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 |
|---|---|---|---|---|
| Art byp aortoiliac 35637 CPT 35637 | $366.52 | $5,236.00 | $1,413.13 – $3,145.73 | 34 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | $358.96 | $5,128.00 | $55.00 – $2,910.08 | 34 |
| Art bypass aortobifemoral 35646 CPT 35646 | $377.16 | $5,388.00 | $633.00 – $3,244.10 | 36 |
| Art bypass aortobi-iliac 35638 CPT 35638 | $387.45 | $5,535.00 | $308.64 – $3,196.06 | 34 |
| Art bypass axillary-femoral 35621 CPT 35621 | $242.97 | $3,471.00 | $50.00 – $2,093.34 | 34 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $303.24 | $4,332.00 | $1,165.65 – $2,594.37 | 34 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $261.03 | $3,729.00 | $914.74 – $2,198.58 | 36 |
| Art bypass common ipsi carotid 35601 CPT 35601 | $312.41 | $4,463.00 | $50.00 – $2,594.37 | 36 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $286.79 | $4,097.00 | $80.00 – $2,402.19 | 36 |
| Art bypass femoral-femoral 35661 CPT 35661 | $241.22 | $3,446.00 | $80.00 – $2,049.87 | 34 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $237.93 | $3,399.00 | $55.00 – $2,045.29 | 36 |
| Art bypass iliofemoral 35665 CPT 35665 | $260.61 | $3,723.00 | $85.00 – $2,228.32 | 36 |
| Art bypass subclav-subclavian 35612 CPT 35612 | $232.47 | $3,321.00 | $50.00 – $1,713.56 | 34 |
| Art byp axillary-axillary 35650 CPT 35650 | $226.45 | $3,235.00 | $80.00 – $2,004.11 | 34 |
| Art byp grft aor/carot/innom CPT 35526 | $390.88 | $5,584.00 | $65.00 – $3,198.34 | 34 |
| Art byp grft aorcel/aormesen CPT 35531 | $430.01 | $6,143.00 | $65.00 – $3,779.45 | 34 |
| Art byp grft aortbifemoral 35540 CPT 35540 | $537.74 | $7,682.00 | $2,071.72 – $4,630.51 | 36 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | $514.50 | $7,350.00 | $425.54 – $4,420.03 | 34 |
| Art byp grft aortofemoral CPT 35539 | $482.86 | $6,898.00 | $30.00 – $4,152.36 | 34 |
| Art byp grft aortoiliac CPT 35537 | $459.41 | $6,563.00 | $65.00 – $3,955.61 | 34 |
| Art byp grft axillary-axilry CPT 35518 | $252.91 | $3,613.00 | $223.38 – $2,228.32 | 34 |
| Art byp grft axill-brachial CPT 35522 | $259.00 | $3,700.00 | $30.00 – $2,237.47 | 34 |
| Art byp grft axill/fem/fem CPT 35533 | $333.27 | $4,761.00 | $1,122.48 – $2,926.10 | 34 |
| Art byp grft axill-femoral CPT 35521 | $272.44 | $3,892.00 | $30.00 – $2,381.60 | 34 |
| Art byp grft brachial-brchl CPT 35525 | $243.74 | $3,482.00 | $30.00 – $2,118.50 | 36 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | $272.86 | $3,898.00 | $30.00 – $2,345.00 | 34 |
| Art byp grft carotid-vertbrl CPT 35508 | $294.98 | $4,214.00 | $30.00 – $2,484.55 | 34 |
| Art byp grft contral carotid CPT 35509 | $311.99 | $4,457.00 | $60.00 – $2,681.30 | 34 |
| Art byp grft fem-femoral 35558 CPT 35558 | $272.23 | $3,889.00 | $65.00 – $2,292.38 | 34 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $309.19 | $4,417.00 | $440.00 – $2,555.47 | 34 |
| Art byp grft ilioiliac CPT 35563 | $293.37 | $4,191.00 | $1,131.28 – $2,576.06 | 34 |
| Art byp grft ipsilat carotid CPT 35501 | $322.21 | $4,603.00 | $1,116.90 – $2,756.80 | 36 |
| Art byp grft subclav-axilary CPT 35516 | $269.99 | $3,857.00 | $223.38 – $2,182.56 | 34 |
| Art byp grft subclav-brchial CPT 35512 | $266.77 | $3,811.00 | $144.08 – $2,299.24 | 34 |
| Art byp grft subclav-carotid CPT 35506 | $281.82 | $4,026.00 | $223.38 – $2,431.93 | 34 |
| Art byp grft subclav-subclav CPT 35511 | $247.94 | $3,542.00 | $65.00 – $2,205.44 | 34 |
| Art byp grft subclav-vertbrl CPT 35515 | $294.98 | $4,214.00 | $909.16 – $2,466.25 | 34 |
| Art byp ilioiliac 35663 CPT 35663 | $270.34 | $3,862.00 | $85.00 – $2,372.45 | 34 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $293.37 | $4,191.00 | $35.00 – $2,544.03 | 36 |
| Art byp tibial-tib/peroneal CPT 35570 | $326.20 | $4,660.00 | $30.00 – $2,882.63 | 34 |
| Arterial blood draw/perc 36620 CPT 36620 | $132.02 | $1,886.00 | $40.58 – $104.50 | 36 |
| Artery by graft; iliofemoral 35565 CPT 35565 | $290.85 | $4,155.00 | $30.00 – $2,477.69 | 34 |
| Artery-vein nonautograft CPT 36830 | $149.94 | $2,142.00 | $40.00 – $14,678.70 | 36 |
| Artery xray each vessel 7577426 CPT 75774 | $506.73 | $7,239.00 | $19.96 – $3,547.93 | 37 |
| Artery xray of abdomen 75726-26 CPT 75726 | $938.21 | $13,403.00 | $63.35 – $14,678.70 | 37 |
| Artery x-rays adrenal gland CPT 75731 | $14.91 | $213.00 | $53.24 – $257.13 | 34 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $786.52 | $11,236.00 | $63.27 – $8,329.20 | 37 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $944.51 | $13,493.00 | $72.27 – $8,329.20 | 37 |
| Artery x-rays chest CPT 75756 | $1,129.03 | $16,129.00 | $54.13 – $8,329.20 | 37 |
| Artery x-rays lung CPT 75741 | $16.17 | $231.00 | $59.00 – $222.67 | 34 |
| Artery x-rays lung CPT 75746 | $363.37 | $5,191.00 | $51.77 – $8,329.20 | 37 |
| Artery x-rays lungs CPT 75743 | $1,129.03 | $16,129.00 | $75.12 – $8,329.20 | 37 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $821.38 | $11,734.00 | $50.49 – $14,678.70 | 37 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | $426.51 | $6,093.00 | $70.00 – $3,613.93 | 34 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | $478.66 | $6,838.00 | $100.00 – $4,067.15 | 34 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | $525.00 | $7,500.00 | $330.60 – $4,413.59 | 34 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $298.62 | $4,266.00 | $70.00 – $2,560.36 | 34 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $359.10 | $5,130.00 | $75.00 – $2,966.13 | 34 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | $396.76 | $5,668.00 | $105.00 – $3,255.62 | 34 |
| Arthrd ant ntrbdy cervical CPT 22551 | $397.95 | $5,685.00 | $105.00 – $3,775.28 | 34 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $424.76 | $6,068.00 | $825.00 – $4,026.81 | 34 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | $253.75 | $3,625.00 | $83.40 – $1,933.91 | 34 |
| Arthrd lat xtrcvtry tq ea ad CPT 22534 | $82.53 | $1,179.00 | $100.00 – $761.70 | 34 |
| Arthrd lat xtrcvtry tq lmbr CPT 22533 | $394.94 | $5,642.00 | $780.34 – $3,115.62 | 34 |
| Arthrd pst dfrm 13+ vrt sgm CPT 22804 | $569.45 | $8,135.00 | $1,835.44 – $4,966.48 | 34 |
| Arthrd pst dfrm<6 vrt sgm CPT 22800 | $325.92 | $4,656.00 | $206.63 – $2,671.89 | 34 |
| Arthrd pst dfrm 7-12 vrt sgm CPT 22802 | $496.65 | $7,095.00 | $1,689.87 – $4,285.46 | 34 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $366.52 | $5,236.00 | $70.00 – $3,015.96 | 34 |
| Arthrd pst tq atlas-axis CPT 22595 | $358.61 | $5,123.00 | $1,125.09 – $2,837.99 | 34 |
| Arthrd pst tq craniocervical CPT 22590 | $374.85 | $5,355.00 | $105.00 – $2,987.48 | 34 |
| Arthrd wrist complete wo grf CPT 25800 | $180.32 | $2,576.00 | $65.00 – $1,521.03 | 34 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $161.63 | $2,309.00 | $505.96 – $1,222.04 | 34 |
| Arthrd wrist with autograft CPT 25825 | $196.91 | $2,813.00 | $30.00 – $1,490.18 | 34 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $213.71 | $3,053.00 | $45.00 – $1,734.59 | 34 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $162.75 | $2,325.00 | $19.00 – $304.00 | 36 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $22.19 | $317.00 | $44.22 – $304.00 | 36 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $410.41 | $5,863.00 | $19.00 – $304.00 | 36 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $263.06 | $3,758.00 | $31.23 – $304.00 | 36 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $227.50 | $3,250.00 | $39.10 – $304.00 | 36 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $20.58 | $294.00 | $39.00 – $304.00 | 36 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $90.16 | $1,288.00 | $70.00 – $868.48 | 34 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $73.99 | $1,057.00 | $144.00 – $707.12 | 34 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $110.32 | $1,576.00 | $80.42 – $1,065.43 | 34 |
| Arthrodesis glenohumeral jt CPT 23800 | $33.88 | $484.00 | $168.65 – $2,009.85 | 34 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $72.66 | $1,038.00 | $70.00 – $669.16 | 34 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $309.75 | $4,425.00 | $191.36 – $2,425.10 | 34 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $89.11 | $1,273.00 | $70.00 – $825.77 | 34 |
| Arthrodesis subtalar CPT 28725 | $190.89 | $2,727.00 | $40.00 – $1,565.85 | 34 |
| Arthrodesis symphysis pubis CPT 27282 | $210.21 | $3,003.00 | $95.00 – $1,625.44 | 34 |
| Arthrodesis triple CPT 28715 | $230.37 | $3,291.00 | $45.00 – $1,873.09 | 34 |
| Arthro, loose body + chondro HCPCS G0289 | $14.56 | $208.00 | $1.67 – $243.60 | 32 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $166.81 | $2,383.00 | $60.00 – $1,321.71 | 34 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $184.73 | $2,639.00 | $45.05 – $564.75 | 36 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $119.42 | $1,706.00 | $372.30 – $920.69 | 34 |
| Arthrotomy hip w/drainage CPT 27030 | $226.80 | $3,240.00 | $40.00 – $19,141.34 | 36 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $198.03 | $2,829.00 | $133.66 – $1,585.10 | 34 |
| Arthrp w/prostc dstl ulna CPT 25442 | $199.57 | $2,851.00 | $385.70 – $1,585.10 | 34 |
| Arthrp w/prostc trapezium CPT 25445 | $177.73 | $2,539.00 | $404.69 – $1,433.23 | 34 |
| Arthrs kne srg drlg ost diss CPT 29885 | $185.85 | $2,655.00 | $60.00 – $1,459.33 | 34 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | $137.55 | $1,965.00 | $92.70 – $1,127.13 | 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.