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 |
|---|---|---|---|---|
| Handpiece aquabeam hp2000 HCPCS C2596 | $1,568.63 | $22,409.00 | $22,409.00 – $32,022.46 | 5 |
| Hand tendon reconstruction CPT 26500 | $171.43 | $2,449.00 | $56.00 – $1,316.96 | 34 |
| Hand tendon reconstruction CPT 26502 | $187.39 | $2,677.00 | $40.00 – $1,466.45 | 34 |
| Hand X-ray CPT 73130 | $161.07 | $2,301.00 | $8.88 – $229.57 | 37 |
| Haptoglobin quantitative CPT 83010 | $0.88 | $12.58 | $4.61 – $138.28 | 23 |
| Harness chest/shlder saddle HCPCS L6672 | $47.25 | $675.00 | $100.96 – $783.00 | 32 |
| Harvest cultured skin graft 15040 CPT 15040 | $30.03 | $429.00 | $112.58 – $5,442.78 | 36 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $75.67 | $1,081.00 | $219.28 – $647.45 | 34 |
| Harvest vein for bypass 35500 CPT 35500 | $69.79 | $997.00 | $268.33 – $606.27 | 27 |
| Hba1/hba2 full gene sequence CPT 81259 | $32.73 | $467.50 | $467.50 – $4,721.44 | 23 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $11.33 | $161.92 | $161.92 – $1,592.69 | 23 |
| Hbb full gene sequence CPT 81364 | $63.00 | $900.00 | $324.58 – $2,554.15 | 23 |
| Hbb gene dup/del variants CPT 81363 | $11.33 | $161.92 | $161.92 – $1,592.69 | 23 |
| Hb glycosylated a1c home dev CPT 83037 | $2.73 | $39.00 | $3.79 – $46.80 | 33 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $167.23 | $2,389.00 | $39.93 – $462.69 | 37 |
| Hcg free betachain test CPT 84704 | $0.94 | $13.38 | $3.69 – $165.45 | 23 |
| Hcg qualitative CPT 84703 | $34.16 | $488.00 | $2.26 – $74.35 | 36 |
| Hcg quantitative CPT 84702 | $74.41 | $1,063.00 | $3.87 – $158.42 | 23 |
| Hc metata joint dislocation anes CPT 28635 | $32.55 | $465.00 | $84.51 – $307.24 | 34 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $12.39 | $177.00 | $45.78 – $231.04 | 34 |
| Hc nm kidney imaging with flow CPT 78701 | $6.37 | $91.00 | $23.43 – $272.22 | 34 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $11.83 | $169.00 | $43.37 – $303.74 | 34 |
| Head CT scan (with and without contrast) CPT 70470 | $742.00 | $10,600.00 | $33.40 – $1,985.26 | 37 |
| Head CT scan (with contrast) CPT 70460 | $683.06 | $9,758.00 | $29.55 – $1,591.31 | 37 |
| Head CT scan (without contrast) CPT 70450 | $577.22 | $8,246.00 | $22.36 – $1,326.48 | 37 |
| Heart infarct image CPT 78466 | $8.75 | $125.00 | $32.08 – $210.20 | 34 |
| Heinz bodies direct CPT 85441 | $3.97 | $56.75 | $1.25 – $46.12 | 23 |
| Heinz bodies induced CPT 85445 | $3.97 | $56.75 | $2.42 – $74.99 | 23 |
| Helicobacter pylori antibody igm CPT 86677 | $1.18 | $16.85 | $5.34 – $163.75 | 23 |
| Hematocrit CPT 85014 | $23.17 | $331.00 | $0.21 – $23.39 | 36 |
| Hemodialysis one evaluation CPT 90935 | $255.78 | $3,654.00 | $56.60 – $1,810.45 | 36 |
| Hemoglobin CPT 85018 | $23.17 | $331.00 | $0.21 – $23.39 | 36 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $0.57 | $8.20 | $2.62 – $80.54 | 23 |
| Hemoglobin plasma CPT 83051 | $0.51 | $7.31 | $2.60 – $80.32 | 23 |
| Hemoglobin urine CPT 83069 | $0.25 | $3.51 | $1.50 – $43.38 | 23 |
| Hemolysins/agglutinins auto CPT 86940 | $0.54 | $7.75 | $2.95 – $90.02 | 23 |
| Hemolysins and agglutinins incubated CPT 86941 | $0.71 | $10.12 | $4.43 – $133.17 | 23 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $108.71 | $1,553.00 | $60.00 – $1,028.97 | 34 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $105.28 | $1,504.00 | $77.07 – $304.00 | 36 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $93.94 | $1,342.00 | $30.00 – $628.29 | 34 |
| Heparin assay CPT 85520 | $52.99 | $757.00 | $4.81 – $122.29 | 23 |
| Heparin bolus from bag HCPCS J1644 | $32.15 | $459.24 | $0.03 – $24.00 | 19 |
| Heparin neutralization CPT 85525 | $2.45 | $35.00 | $3.18 – $94.46 | 23 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $10.38 | $148.24 | $0.05 – $211.83 | 11 |
| Hepatectomy removal of liver 47120 CPT 47120 | $543.27 | $7,761.00 | $160.09 – $4,056.61 | 34 |
| Hepatitis a antibody igm CPT 86709 | $12.04 | $172.00 | $4.01 – $119.70 | 23 |
| Hepatitis b core antibody igm CPT 86705 | $12.81 | $183.00 | $4.31 – $125.25 | 23 |
| Hepatitis b core antibody total CPT 86704 | $11.97 | $171.00 | $4.42 – $128.29 | 23 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $113.75 | $1,625.00 | $89.52 – $375.24 | 22 |
| Hepatitis b surface antibody CPT 86706 | $10.43 | $149.00 | $3.91 – $114.22 | 23 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $24.64 | $352.00 | $161.82 – $422.40 | 13 |
| Hepatitis c antibody CPT 86803 | $14.07 | $201.00 | $5.26 – $151.90 | 23 |
| Hepatitis d quantification CPT 87523 | $15.75 | $225.00 | $42.84 – $126.88 | 22 |
| Hepatobiliary system imaging CPT 78226 | $429.52 | $6,136.00 | $34.33 – $2,533.00 | 37 |
| Hereditary colon ca dsordrs CPT 81435 | $163.80 | $2,340.00 | $584.90 – $22,668.84 | 23 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $105.00 | $1,500.00 | $626.00 – $2,917.85 | 22 |
| Hernia Repair (Inguinal) CPT 49505 | $187.04 | $2,672.00 | $68.88 – $881.97 | 34 |
| Herpes simplex 1 ag if CPT 87274 | $0.84 | $11.98 | $3.18 – $98.83 | 23 |
| Herpes simplex 2 ag if CPT 87273 | $0.84 | $11.98 | $2.78 – $102.08 | 23 |
| Herpes simplex type 1 antibody igg CPT 86695 | $9.94 | $142.00 | $4.85 – $145.02 | 23 |
| Herpes simplex type 2 antibody igg CPT 86696 | $14.63 | $209.00 | $4.74 – $212.68 | 23 |
| Herpes simplex virus isolation CPT 87255 | $2.37 | $33.86 | $8.29 – $372.28 | 23 |
| Heterophile antibodies screening CPT 86308 | $27.44 | $392.00 | $1.09 – $51.17 | 36 |
| Heterophile antibodies titer CPT 86309 | $0.45 | $6.47 | $1.96 – $71.14 | 23 |
| Hexa gene CPT 81255 | $3.60 | $51.45 | $51.45 – $1,554.64 | 22 |
| Hhv-6 dna quant CPT 87533 | $2.60 | $37.12 | $15.71 – $284.49 | 23 |
| Hib-hepb vaccine im CPT 90748 | $11.27 | $161.00 | $12.00 – $52.80 | 14 |
| High inten beh couns std 30m HCPCS G0445 | $5.60 | $80.00 | $1.71 – $267.99 | 34 |
| Hip arthr0 w/debridement CPT 29862 | $198.66 | $2,838.00 | $606.48 – $1,577.98 | 34 |
| Hip arthro acetabuloplasty CPT 29915 | $245.77 | $3,511.00 | $65.00 – $2,363.41 | 34 |
| Hip arthro w/fb removal CPT 29861 | $169.75 | $2,425.00 | $65.00 – $1,409.50 | 34 |
| Hip arthro w/femoroplasty CPT 29914 | $241.29 | $3,447.00 | $868.20 – $2,320.70 | 34 |
| Hip arthro w/labral repair CPT 29916 | $246.12 | $3,516.00 | $176.84 – $2,363.41 | 34 |
| Hip X-ray CPT 73502 | $109.55 | $1,565.00 | $6.19 – $327.39 | 37 |
| Histamine CPT 83088 | $2.07 | $29.53 | $10.47 – $324.68 | 23 |
| Hiv-1 ag ia CPT 87390 | $1.68 | $24.06 | $6.09 – $187.73 | 23 |
| Hla class i high defin qual CPT 86832 | $19.11 | $273.00 | $2.82 – $850.94 | 23 |
| Hla class i&ii antibody qual CPT 86828 | $18.55 | $265.00 | $11.87 – $329.79 | 23 |
| Hla ii typing 1 loc hr CPT 81382 | $17.50 | $250.00 | $123.68 – $886.62 | 23 |
| Hla i low res one antigen equiv ea CPT 81374 | $4.53 | $64.66 | $60.00 – $1,271.93 | 23 |
| Hla i typing 1 locus hr CPT 81380 | $17.15 | $245.00 | $177.25 – $1,129.36 | 23 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $17.15 | $245.00 | $36.26 – $1,271.93 | 23 |
| Hla i typing low res one locus ea CPT 81373 | $24.71 | $353.00 | $127.43 – $1,271.93 | 23 |
| Hlth bhv assmt/reassessment CPT 96156 | $17.71 | $253.00 | $12.94 – $241.84 | 34 |
| Home health care supervision CPT 99374 | $20.58 | $294.00 | $64.04 – $151.20 | 15 |
| Home health care supervision CPT 99375 | $24.22 | $346.00 | $100.46 – $415.20 | 15 |
| Home health care supervision HCPCS G0181 | $22.68 | $324.00 | $30.14 – $315.60 | 32 |
| Home health re-certification physician g0179 HCPCS G0179 | $7.70 | $110.00 | $13.14 – $129.60 | 32 |
| Home/res vst est high mdm 60 CPT 99350 | $32.76 | $468.00 | $71.40 – $304.00 | 36 |
| Home/res vst est mod mdm 40 CPT 99349 | $22.54 | $322.00 | $46.00 – $271.06 | 36 |
| Home/res vst est sf mdm 20 CPT 99347 | $8.05 | $115.00 | $22.40 – $94.80 | 36 |
| Home/res vst new high mdm 75 CPT 99345 | $35.70 | $510.00 | $84.00 – $430.70 | 36 |
| Home/res vst new low mdm 30 CPT 99342 | $13.86 | $198.00 | $43.80 – $161.46 | 36 |
| Home/res vst new mod mdm 60 CPT 99344 | $25.13 | $359.00 | $77.00 – $300.28 | 36 |
| Home/res vst new sf mdm 15 CPT 99341 | $8.75 | $125.00 | $41.20 – $100.86 | 36 |
| Home visit est patient 99348 CPT 99348 | $13.58 | $194.00 | $34.30 – $162.26 | 36 |
| Homocysteine CPT 83090 | $18.34 | $262.00 | $4.13 – $185.36 | 23 |
| Homogenization tissue CPT 87176 | $11.13 | $159.00 | $2.07 – $64.70 | 23 |
| Homovanillic acid (hva) CPT 83150 | $1.57 | $22.41 | $3.14 – $180.55 | 23 |
| Hospice care supervision CPT 99377 | $13.30 | $190.00 | $64.04 – $228.00 | 15 |
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.