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 |
|---|---|---|---|---|
| Incis addl spine segment CPT 22216 | $83.09 | $1,187.00 | $302.81 – $773.57 | 34 |
| Incise/drain eyelid lining CPT 68020 | $27.09 | $387.00 | $35.00 – $2,629.68 | 36 |
| Incise flexor carpi radialis CPT 25001 | $89.04 | $1,272.00 | $251.30 – $631.19 | 34 |
| Incise hand/finger tendon CPT 26460 | $113.96 | $1,628.00 | $453.20 – $804.41 | 27 |
| Incise inner ear CPT 69801 | $56.21 | $803.00 | $75.00 – $1,189.16 | 36 |
| Incise perq finger tendon 26060 CPT 26060 | $64.40 | $920.00 | $35.00 – $4,241.76 | 36 |
| Incise tear duct opening 68440 CPT 68440 | $24.99 | $357.00 | $95.70 – $837.29 | 36 |
| Incise thigh tendon & fascia CPT 27305 | $120.19 | $1,717.00 | $50.63 – $915.94 | 34 |
| Incise wrist/forearm tendon CPT 25290 | $109.69 | $1,567.00 | $40.00 – $1,483.06 | 34 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $518.28 | $7,404.00 | $35.00 – $304.00 | 36 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $233.73 | $3,339.00 | $30.00 – $1,729.84 | 34 |
| Incision/fixation of femur CPT 27165 | $329.98 | $4,714.00 | $65.00 – $2,697.99 | 34 |
| Incision of achilles tendon CPT 27605 | $45.22 | $646.00 | $176.47 – $4,241.76 | 36 |
| Incision of anal sphincter CPT 46080 | $37.87 | $541.00 | $45.00 – $315.02 | 34 |
| Incision of breast lesion CPT 19020 | $343.00 | $4,900.00 | $35.00 – $584.93 | 36 |
| Incision of burn scab initi CPT 16035 | $45.85 | $655.00 | $25.00 – $343.87 | 34 |
| Incision of eardrum CPT 69420 | $47.74 | $682.00 | $31.00 – $304.00 | 36 |
| Incision of eardrum CPT 69421 | $37.59 | $537.00 | $17.00 – $251.45 | 34 |
| Incision of facial nerve CPT 64742 | $122.43 | $1,749.00 | $35.00 – $1,139.56 | 34 |
| Incision of finger tendon CPT 26455 | $116.20 | $1,660.00 | $42.07 – $828.14 | 34 |
| Incision of foot fascia CPT 28008 | $73.29 | $1,047.00 | $183.92 – $8,631.30 | 36 |
| Incision of foot tendon 28234 CPT 28234 | $102.69 | $1,467.00 | $45.00 – $644.13 | 36 |
| Incision of gallbladder 47480 CPT 47480 | $208.67 | $2,981.00 | $99.78 – $1,434.39 | 34 |
| Incision of heel bone CPT 28300 | $159.53 | $2,279.00 | $400.59 – $1,293.65 | 34 |
| Incision of hip tendon CPT 27000 | $97.16 | $1,388.00 | $20.00 – $4,241.76 | 36 |
| Incision of hip tendon CPT 27001 | $132.86 | $1,898.00 | $249.81 – $1,067.81 | 34 |
| Incision of hip tendons CPT 27006 | $176.40 | $2,520.00 | $65.00 – $8,631.30 | 36 |
| Incision of knee joint CPT 27435 | $198.38 | $2,834.00 | $85.00 – $1,559.00 | 34 |
| Incision of metatarsal CPT 28306 | $100.52 | $1,436.00 | $295.23 – $1,005.27 | 34 |
| Incision of metatarsal CPT 28308 | $141.96 | $2,028.00 | $45.00 – $889.38 | 34 |
| Incision of midfoot bones CPT 28304 | $150.92 | $2,156.00 | $67.39 – $1,361.03 | 34 |
| Incision of neck of femur CPT 27161 | $294.63 | $4,209.00 | $70.00 – $2,441.71 | 34 |
| Incision of palm tendon CPT 26450 | $117.04 | $1,672.00 | $182.05 – $8,631.30 | 36 |
| Incision of prostate CPT 52450 | $115.78 | $1,654.00 | $330.97 – $781.26 | 34 |
| Incision of rectal abscess CPT 46060 | $119.98 | $1,714.00 | $63.00 – $7,321.98 | 36 |
| Incision of small bowel 44010 CPT 44010 | $201.39 | $2,877.00 | $460.00 – $1,543.30 | 36 |
| Incision of spinal nerve 64772 CPT 64772 | $136.29 | $1,947.00 | $20.00 – $1,332.53 | 34 |
| Incision of tendon & muscle CPT 23405 | $151.13 | $2,159.00 | $25.00 – $19,141.34 | 36 |
| Incision of tendon sheath CPT 25000 | $88.48 | $1,264.00 | $37.23 – $785.43 | 36 |
| Incision of thigh CPT 27448 | $202.23 | $2,889.00 | $61.00 – $1,639.67 | 34 |
| Incision of thigh CPT 27450 | $244.16 | $3,488.00 | $61.00 – $2,038.32 | 34 |
| Incision of thigh tendon CPT 27306 | $86.59 | $1,237.00 | $25.00 – $8,631.30 | 36 |
| Incision of thigh tendon CPT 27390 | $112.77 | $1,611.00 | $253.16 – $854.24 | 34 |
| Incision of thigh tendons CPT 27307 | $102.83 | $1,469.00 | $55.00 – $8,631.30 | 36 |
| Incision of tibia CPT 27705 | $181.65 | $2,595.00 | $101.27 – $1,540.01 | 34 |
| Incision of toe tendons 28011 CPT 28011 | $79.24 | $1,132.00 | $50.00 – $590.23 | 36 |
| Incision of tongue fold CPT 41010 | $53.69 | $767.00 | $50.00 – $304.00 | 36 |
| Incision of urethra CPT 53020 | $23.03 | $329.00 | $55.00 – $5,514.28 | 36 |
| Incision tendon sheath CPT 26055 | $184.87 | $2,641.00 | $40.00 – $1,241.03 | 36 |
| Incisn of toe tndn CPT 28010 | $58.94 | $842.00 | $20.00 – $415.05 | 36 |
| Incisn windpipe CPT 31600 | $70.77 | $1,011.00 | $30.00 – $888.98 | 36 |
| Induced ab 1+vag supp d&c CPT 59856 | $115.71 | $1,653.00 | $25.00 – $1,060.33 | 34 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $99.19 | $1,417.00 | $25.00 – $881.42 | 34 |
| Induced abortion d&c CPT 59840 | $52.36 | $748.00 | $195.62 – $455.18 | 34 |
| Induced abortion dilat&evac CPT 59841 | $87.08 | $1,244.00 | $54.00 – $802.49 | 34 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $4.91 | $70.20 | $55.00 – $165.74 | 22 |
| Infect ag drug suscept pheno predict CPT 87900 | $28.36 | $405.19 | $31.91 – $1,402.00 | 23 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $1.05 | $15.00 | $3.18 – $98.83 | 23 |
| Infect ag eia influenza a or b ea CPT 87400 | $0.99 | $14.13 | $1.60 – $51.08 | 23 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $18.02 | $257.45 | $6.44 – $2,145.52 | 23 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $24.71 | $353.00 | $6.44 – $2,145.52 | 23 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $10.91 | $155.90 | $31.51 – $1,074.50 | 23 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $29.62 | $423.21 | $63.03 – $2,828.94 | 23 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $2.29 | $32.77 | $31.34 – $190.18 | 23 |
| Infect ag ia optc obs influenza CPT 87804 | $11.13 | $159.00 | $2.44 – $88.94 | 36 |
| Infect ag if hep delta agent CPT 87380 | $8.75 | $125.00 | $6.07 – $174.70 | 23 |
| Infect ag if influenza a CPT 87276 | $1.12 | $16.07 | $3.18 – $98.83 | 23 |
| Infect ag if influenza b CPT 87275 | $0.86 | $12.25 | $1.64 – $102.08 | 23 |
| Infect ag if legionella pneumophila CPT 87278 | $1.09 | $15.60 | $3.18 – $98.83 | 23 |
| Infect ag if nos ea CPT 87299 | $0.71 | $10.10 | $3.18 – $98.83 | 23 |
| Infect ag if pneumocystis carinii CPT 87281 | $1.13 | $16.10 | $2.78 – $102.08 | 23 |
| Infect ag if varicella zoster CPT 87290 | $0.71 | $10.10 | $3.18 – $98.83 | 23 |
| Infect ag na hpv high-risk types CPT 87624 | $2.66 | $38.00 | $31.19 – $277.16 | 23 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $58.17 | $831.00 | $21.11 – $639.32 | 36 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $5.95 | $85.00 | $35.09 – $161.52 | 20 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $390.25 | $5,575.00 | $102.02 – $3,473.42 | 23 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $41.12 | $587.47 | $119.62 – $5,369.55 | 23 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $3.01 | $43.02 | $6.38 – $286.41 | 23 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $2.90 | $41.38 | $39.44 – $130.26 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $16.66 | $238.00 | $3.18 – $98.83 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $0.94 | $13.42 | $2.78 – $102.08 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $10.78 | $154.00 | $3.18 – $98.83 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $10.29 | $147.00 | $2.29 – $102.53 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $1.01 | $14.45 | $3.53 – $175.30 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $16.03 | $229.00 | $3.76 – $109.86 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $8.61 | $123.00 | $2.53 – $113.48 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $22.75 | $325.00 | $5.58 – $206.91 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $13.93 | $199.00 | $3.18 – $98.83 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $27.65 | $395.00 | $3.18 – $98.83 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $7.07 | $101.00 | $2.42 – $102.08 | 23 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $33.04 | $472.00 | $12.31 – $336.05 | 36 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $28.21 | $403.00 | $12.31 – $373.39 | 23 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $39.90 | $570.00 | $7.89 – $453.19 | 23 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $350.43 | $5,006.19 | $325.00 – $3,673.59 | 23 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $5.37 | $76.67 | $12.31 – $373.39 | 23 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $53.13 | $759.00 | $8.51 – $377.54 | 23 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $32.00 | $457.10 | $12.31 – $373.39 | 23 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $28.21 | $403.00 | $10.00 – $373.39 | 23 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $28.70 | $410.00 | $33.30 – $341.85 | 36 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $94.78 | $1,354.00 | $90.41 – $509.19 | 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.