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 |
|---|---|---|---|---|
| Mayo insft insulin free CPT 83527 | $0.81 | $11.51 | $4.75 – $143.61 | 23 |
| Mayo insulin antibodies CPT 86337 | $1.50 | $21.41 | $7.97 – $199.87 | 23 |
| Mayo iodine CPT 83789 | $6.72 | $96.00 | $6.71 – $197.73 | 23 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $1.90 | $27.11 | $21.69 – $101.12 | 23 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $1.90 | $27.11 | $15.14 – $101.12 | 23 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $0.93 | $13.25 | $11.78 – $83.95 | 23 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $0.90 | $12.79 | $4.68 – $140.50 | 23 |
| Mayo legionella antibody CPT 86713 | $1.07 | $15.30 | $5.56 – $165.82 | 23 |
| Mayo leptospira antibody igm CPT 86720 | $0.86 | $12.23 | $4.06 – $94.46 | 23 |
| Mayo lipoprotein electrophoresis CPT 83700 | $0.79 | $11.26 | $2.75 – $121.92 | 23 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $1.08 | $15.49 | $5.71 – $237.48 | 23 |
| Mayo manganese CPT 83785 | $6.44 | $92.00 | $9.18 – $270.35 | 23 |
| Mayo metanephrines plasma CPT 83835 | $1.19 | $16.94 | $6.28 – $186.33 | 23 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $50.75 | $725.00 | $0.03 – $164.93 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $7.14 | $102.00 | $12.05 – $54.48 | 22 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $0.86 | $12.27 | $12.27 – $54.48 | 22 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $15.26 | $218.00 | $4.19 – $161.01 | 23 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $17.71 | $253.00 | $5.04 – $160.12 | 23 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $19.86 | $283.75 | $95.00 – $333.12 | 23 |
| Mayo muramidase CPT 85549 | $1.31 | $18.75 | $6.97 – $206.24 | 23 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $20.65 | $295.00 | $18.40 – $54.48 | 22 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $1.26 | $18.05 | $16.04 – $114.30 | 23 |
| Mayo myoglobin CPT 83874 | $0.90 | $12.92 | $4.74 – $142.43 | 23 |
| Mayo nickel CPT 83885 | $1.72 | $24.51 | $9.16 – $269.46 | 23 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $17.78 | $254.00 | $0.03 – $196.47 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $0.49 | $7.00 | $0.03 – $196.47 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $1.48 | $21.21 | $4.05 – $180.92 | 23 |
| Mayo oxalate 24 hour urine CPT 83945 | $1.01 | $14.45 | $4.19 – $141.54 | 23 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $1.05 | $15.03 | $5.55 – $165.52 | 23 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $45.43 | $649.00 | $3.35 – $132.58 | 23 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $2.18 | $31.19 | $12.31 – $373.39 | 23 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $1.12 | $15.98 | $4.41 – $150.05 | 23 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $0.96 | $13.76 | $5.07 – $154.12 | 23 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $0.59 | $8.44 | $2.51 – $92.90 | 23 |
| Mayo pregnenolone CPT 84140 | $1.45 | $20.67 | $7.70 – $222.45 | 23 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $1.16 | $16.59 | $6.14 – $182.55 | 23 |
| Mayo proinsulin CPT 84206 | $1.87 | $26.69 | $6.17 – $189.51 | 23 |
| Mayo psaft prostate specific antigen free CPT 84154 | $61.39 | $877.00 | $6.83 – $201.35 | 23 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $21.70 | $310.00 | $4.64 – $148.57 | 23 |
| Mayo receptor assay transferrin soluble CPT 84238 | $2.56 | $36.57 | $13.74 – $389.01 | 23 |
| Mayo renin CPT 84244 | $1.54 | $21.99 | $8.19 – $241.85 | 23 |
| Mayo repu protein electrophoresis urine CPT 84166 | $1.25 | $17.83 | $4.37 – $192.10 | 23 |
| Mayo selenium CPT 84255 | $6.44 | $92.00 | $9.54 – $280.78 | 23 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $1.09 | $15.50 | $15.50 – $170.34 | 23 |
| Mayo serotonin CPT 84260 | $2.17 | $30.98 | $11.62 – $340.60 | 23 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $1.35 | $19.35 | $4.74 – $212.68 | 23 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $0.96 | $13.73 | $3.30 – $147.61 | 23 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $18.76 | $268.00 | $26.45 – $184.06 | 21 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $14.63 | $209.00 | $1.25 – $46.93 | 23 |
| Mayo tau phosphorylated 217 each CPT 84393 | $26.25 | $375.00 | $128.92 – $257.84 | 21 |
| Mayo tgrp testosterone free CPT 84402 | $1.78 | $25.47 | $9.52 – $285.97 | 23 |
| Mayo tgrp testosterone total CPT 84403 | $32.20 | $460.00 | $9.65 – $283.82 | 23 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $1.24 | $17.74 | $17.74 – $147.39 | 22 |
| Mayo thyroglobulin CPT 84432 | $17.15 | $245.00 | $5.82 – $180.11 | 23 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $0.71 | $10.18 | $2.49 – $111.78 | 23 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $1.26 | $18.01 | $4.54 – $134.88 | 23 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $6.37 | $91.00 | $0.03 – $196.47 | 8 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $0.79 | $11.32 | $3.79 – $114.37 | 23 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $0.84 | $12.04 | $12.04 – $107.04 | 23 |
| Mayo vasoactive intestinal peptide CPT 84586 | $2.47 | $35.33 | $35.33 – $128.73 | 22 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $1.42 | $20.24 | $7.53 – $188.92 | 23 |
| Mayo vitamin b3 (niacin) CPT 84591 | $6.86 | $98.00 | $3.48 – $127.40 | 23 |
| Mayo vitamin k CPT 84597 | $0.96 | $13.72 | $5.04 – $145.83 | 23 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $0.93 | $13.25 | $11.78 – $83.95 | 23 |
| Md inr test revie inter mgmt HCPCS G0250 | $1.54 | $22.00 | $2.52 – $25.20 | 34 |
| Md service required for pmd HCPCS G0372 | $1.47 | $21.00 | $7.78 – $18.58 | 17 |
| Measure kidney pressure CPT 50396 | $27.72 | $396.00 | $65.00 – $207.81 | 34 |
| Measurement post void urine by ultrasound CPT 51798 | $2.94 | $42.00 | $11.91 – $155.62 | 35 |
| #mec-opiates CPT 80356 | $0.49 | $7.00 | $0.03 – $196.47 | 8 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $11.27 | $161.00 | $65.28 – $304.00 | 27 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $91.70 | $1,310.00 | $35.00 – $15,947.64 | 36 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $70.63 | $1,009.00 | $30.00 – $15,947.64 | 36 |
| Medical services after hrs CPT 99050 | $3.99 | $57.00 | $21.41 – $68.40 | 15 |
| Medical testimony CPT 99075 | $32.90 | $470.00 | $152.00 – $671.63 | 17 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $142.81 | $2,040.17 | $0.11 – $27.60 | 16 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | $4.83 | $69.00 | $9.70 – $82.80 | 14 |
| Med serv eve/wkend/holiday CPT 99051 | $2.24 | $32.00 | $9.70 – $38.40 | 14 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $3.50 | $50.00 | $0.55 – $71.45 | 8 |
| Meniscal trnspl knee w/scpe CPT 29868 | $400.82 | $5,726.00 | $60.00 – $3,416.98 | 34 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $12.08 | $172.62 | $0.33 – $22.04 | 19 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $4.97 | $71.00 | $31.27 – $82.36 | 18 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $21.67 | $309.53 | $0.86 – $407.39 | 10 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $58.52 | $836.00 | $30.00 – $512.11 | 34 |
| Metabolic Blood Panel (Basic) CPT 80048 | $51.87 | $741.00 | $3.04 – $93.05 | 23 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $70.07 | $1,001.00 | $3.86 – $116.37 | 23 |
| Metabolic panel ionized ca CPT 80047 | $0.96 | $13.73 | $2.24 – $240.07 | 23 |
| Methadone oral 5mg HCPCS S0109 | $26.35 | $376.45 | $0.17 – $16.83 | 9 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.71 | $53.01 | $0.34 – $75.75 | 10 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $3.51 | $50.15 | $2.65 – $13.20 | 19 |
| Methotrexate therapeutic drug level CPT 80204 | $5.60 | $80.00 | $30.86 – $143.91 | 23 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $34.61 | $494.40 | $1.92 – $706.50 | 11 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $215.54 | $3,079.13 | $0.22 – $4,400.08 | 10 |
| Methylphenidate CPT 80360 | $7.00 | $100.00 | $0.03 – $156.94 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.37 | $19.55 | $0.22 – $27.93 | 10 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $19.64 | $280.57 | $0.11 – $24.20 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $120.71 | $1,724.38 | $0.11 – $21.60 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $11.01 | $157.27 | $1.09 – $3.60 | 19 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $11.20 | $160.00 | $0.07 – $228.64 | 10 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $11.13 | $159.02 | $0.04 – $227.24 | 10 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $84.07 | $1,200.96 | $0.56 – $1,716.17 | 11 |
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.