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 |
|---|---|---|---|---|
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $52.48 | $749.76 | $0.04 – $239.31 | 10 |
| Naltrexone, depot form HCPCS J2315 | $0.91 | $13.00 | $4.24 – $15.08 | 18 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $47.95 | $685.00 | $30.00 – $342.37 | 36 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $126.49 | $1,807.00 | $38.00 – $624.79 | 14 |
| Nasal/sinus endoscopy surg CPT 31287 | $71.89 | $1,027.00 | $35.00 – $18,617.04 | 36 |
| Nasal/sinus endoscopy surg CPT 31290 | $274.05 | $3,915.00 | $35.00 – $2,522.97 | 34 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $65.66 | $938.00 | $55.00 – $414.94 | 36 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $83.44 | $1,192.00 | $70.00 – $18,617.04 | 36 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $38.22 | $546.00 | $65.00 – $361.08 | 34 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $86.73 | $1,239.00 | $40.00 – $18,617.04 | 36 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $114.94 | $1,642.00 | $15.00 – $925.55 | 34 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $134.26 | $1,918.00 | $55.00 – $18,617.04 | 36 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $32.55 | $465.00 | $83.40 – $1,031.74 | 36 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $38.57 | $551.00 | $60.00 – $482.69 | 34 |
| Nasal sinus therapy CPT 30210 | $37.94 | $542.00 | $49.52 – $304.00 | 36 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $21.00 | $300.00 | $33.57 – $304.00 | 36 |
| Natriuretic peptide CPT 83880 | $60.48 | $864.00 | $8.30 – $373.32 | 23 |
| Natural killer cells total count CPT 86357 | $2.34 | $33.37 | $9.18 – $405.74 | 23 |
| Navigational bronchoscopy 31627 CPT 31627 | $22.33 | $319.00 | $20.00 – $3,279.41 | 34 |
| N block inj common digit CPT 64632 | $22.61 | $323.00 | $70.24 – $304.00 | 18 |
| N block inj hypogas plxs CPT 64517 | $48.02 | $686.00 | $17.00 – $304.00 | 36 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $14.56 | $208.00 | $20.25 – $350.97 | 37 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $6.30 | $90.00 | $32.00 – $304.00 | 18 |
| Ndl insj without njx 3+ musc CPT 20561 | $9.17 | $131.00 | $47.42 – $304.00 | 18 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $816.20 | $11,660.00 | $33.20 – $2,472.88 | 37 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $856.45 | $12,235.00 | $31.90 – $1,984.53 | 37 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $682.01 | $9,743.00 | $28.06 – $1,659.94 | 37 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $934.92 | $13,356.00 | $59.96 – $6,169.78 | 37 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $909.30 | $12,990.00 | $46.77 – $3,763.06 | 37 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $845.95 | $12,085.00 | $38.83 – $3,135.73 | 37 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $784.98 | $11,214.00 | $47.14 – $6,337.74 | 37 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $825.16 | $11,788.00 | $31.53 – $3,223.14 | 37 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $784.98 | $11,214.00 | $31.53 – $3,223.14 | 37 |
| Neck spine disk surgery CPT 63020 | $262.15 | $3,745.00 | $40.00 – $2,777.20 | 34 |
| Neck spine disk surgery 63075 CPT 63075 | $318.36 | $4,548.00 | $70.00 – $3,382.19 | 34 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $13.44 | $192.00 | $20.46 – $174.18 | 37 |
| Neisseria meningitidis CPT 86741 | $0.82 | $11.72 | $4.85 – $145.02 | 23 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $25.56 | $365.21 | $1.43 – $521.88 | 11 |
| Neox 100 or clarix 100 HCPCS Q4156 | $165.69 | $2,367.00 | $83.25 – $3,382.44 | 21 |
| Nephrectomy open 50220 CPT 50220 | $250.74 | $3,582.00 | $80.00 – $1,901.70 | 36 |
| Nephrectomy partial CPT 50240 | $316.33 | $4,519.00 | $90.00 – $2,366.60 | 36 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $15.89 | $227.00 | $56.20 – $569.59 | 36 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $13.02 | $186.00 | $62.66 – $612.00 | 21 |
| Nerve conduction 7-8 studies CPT 95910 | $32.55 | $465.00 | $109.96 – $984.36 | 37 |
| Nerve conduction studies 11-12 CPT 95912 | $49.35 | $705.00 | $153.77 – $984.36 | 37 |
| Nerve conduction studies 1-2 CPT 95907 | $16.87 | $241.00 | $55.24 – $569.59 | 37 |
| Nerve conduction studies 13+ CPT 95913 | $53.13 | $759.00 | $21.77 – $984.36 | 37 |
| Nerve conduction studies 3-4 CPT 95908 | $28.91 | $413.00 | $69.43 – $569.59 | 37 |
| Nerve conduction studies 5-6 CPT 95909 | $28.91 | $413.00 | $82.88 – $569.59 | 37 |
| Nerve conduction studies 9-10 CPT 95911 | $49.35 | $705.00 | $135.90 – $984.36 | 37 |
| Nerve graft add-on CPT 64901 | $138.04 | $1,972.00 | $55.00 – $1,551.58 | 34 |
| Nerve repair w/allograft CPT 64910 | $186.27 | $2,661.00 | $115.04 – $1,708.04 | 34 |
| Neuroeltrd stim post tibial CPT 64566 | $28.70 | $410.00 | $25.69 – $304.00 | 36 |
| Neurolysis celiac plexus CPT 64680 | $84.35 | $1,205.00 | $20.00 – $471.34 | 36 |
| Neurolysis trigeminal nerve CPT 64600 | $118.72 | $1,696.00 | $113.55 – $304.00 | 18 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $5.88 | $84.00 | $22.29 – $339.43 | 37 |
| Neuroplasty digital 1/both same digit CPT 64702 | $128.31 | $1,833.00 | $60.00 – $1,027.43 | 34 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $80.78 | $1,154.00 | $59.57 – $800.56 | 34 |
| Neurovascular pedicle flap CPT 15750 | $225.89 | $3,227.00 | $35.00 – $1,394.41 | 34 |
| New Patient Office Visit (level 2) CPT 99202 | $35.63 | $509.00 | $34.30 – $122.59 | 36 |
| New Patient Office Visit (level 3) CPT 99203 | $49.35 | $705.00 | $57.20 – $183.23 | 35 |
| New Patient Office Visit (level 4) CPT 99204 | $61.46 | $878.00 | $68.90 – $250.40 | 35 |
| New Patient Office Visit (level 5) CPT 99205 | $78.26 | $1,118.00 | $82.70 – $317.65 | 35 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $174.51 | $2,493.00 | $210.39 – $981.23 | 23 |
| Nfros nfrot w/drg CPT 50040 | $221.62 | $3,166.00 | $50.00 – $1,575.67 | 34 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $110.28 | $1,575.47 | $0.07 – $2,251.35 | 10 |
| Nipple exploration CPT 19110 | $385.00 | $5,500.00 | $357.31 – $10,328.62 | 36 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $54.27 | $775.32 | $0.87 – $1,107.93 | 10 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $15.40 | $220.00 | $91.62 – $304.00 | 18 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $56.63 | $809.00 | $18.00 – $386.45 | 36 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $17.71 | $253.00 | $99.40 – $304.00 | 18 |
| Njx aa&/strd vagus nrv CPT 64408 | $20.09 | $287.00 | $12.00 – $304.00 | 36 |
| Njx cath slct p angrph mapca CPT 93575 | $80.43 | $1,149.00 | $78.66 – $157.32 | 12 |
| Njx cath slct p-art angrp bi CPT 93573 | $403.69 | $5,767.00 | $53.36 – $106.72 | 12 |
| Njx cath slct pulm vn angrph CPT 93574 | $325.36 | $4,648.00 | $59.05 – $118.10 | 12 |
| Njx cth slct p-art angrp uni CPT 93569 | $274.75 | $3,925.00 | $32.38 – $64.76 | 12 |
| Njx interlaminar lmbr/sac CPT 62326 | $20.30 | $290.00 | $23.00 – $2,333.18 | 36 |
| Njx interlaminar lmbr/sac CPT 62327 | $25.62 | $366.00 | $23.00 – $2,333.18 | 36 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $342.44 | $4,892.00 | $134.80 – $1,901.85 | 36 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $521.15 | $7,445.00 | $46.97 – $1,248.13 | 37 |
| Nm imaging bone/joint whole body CPT 78306 | $438.06 | $6,258.00 | $39.50 – $1,180.44 | 37 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $351.33 | $5,019.00 | $45.77 – $1,361.19 | 37 |
| Nm imaging gastric emptying study CPT 78264 | $427.35 | $6,105.00 | $36.39 – $1,054.57 | 37 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $462.98 | $6,614.00 | $45.93 – $1,380.25 | 37 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $503.30 | $7,190.00 | $41.77 – $2,533.00 | 37 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $451.71 | $6,453.00 | $55.07 – $1,432.31 | 37 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $481.18 | $6,874.00 | $49.21 – $2,347.51 | 37 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $526.61 | $7,523.00 | $23.04 – $1,702.64 | 37 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $202.44 | $2,892.00 | $78.93 – $803.85 | 37 |
| Non-card vasc flow imaging CPT 78445 | $6.44 | $92.00 | $23.07 – $213.15 | 34 |
| Npm1 gene CPT 81310 | $13.80 | $197.21 | $78.67 – $493.04 | 23 |
| Nps surg dilat eust tube bi CPT 69706 | $57.82 | $826.00 | $55.00 – $15,616.06 | 36 |
| Nps surg dilat eust tube uni CPT 69705 | $41.51 | $593.00 | $30.00 – $15,616.06 | 36 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $22.47 | $321.00 | $99.93 – $554.47 | 34 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $16.87 | $241.00 | $71.70 – $422.76 | 34 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $4.55 | $65.00 | $19.33 – $77.17 | 17 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $7.14 | $102.00 | $29.47 – $118.61 | 17 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $2.59 | $37.00 | $10.50 – $41.44 | 17 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $268.87 | $3,841.00 | $694.34 – $2,748.52 | 34 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $252.35 | $3,605.00 | $119.51 – $2,539.90 | 34 |
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.