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 |
|---|---|---|---|---|
| Inj progesterone per 50 mg HCPCS J2675 | $1.68 | $24.00 | $0.70 – $28.80 | 18 |
| Inj retro urethrocysto CPT 51610 | $40.18 | $574.00 | $35.00 – $210.44 | 36 |
| Inj scleros sol mult veins CPT 36471 | $49.21 | $703.00 | $30.00 – $308.85 | 36 |
| Inj scleros sol sgl vein CPT 36470 | $46.13 | $659.00 | $15.00 – $1,072.36 | 36 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $39.55 | $565.00 | $6.89 – $1,072.36 | 23 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $8.75 | $125.00 | $16.21 – $178.63 | 9 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $3.01 | $43.00 | $18.30 – $49.88 | 18 |
| Inj w/fluor eval cv device CPT 36598 | $195.86 | $2,798.00 | $30.10 – $561.09 | 36 |
| Inpt/ed teleconsult30 HCPCS G0425 | $16.10 | $230.00 | $74.00 – $267.60 | 32 |
| Inpt/ed teleconsult50 HCPCS G0426 | $22.82 | $326.00 | $92.96 – $381.60 | 32 |
| Inpt/ed teleconsult70 HCPCS G0427 | $32.41 | $463.00 | $74.00 – $542.40 | 32 |
| Inpt/tele follow up 15 HCPCS G0406 | $7.21 | $103.00 | $36.03 – $120.00 | 32 |
| Inpt/tele follow up 25 HCPCS G0407 | $12.60 | $180.00 | $64.01 – $211.20 | 32 |
| Inpt/tele follow up 35 HCPCS G0408 | $18.41 | $263.00 | $74.00 – $307.20 | 32 |
| Ins cath ren art 1st bi CPT 36252 | $80.08 | $1,144.00 | $294.33 – $4,852.42 | 34 |
| Ins cath ren art 1st uni CPT 36251 | $57.61 | $823.00 | $215.12 – $4,447.48 | 34 |
| Ins cath ren art 2nd+ bi CPT 36254 | $93.66 | $1,338.00 | $60.00 – $7,089.89 | 34 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,989.75 | $28,425.00 | $95.00 – $14,678.70 | 36 |
| Ins cerv dilator (sep proc) CPT 59200 | $126.21 | $1,803.00 | $50.14 – $803.85 | 36 |
| Insert and remove bone pin CPT 20650 | $41.51 | $593.00 | $104.24 – $374.92 | 34 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $28.14 | $402.00 | $17.00 – $288.26 | 34 |
| Insert cath pleura with image CPT 32557 | $199.71 | $2,853.00 | $22.00 – $2,394.99 | 36 |
| Insert cath pleura without image CPT 32556 | $28.77 | $411.00 | $52.00 – $5,061.94 | 36 |
| Insert drug delivery implant CPT 11981 | $24.64 | $352.00 | $53.18 – $304.00 | 36 |
| Insert hepatic shunt (tips) CPT 37182 | $1,240.47 | $17,721.00 | $45.00 – $48,357.40 | 36 |
| Insert intervert bimech device 22854 CPT 22854 | $76.23 | $1,089.00 | $60.00 – $975.26 | 34 |
| Insert intrauterine device iud CPT 58300 | $35.35 | $505.00 | $60.81 – $304.00 | 27 |
| Insertion catheter bladder non indwelling CPT 51701 | $31.78 | $454.00 | $21.56 – $304.00 | 36 |
| Insertion catheter bladder temporary simple CPT 51702 | $44.73 | $639.00 | $22.29 – $304.00 | 36 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $860.16 | $12,288.00 | $57.00 – $9,444.82 | 36 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $597.59 | $8,537.00 | $15.00 – $469.00 | 36 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $1,385.09 | $19,787.00 | $185.95 – $14,678.70 | 36 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $426.51 | $6,093.00 | $74.09 – $496.45 | 36 |
| Insertion of heart electrode 33211 CPT 33211 | $37.87 | $541.00 | $139.00 – $327.16 | 34 |
| Insertion of infusion pump CPT 36260 | $155.54 | $2,222.00 | $60.00 – $1,040.95 | 34 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $5,619.81 | $80,283.00 | $120.00 – $27,571.60 | 36 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $110.39 | $1,577.00 | $120.00 – $951.72 | 34 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $104.23 | $1,489.00 | $258.38 – $805.31 | 34 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $346.15 | $4,945.00 | $57.52 – $558.22 | 36 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $19.53 | $279.00 | $65.00 – $1,061.54 | 34 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $209.65 | $2,995.00 | $95.00 – $1,608.32 | 34 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $1,476.51 | $21,093.00 | $55.00 – $21,829.80 | 36 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $86.59 | $1,237.00 | $55.00 – $684.05 | 34 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $1,595.65 | $22,795.00 | $72.43 – $21,829.80 | 36 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,068.48 | $15,264.00 | $70.00 – $2,228.32 | 36 |
| Insertion ureth cath CPT 51045 | $118.86 | $1,698.00 | $446.76 – $791.78 | 34 |
| Insert lens prosthesis CPT 66985 | $188.09 | $2,687.00 | $140.00 – $1,335.65 | 34 |
| Insert multi-comp penis pros CPT 54405 | $193.90 | $2,770.00 | $727.37 – $54,674.00 | 29 |
| Insert nasal septal button CPT 30220 | $75.25 | $1,075.00 | $25.00 – $367.79 | 36 |
| Insert pelv fixation device CPT 22848 | $82.46 | $1,178.00 | $188.00 – $761.70 | 34 |
| Insert pessary/other device CPT 57160 | $18.13 | $259.00 | $6.00 – $304.00 | 36 |
| Insert picvad cath CPT 36570 | $78.12 | $1,116.00 | $311.22 – $2,370.16 | 34 |
| Insert pm/icd lead dual CPT 33217 | $86.10 | $1,230.00 | $85.00 – $684.05 | 34 |
| Insert prost urethral stent CPT 53855 | $19.18 | $274.00 | $60.00 – $1,662.48 | 34 |
| Insert/repl sq defib w/eltrd CPT 33270 | $129.08 | $1,844.00 | $90.00 – $1,775.33 | 34 |
| Insert spine fixation device CPT 22843 | $186.20 | $2,660.00 | $102.38 – $1,701.37 | 34 |
| Insert spine fixation device CPT 22841 | $38.99 | $557.00 | $82.00 – $523.20 | 15 |
| Insert spine fixation device CPT 22844 | $226.03 | $3,229.00 | $60.00 – $2,095.27 | 34 |
| Insert spine fixation device CPT 22847 | $186.34 | $2,662.00 | $104.99 – $1,763.06 | 34 |
| Insert sq defib electrode CPT 33271 | $1,797.39 | $25,677.00 | $428.89 – $21,829.80 | 18 |
| Insert swan-ganz cath CPT 93503 | $15.26 | $218.00 | $80.81 – $293.02 | 34 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $77.98 | $1,114.00 | $65.00 – $1,919.46 | 34 |
| Insert tunneled cv cath CPT 36560 | $89.74 | $1,282.00 | $262.47 – $2,232.89 | 34 |
| Insert tunneled cv cath CPT 36563 | $845.46 | $12,078.00 | $70.00 – $14,678.70 | 36 |
| Insert ureteral support CPT 50605 | $236.25 | $3,375.00 | $30.00 – $1,596.71 | 34 |
| Insert uro/ves nck sphincter CPT 53445 | $182.84 | $2,612.00 | $634.03 – $1,507.28 | 34 |
| Insert vad art access left hrt arterial access CPT 33990 | $1,200.85 | $17,155.00 | $69.99 – $1,155.34 | 36 |
| Ins icd gen exist mlt leads CPT 33231 | $5,724.46 | $81,778.00 | $65.00 – $82,801.40 | 36 |
| Ins icd gen exist sgl lead CPT 33240 | $3,529.54 | $50,422.00 | $311.07 – $58,676.80 | 36 |
| Insitu hybridization auto CPT 88367 | $10.50 | $150.00 | $105.84 – $1,161.56 | 24 |
| Insitu hybridization (fish) CPT 88366 | $34.65 | $495.00 | $73.46 – $889.58 | 24 |
| Insitu hybridization manual CPT 88368 | $23.80 | $340.00 | $83.07 – $946.51 | 24 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $10.22 | $146.00 | $25.32 – $720.13 | 24 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $9.59 | $137.00 | $25.32 – $449.42 | 24 |
| Insj biomechanical device CPT 22859 | $76.16 | $1,088.00 | $30.00 – $975.26 | 34 |
| Insj biomechanical device 22853 CPT 22853 | $58.73 | $839.00 | $25.00 – $752.21 | 34 |
| Ins lv lead exist pm/icd CPT 33224 | $116.06 | $1,658.00 | $80.00 – $903.68 | 34 |
| Ins mark thor for right perq CPT 32553 | $41.23 | $589.00 | $17.00 – $1,549.43 | 34 |
| Ins picad w subq port 5yr> CPT 36571 | $73.15 | $1,045.00 | $95.00 – $2,402.19 | 34 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $18.69 | $267.00 | $70.00 – $1,130.17 | 34 |
| Ins pm gen exist dual lead CPT 33230 | $4,975.32 | $71,076.00 | $60.00 – $58,676.80 | 36 |
| Ins pm gen w/exist mlt leads CPT 33221 | $82.88 | $1,184.00 | $291.14 – $947.15 | 34 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,042.23 | $14,889.00 | $55.00 – $9,444.82 | 36 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $81.34 | $1,162.00 | $158.00 – $81,400.20 | 36 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $7,042.63 | $100,609.00 | $95.00 – $50,810.80 | 36 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $5,619.81 | $80,283.00 | $80.00 – $27,571.60 | 36 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $75.32 | $1,076.00 | $85.00 – $613.13 | 34 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $105.42 | $1,506.00 | $125.00 – $812.17 | 34 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $70.63 | $1,009.00 | $40.00 – $51,176.00 | 36 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $5,510.82 | $78,726.00 | $379.87 – $75,664.60 | 18 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $237.02 | $3,386.00 | $37.43 – $304.00 | 36 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $83.09 | $1,187.00 | $100.00 – $5,169.98 | 34 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $75.46 | $1,078.00 | $100.00 – $1,635.78 | 34 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $811.02 | $11,586.00 | $135.52 – $8,329.20 | 36 |
| Ins tun intraperit dia cath CPT 49421 | $51.73 | $739.00 | $50.00 – $678.08 | 34 |
| Inst via cath agent pleurds CPT 32560 | $17.50 | $250.00 | $20.00 – $1,654.78 | 36 |
| Insulin total CPT 83525 | $11.48 | $164.00 | $4.19 – $125.70 | 23 |
| Ins vag brachytx device CPT 57156 | $37.17 | $531.00 | $11.00 – $378.88 | 34 |
| Intens behave ther cardio dx HCPCS G0446 | $5.67 | $81.00 | $1.71 – $98.84 | 34 |
| Intens cardiac rehab no exer HCPCS G0423 | $59.15 | $845.00 | $103.00 – $513.53 | 23 |
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.