,119.00 | $99.03 – $398.02 | 36 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $77.07 | $1,101.00 | $100.15 – $389.89 | 36 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $90.16 | $1,288.00 | $107.59 – $430.51 | 36 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $83.02 | $1,186.00 | $20.00 – $406.14 | 36 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $95.13 | $1,359.00 | $42.00 – $430.51 | 36 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $94.43 | $1,349.00 | $46.00 – $468.41 | 36 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $102.13 | $1,459.00 | $122.86 – $557.77 | 36 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $72.45 | $1,035.00 | $45.00 – $1,072.36 | 36 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $122.85 | $1,755.00 | $19.00 – $666.07 | 36 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $93.38 | $1,334.00 | $350.58 – $1,072.36 | 36 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $84.07 | $1,201.00 | $68.88 – $5,442.78 | 36 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $101.57 | $1,451.00 | $50.00 – $1,072.36 | 36 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $0.67 | $9.50 | $3.10 – $94.53 | 23 |
| Ghs low level laser therapy CPT 97039 | $22.61 | $323.00 | $28.19 – $499.00 | 12 |
| Ghs mbp CPT 83873 | $1.20 | $17.20 | $6.38 – $183.07 | 23 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $31.08 | $444.00 | $21.18 – $142.72 | 18 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $12.88 | $184.00 | $63.61 – $290.62 | 34 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $31.08 | $444.00 | $10.09 – $46.07 | 36 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $9.66 | $138.00 | $48.19 – $220.59 | 34 |
| Ghs musc test done w/n test comp CPT 95886 | $16.87 | $241.00 | $45.16 – $280.29 | 37 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $10.92 | $156.00 | $19.05 – $265.83 | 37 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $14.70 | $210.00 | $30.18 – $284.95 | 37 |
| Ghs myocardial strain img spckl track CPT 93356 | $262.78 | $3,754.00 | $10.00 – $376.83 | 37 |
| Ghs nailbed repair/nail removal CPT 11760 | $72.31 | $1,033.00 | $30.00 – $304.00 | 36 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $9.17 | $131.00 | $7.00 – $338.23 | 36 |
| Ghs nerve blk intercostal, single level CPT 64420 | $24.36 | $348.00 | $7.00 – $304.00 | 36 |
| Ghs nerve block axillary nerve CPT 64417 | $40.11 | $573.00 | $61.55 – $304.00 | 36 |
| Ghs nerve block brachial plexus CPT 64415 | $33.04 | $472.00 | $12.00 – $304.00 | 36 |
| Ghs nerve block celiac plexus CPT 64530 | $676.06 | $9,658.00 | $17.00 – $2,333.18 | 36 |
| Ghs nerve block interscaline CPT 64510 | $422.66 | $6,038.00 | $17.00 – $2,333.18 | 36 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $57.19 | $817.00 | $12.00 – $326.55 | 36 |
| Ghs nerve block sciatic nerve CPT 64445 | $38.99 | $557.00 | $7.00 – $304.00 | 36 |
| Ghs nerve block suprascapular CPT 64418 | $21.14 | $302.00 | $12.00 – $304.00 | 36 |
| Ghs ng placement w fluoro guidance CPT 43752 | $211.47 | $3,021.00 | $33.94 – $1,178.42 | 36 |
| Ghs o2 saturation CPT 82810 | $13.65 | $195.00 | $3.15 – $95.94 | 23 |
| Ghs o2 uptake rest & exercise CPT 94680 | $2.10 | $30.00 | $12.70 – $71.37 | 34 |
| Ghs opcc repair cvp without subq port CPT 36575 | $281.26 | $4,018.00 | $29.56 – $1,654.78 | 36 |
| Ghs opcc repair cvp w subq port CPT 36576 | $560.63 | $8,009.00 | $70.00 – $4,152.50 | 36 |
| Ghs optokenetic CPT 92544 | $5.46 | $78.00 | $13.93 – $36.57 | 34 |
| Ghs oscillating trac CPT 92545 | $5.46 | $78.00 | $13.46 – $34.98 | 34 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $5.53 | $79.00 | $19.85 – $56.96 | 36 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $7.98 | $114.00 | $28.48 – $74.47 | 36 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.