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 |
|---|---|---|---|---|
| Lactation class HCPCS S9443 | $17.71 | $253.00 | $52.00 – $93.00 | 8 |
| Lactic acid CPT 83605 | $41.16 | $588.00 | $3.90 – $117.41 | 23 |
| Lactoferrin fecal qualitative CPT 83630 | $15.19 | $217.00 | $4.81 – $100.08 | 23 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $58.87 | $841.00 | $42.44 – $384.41 | 33 |
| Lam facetec & foramot crv CPT 63045 | $303.38 | $4,334.00 | $589.00 – $3,027.54 | 34 |
| Lam facetec & foramot lumbar CPT 63047 | $394.52 | $5,636.00 | $511.00 – $2,657.25 | 34 |
| Lam facetec & foramot thrc CPT 63046 | $290.92 | $4,156.00 | $665.00 – $2,897.15 | 34 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $52.22 | $746.00 | $45.00 – $287.90 | 33 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $400.19 | $5,717.00 | $1,327.62 – $4,075.84 | 34 |
| Laminotomy single cervical CPT 63040 | $325.15 | $4,645.00 | $70.00 – $3,410.87 | 34 |
| Laminotomy single lumbar CPT 63042 | $306.88 | $4,384.00 | $40.00 – $3,202.26 | 34 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | $66.57 | $951.00 | $381.71 – $1,361.22 | 15 |
| Laparo ablate renal cyst CPT 50541 | $218.54 | $3,122.00 | $580.04 – $2,031.63 | 34 |
| Laparo-asst vag hysterectomy CPT 58550 | $210.42 | $3,006.00 | $109.95 – $1,928.79 | 34 |
| Laparo cholecystectomy/explr CPT 47564 | $262.99 | $3,757.00 | $155.00 – $28,040.80 | 36 |
| Laparo cholecystectomy/graph CPT 47563 | $169.54 | $2,422.00 | $387.00 – $1,533.44 | 34 |
| Laparo drng lymphocele 49323 CPT 49323 | $151.76 | $2,168.00 | $428.52 – $1,291.19 | 34 |
| Laparo new ureter/bladder CPT 50947 | $328.16 | $4,688.00 | $1,220.77 – $3,110.29 | 34 |
| Laparo partial colectomy 44204 CPT 44204 | $358.05 | $5,115.00 | $598.00 – $3,183.42 | 34 |
| Laparo partial nephrectomy CPT 50543 | $354.41 | $5,063.00 | $155.00 – $3,274.83 | 34 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $217.14 | $3,102.00 | $38.00 – $186.00 | 9 |
| Laparo radical nephrectomy CPT 50545 | $316.47 | $4,521.00 | $130.00 – $2,982.32 | 34 |
| Laparo remove w/ureter CPT 50548 | $317.80 | $4,540.00 | $173.86 – $3,009.74 | 34 |
| Laparoscopic myomectomy CPT 58545 | $214.27 | $3,061.00 | $94.25 – $1,960.79 | 34 |
| Laparoscopic nephrectomy CPT 50546 | $286.30 | $4,090.00 | $130.00 – $2,637.24 | 34 |
| Laparoscopic proc CPT 45400 | $267.75 | $3,825.00 | $845.12 – $2,063.72 | 36 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $187.74 | $2,682.00 | $130.00 – $1,784.82 | 34 |
| Laparoscopy aspiration CPT 49322 | $88.69 | $1,267.00 | $130.00 – $779.29 | 34 |
| Laparoscopy biopsy CPT 49321 | $81.97 | $1,171.00 | $130.00 – $708.44 | 34 |
| Laparoscopye procstom 43659 CPT 43659 | $73.57 | $1,051.00 | $38.00 – $15,947.64 | 21 |
| Laparoscopy excise lesions CPT 58662 | $169.89 | $2,427.00 | $125.00 – $1,549.43 | 34 |
| Laparoscopy fundoplasty CPT 43280 | $251.09 | $3,587.00 | $419.00 – $2,222.05 | 34 |
| Laparoscopy gastrostomy CPT 43653 | $138.11 | $1,973.00 | $383.47 – $15,947.64 | 36 |
| Laparoscopy lymphadenectomy CPT 38571 | $158.20 | $2,260.00 | $130.00 – $1,775.68 | 34 |
| Laparoscopy lymph node biop CPT 38570 | $123.48 | $1,764.00 | $160.00 – $1,172.36 | 34 |
| Laparoscopy lysis CPT 58660 | $162.54 | $2,322.00 | $125.00 – $1,464.88 | 34 |
| Laparoscopy orchiectomy CPT 54690 | $157.57 | $2,251.00 | $130.00 – $1,455.74 | 34 |
| Laparoscopy pyeloplasty CPT 50544 | $294.21 | $4,203.00 | $155.00 – $2,781.21 | 34 |
| Laparoscopy remove adnexa CPT 58661 | $232.54 | $3,322.00 | $125.00 – $1,423.74 | 34 |
| Laparoscopy splenectomy CPT 38120 | $39.83 | $569.00 | $130.00 – $2,155.04 | 34 |
| Laparoscopy surg colpopexy CPT 57425 | $231.56 | $3,308.00 | $130.00 – $1,991.74 | 34 |
| Laparoscopy tubal block 58671 CPT 58671 | $89.25 | $1,275.00 | $330.70 – $793.00 | 34 |
| Laparo sling operation 51992 CPT 51992 | $198.24 | $2,832.00 | $103.87 – $1,830.53 | 34 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | $273.28 | $3,904.00 | $30.00 – $1,929.91 | 34 |
| Laparo urethral suspension CPT 51990 | $178.36 | $2,548.00 | $476.54 – $1,688.84 | 34 |
| Laparo-vag hyst incl t/o CPT 58552 | $233.73 | $3,339.00 | $392.00 – $2,129.90 | 34 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $308.91 | $4,413.00 | $155.00 – $2,861.20 | 34 |
| Lap close enterostomy with resect 44227 CPT 44227 | $385.42 | $5,506.00 | $130.00 – $2,951.36 | 36 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $421.61 | $6,023.00 | $90.00 – $3,795.88 | 36 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $459.41 | $6,563.00 | $202.16 – $4,120.40 | 34 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $311.64 | $4,452.00 | $70.00 – $2,783.50 | 36 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | $80.08 | $1,144.00 | $220.77 – $4,518.04 | 34 |
| Lap colostomy 44188 CPT 44188 | $285.53 | $4,079.00 | $125.00 – $2,102.99 | 34 |
| Lap enterectomy 44202 CPT 44202 | $323.47 | $4,621.00 | $40.00 – $2,840.63 | 34 |
| Lap enterolysis CPT 44180 | $215.60 | $3,080.00 | $155.00 – $1,883.09 | 34 |
| Lap esophageal lengthening addl 43283 CPT 43283 | $35.56 | $508.00 | $70.00 – $364.45 | 34 |
| Lap gastric bypass/roux-en-y CPT 43644 | $403.62 | $5,766.00 | $189.50 – $3,110.14 | 36 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | $258.09 | $3,687.00 | $158.97 – $1,910.95 | 34 |
| Lap ing hernia repair init CPT 49650 | $155.75 | $2,225.00 | $52.87 – $15,947.64 | 36 |
| Lap ing hernia repair recur CPT 49651 | $135.10 | $1,930.00 | $225.00 – $15,947.64 | 36 |
| Lap insert tunnel ip cath CPT 49324 | $90.44 | $1,292.00 | $125.00 – $15,947.64 | 36 |
| Lap jejunostomy 44186 CPT 44186 | $153.44 | $2,192.00 | $479.52 – $1,323.19 | 34 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $42.77 | $611.00 | $71.00 – $353.26 | 36 |
| Lap paraesophag hern repair CPT 43281 | $354.62 | $5,066.00 | $40.00 – $28,040.80 | 36 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $399.42 | $5,706.00 | $65.00 – $4,704.74 | 34 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $404.67 | $5,781.00 | $786.00 – $3,594.78 | 34 |
| Lap place gastr adj device CPT 43770 | $264.53 | $3,779.00 | $155.00 – $1,926.07 | 34 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | $355.46 | $5,078.00 | $125.00 – $2,705.78 | 34 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | $73.50 | $1,050.00 | $130.00 – $3,472.23 | 34 |
| Lap resect s/intestine addl 44203 CPT 44203 | $54.81 | $783.00 | $70.00 – $523.33 | 34 |
| Lap revision perm ip cath CPT 49325 | $96.32 | $1,376.00 | $130.00 – $859.27 | 34 |
| Lap rmvl gastr adj all parts CPT 43774 | $225.33 | $3,219.00 | $515.00 – $1,667.64 | 34 |
| Lap rmvl gastr adj device CPT 43772 | $222.74 | $3,182.00 | $130.00 – $1,658.81 | 34 |
| Lap sleeve gastrectomy CPT 43775 | $252.77 | $3,611.00 | $578.00 – $2,800.76 | 36 |
| Laps surg prst8ect rpbic rad CPT 55866 | $284.13 | $4,059.00 | $125.00 – $28,040.80 | 36 |
| Laps surg prst8ect smpl stot CPT 55867 | $249.90 | $3,570.00 | $74.00 – $1,589.30 | 33 |
| Lap tot proctocolectomy 44210 CPT 44210 | $415.59 | $5,937.00 | $887.56 – $3,663.34 | 34 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $42.70 | $610.00 | $125.00 – $395.36 | 34 |
| Largsc w/njx augmentation CPT 31574 | $35.84 | $512.00 | $35.00 – $4,695.24 | 36 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $32.06 | $458.00 | $35.00 – $1,031.74 | 36 |
| Laryngoscope w/vc inj CPT 31570 | $54.53 | $779.00 | $25.00 – $9,835.10 | 36 |
| Laryngoscopic sensory i&r CPT 92615 | $5.60 | $80.00 | $38.91 – $304.00 | 18 |
| Laryngoscopic sensory vid CPT 92614 | $27.16 | $388.00 | $54.91 – $304.00 | 36 |
| Laryngoscop w/vc inj + scope CPT 31571 | $59.22 | $846.00 | $209.55 – $9,835.10 | 36 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $38.36 | $548.00 | $10.00 – $406.42 | 34 |
| Laryngoscopy telescopic CPT 31579 | $48.79 | $697.00 | $104.53 – $337.88 | 36 |
| Laryngoscopy w/biopsy CPT 31535 | $45.29 | $647.00 | $25.00 – $9,835.10 | 36 |
| Laryngoscopy w/bx & op scope CPT 31536 | $50.12 | $716.00 | $20.00 – $9,835.10 | 36 |
| Laryngoscopy w/exc of tumor CPT 31540 | $57.40 | $820.00 | $20.00 – $9,835.10 | 36 |
| Laryngoscopy w/fb & op scope CPT 31531 | $50.19 | $717.00 | $180.58 – $482.20 | 34 |
| Laryngoscopy w/fb removal CPT 31530 | $47.32 | $676.00 | $20.00 – $443.35 | 34 |
| Laryngoscopy with biopsy CPT 31576 | $28.91 | $413.00 | $60.00 – $4,695.24 | 36 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $26.74 | $382.00 | $35.00 – $1,031.74 | 36 |
| Larynscop w/tumr exc + scope CPT 31541 | $62.51 | $893.00 | $55.00 – $9,835.10 | 36 |
| Laser surgery of prostate CPT 52648 | $166.88 | $2,384.00 | $65.00 – $5,005.84 | 34 |
| Lat retinacular release open CPT 27425 | $114.03 | $1,629.00 | $450.77 – $866.11 | 27 |
| Lavage cannulation maxillary sinus CPT 31000 | $46.62 | $666.00 | $45.00 – $304.00 | 36 |
| Lavh >250 gms 58553 CPT 58553 | $264.74 | $3,782.00 | $130.00 – $2,502.40 | 34 |
| Lb with mastopexy 15839 CPT 15839 | $179.76 | $2,568.00 | $35.00 – $7,662.42 | 36 |
| Lead capillary CPT 83655 | $5.04 | $72.00 | $4.43 – $119.79 | 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.