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 |
|---|---|---|---|---|
| Removal of finger tendon CPT 26180 | $113.82 | $1,626.00 | $221.15 – $4,241.76 | 36 |
| Removal of foot lesion CPT 28080 | $96.04 | $1,372.00 | $32.76 – $784.27 | 34 |
| Removal of foot lesion CPT 28090 | $76.93 | $1,099.00 | $36.86 – $4,241.76 | 36 |
| Removal of foot lesion CPT 28104 | $88.48 | $1,264.00 | $80.00 – $848.96 | 34 |
| Removal of forearm lesion CPT 25120 | $125.58 | $1,794.00 | $45.00 – $1,371.54 | 34 |
| Removal of foreign body CPT 27372 | $146.16 | $2,088.00 | $50.00 – $7,662.42 | 36 |
| Removal of frontal sinus 31085 CPT 31085 | $304.22 | $4,346.00 | $893.52 – $2,516.12 | 34 |
| Removal of gallbladder 47600 CPT 47600 | $251.51 | $3,593.00 | $115.41 – $1,962.10 | 36 |
| Removal of gallbladder 47610 CPT 47610 | $292.81 | $4,183.00 | $486.00 – $2,266.84 | 36 |
| Removal of heel bone CPT 28118 | $105.14 | $1,502.00 | $59.20 – $975.63 | 34 |
| Removal of heel spur CPT 28119 | $130.41 | $1,863.00 | $152.00 – $865.13 | 36 |
| Removal of hip foreign body 27087 CPT 27087 | $149.24 | $2,132.00 | $35.00 – $1,241.03 | 34 |
| Removal of hip joint lining CPT 27054 | $169.47 | $2,421.00 | $148.92 – $1,333.57 | 34 |
| Removal of hip prosthesis CPT 27090 | $201.81 | $2,883.00 | $118.02 – $1,656.28 | 34 |
| Removal of hip prosthesis CPT 27091 | $381.50 | $5,450.00 | $25.00 – $3,148.84 | 34 |
| Removal of humerus lesion CPT 23156 | $167.58 | $2,394.00 | $40.00 – $1,328.82 | 34 |
| Removal of hydrocele CPT 55040 | $82.60 | $1,180.00 | $60.00 – $570.82 | 34 |
| Removal of hydrocele CPT 55500 | $95.13 | $1,359.00 | $50.63 – $636.58 | 34 |
| Removal of hydroceles CPT 55041 | $124.18 | $1,774.00 | $55.00 – $852.28 | 34 |
| Removal of implant deep CPT 20680 | $660.80 | $9,440.00 | $152.00 – $1,136.62 | 35 |
| Removal of intranasal lesion CPT 30117 | $243.67 | $3,481.00 | $152.00 – $1,036.81 | 36 |
| Removal of intranasal lesion CPT 30118 | $174.09 | $2,487.00 | $124.72 – $1,583.71 | 34 |
| Removal of ischial bursa CPT 27060 | $116.20 | $1,660.00 | $40.00 – $825.77 | 34 |
| Removal of kidney & ureter CPT 50234 | $308.98 | $4,414.00 | $50.00 – $2,233.29 | 34 |
| Removal of kneecap CPT 27350 | $161.56 | $2,308.00 | $40.00 – $1,278.99 | 34 |
| Removal of kneecap bursa CPT 27340 | $94.57 | $1,351.00 | $210.72 – $707.12 | 34 |
| Removal of knee cyst CPT 27345 | $121.80 | $1,740.00 | $67.39 – $937.30 | 34 |
| Removal of knee prosthesis CPT 27488 | $290.08 | $4,144.00 | $168.65 – $33,867.40 | 36 |
| Removal of larynx lesion CPT 31300 | $305.69 | $4,367.00 | $134.77 – $8,745.94 | 36 |
| Removal of lens material CPT 66840 | $169.19 | $2,417.00 | $145.00 – $1,231.31 | 34 |
| Removal of lens material CPT 66850 | $192.36 | $2,748.00 | $120.00 – $1,398.26 | 34 |
| Removal of lens material CPT 66852 | $204.33 | $2,919.00 | $101.27 – $1,497.39 | 34 |
| Removal of lymph nodes neck CPT 38700 | $195.23 | $2,789.00 | $101.27 – $17,516.26 | 36 |
| Removal of lymph nodes neck CPT 38724 | $348.39 | $4,977.00 | $160.09 – $2,838.34 | 36 |
| Removal of metatarsal CPT 28140 | $103.39 | $1,477.00 | $45.00 – $1,104.99 | 34 |
| Removal of metatarsal heads CPT 28114 | $207.34 | $2,962.00 | $101.27 – $1,805.72 | 34 |
| Removal of neck wrinkles CPT 15825 | $147.49 | $2,107.00 | $1,233.23 – $9,348.08 | 27 |
| Removal of nerve lesion CPT 64790 | $205.24 | $2,932.00 | $40.00 – $1,992.28 | 34 |
| Removal of nose lesion CPT 30125 | $160.44 | $2,292.00 | $152.00 – $1,288.91 | 36 |
| Removal of nose polyp(s) 30115 CPT 30115 | $173.88 | $2,484.00 | $168.65 – $8,745.94 | 36 |
| Removal of omentum 49255 CPT 49255 | $188.79 | $2,697.00 | $315.00 – $17,077.46 | 36 |
| Removal of ovary(s) 58940 CPT 58940 | $133.84 | $1,912.00 | $33.00 – $1,028.76 | 34 |
| Removal of ovary/tube(s) CPT 58720 | $182.28 | $2,604.00 | $41.00 – $1,494.46 | 34 |
| Removal of palm tendon each CPT 26170 | $102.83 | $1,469.00 | $209.23 – $4,241.76 | 35 |
| Removal of prostate CPT 55821 | $200.76 | $2,868.00 | $35.00 – $1,505.84 | 36 |
| Removal of prostate CPT 55831 | $205.73 | $2,939.00 | $151.90 – $1,617.76 | 34 |
| Removal of salivary stone 42335 CPT 42335 | $65.45 | $935.00 | $25.00 – $8,745.94 | 36 |
| Removal of scrotum CPT 55150 | $119.98 | $1,714.00 | $60.00 – $9,298.64 | 36 |
| Removal of sesamoid bone CPT 28315 | $81.13 | $1,159.00 | $50.00 – $784.27 | 34 |
| Removal of shunt CPT 49429 | $107.31 | $1,533.00 | $30.00 – $815.59 | 34 |
| Removal of skin tags each add'l 10 CPT 11201 | $4.48 | $64.00 | $12.66 – $27.08 | 36 |
| Removal of small intestine 44125 CPT 44125 | $274.89 | $3,927.00 | $45.00 – $2,043.72 | 34 |
| Removal of sperm cord lesion CPT 55520 | $110.32 | $1,576.00 | $35.00 – $678.67 | 34 |
| Removal of spleen partial CPT 38101 | $270.76 | $3,868.00 | $60.00 – $2,299.01 | 34 |
| Removal of spleen total 38102 CPT 38102 | $60.20 | $860.00 | $138.00 – $566.75 | 34 |
| Removal of stomach CPT 43622 | $85.26 | $1,218.00 | $234.18 – $3,949.33 | 34 |
| Removal of stomach partial 43631 CPT 43631 | $338.24 | $4,832.00 | $936.33 – $2,531.28 | 34 |
| Removal of stomachpartial 43632 CPT 43632 | $471.59 | $6,737.00 | $186.89 – $3,317.62 | 34 |
| Removal of tail bone CPT 27080 | $123.76 | $1,768.00 | $60.00 – $944.41 | 34 |
| Removal of tendon for graft CPT 20924 | $124.74 | $1,782.00 | $435.22 – $1,001.36 | 34 |
| Removal of tendon lesion CPT 27630 | $134.89 | $1,927.00 | $152.00 – $998.99 | 35 |
| Removal of testis CPT 54520 | $79.87 | $1,141.00 | $65.00 – $557.67 | 34 |
| Removal of testis CPT 54530 | $123.69 | $1,767.00 | $35.00 – $9,444.82 | 36 |
| Removal of thyroid CPT 60240 | $217.84 | $3,112.00 | $35.00 – $15,947.64 | 36 |
| Removal of thyroid CPT 60252 | $312.48 | $4,464.00 | $714.00 – $2,756.07 | 34 |
| Removal of thyroid CPT 60271 | $250.18 | $3,574.00 | $790.39 – $15,616.06 | 36 |
| Removal of toe lesions CPT 28092 | $105.28 | $1,504.00 | $152.00 – $700.73 | 36 |
| Removal of toe lesions CPT 28108 | $72.31 | $1,033.00 | $170.14 – $703.42 | 34 |
| Removal of upper jaw CPT 31225 | $435.61 | $6,223.00 | $202.53 – $3,706.76 | 34 |
| Removal of ureter stone CPT 50630 | $213.29 | $3,047.00 | $60.00 – $1,520.43 | 34 |
| Removal of urethra gland CPT 53250 | $96.74 | $1,382.00 | $25.00 – $670.78 | 34 |
| Removal of urethra lesion CPT 53230 | $146.86 | $2,098.00 | $421.82 – $14,144.02 | 36 |
| Removal of wrist bone CPT 25210 | $123.76 | $1,768.00 | $65.00 – $1,008.48 | 34 |
| Removal of wrist bones CPT 25215 | $154.14 | $2,202.00 | $421.82 – $1,319.33 | 34 |
| Removal of wrist lesion CPT 25130 | $114.03 | $1,629.00 | $210.72 – $923.06 | 34 |
| Removal prosth radial head CPT 24164 | $177.87 | $2,541.00 | $42.81 – $995.51 | 34 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $5,619.81 | $80,283.00 | $85.00 – $27,571.60 | 36 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $23.31 | $333.00 | $31.65 – $304.00 | 36 |
| Removal sutr and stapl no anes CPT 15854 | $3.71 | $53.00 | $53.00 – $304.00 | 17 |
| Removal sutr or stapl no anes CPT 15853 | $3.22 | $46.00 | $14.30 – $74.00 | 35 |
| Removal tunnled intprtnl cath CPT 49422 | $976.01 | $13,943.00 | $17.00 – $8,329.20 | 36 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $46.06 | $658.00 | $36.11 – $354.70 | 36 |
| Remove abdomen lymph nodes 38780 CPT 38780 | $250.39 | $3,577.00 | $208.49 – $2,246.45 | 34 |
| Remove anal fist complex CPT 46280 | $118.30 | $1,690.00 | $30.00 – $7,321.98 | 36 |
| Remove anal fist inter CPT 46275 | $104.44 | $1,492.00 | $35.00 – $631.97 | 34 |
| Remove anal fist subq CPT 46270 | $99.33 | $1,419.00 | $150.41 – $7,321.98 | 36 |
| Remove ankle joint lining CPT 27625 | $140.42 | $2,006.00 | $505.96 – $1,198.31 | 34 |
| Remove ankle joint lining CPT 27626 | $150.57 | $2,151.00 | $548.03 – $1,293.23 | 34 |
| Remove armpit lymph nodes CPT 38745 | $208.81 | $2,983.00 | $521.22 – $1,750.54 | 34 |
| Remove bladder stone CPT 52317 | $81.41 | $1,163.00 | $300.34 – $9,298.64 | 36 |
| Remove bladder stone CPT 52318 | $110.95 | $1,585.00 | $30.00 – $9,298.64 | 36 |
| Remove blood clot from eye CPT 65930 | $156.73 | $2,239.00 | $555.10 – $1,160.87 | 34 |
| Remove cartilage for graft CPT 20910 | $118.93 | $1,699.00 | $472.74 – $842.38 | 27 |
| Remove cartilage for graft CPT 20912 | $118.65 | $1,695.00 | $60.00 – $953.91 | 34 |
| Remove digit nerve lesion 64776 CPT 64776 | $99.33 | $1,419.00 | $30.53 – $938.77 | 34 |
| Remove ear canal lesion(s) CPT 69145 | $102.06 | $1,458.00 | $17.00 – $563.15 | 36 |
| Remove ear canal lesion(s) 69140 CPT 69140 | $224.35 | $3,205.00 | $12.00 – $15,616.06 | 36 |
| Remove epididymis lesion CPT 54830 | $91.00 | $1,300.00 | $60.00 – $615.54 | 34 |
| Remove epididymis lesion CPT 54840 | $78.61 | $1,123.00 | $59.57 – $5,514.28 | 36 |
| Remove exostosis maxilla CPT 21032 | $65.52 | $936.00 | $20.00 – $8,745.94 | 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.