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 |
|---|---|---|---|---|
| Remove ext hem groups 2+ CPT 46250 | $78.40 | $1,120.00 | $65.00 – $7,321.98 | 36 |
| Remove extra spine segment CPT 22103 | $30.73 | $439.00 | $60.00 – $294.24 | 34 |
| Remove eyelid lesion CPT 67800 | $32.13 | $459.00 | $60.00 – $304.00 | 36 |
| Remove eyelid lesion CPT 67840 | $68.88 | $984.00 | $50.00 – $553.04 | 36 |
| Remove eyelid lesion(s) CPT 67808 | $90.65 | $1,295.00 | $331.20 – $641.74 | 27 |
| Remove eyelid lesions CPT 67801 | $40.39 | $577.00 | $55.00 – $304.00 | 36 |
| Remove eyelid lesions CPT 67805 | $50.54 | $722.00 | $142.72 – $365.22 | 36 |
| Remove femur lesion CPT 27355 | $150.71 | $2,153.00 | $65.00 – $1,188.82 | 34 |
| Remove femur lesion/bursa CPT 27062 | $112.70 | $1,610.00 | $70.00 – $8,631.30 | 36 |
| Remove femur lesion/graft CPT 27356 | $181.79 | $2,597.00 | $463.89 – $1,449.84 | 34 |
| Remove forearm bone lesion CPT 25145 | $129.99 | $1,857.00 | $508.68 – $1,395.27 | 34 |
| Remove foreign body from eye CPT 65235 | $178.43 | $2,549.00 | $456.81 – $1,215.65 | 34 |
| Remove/graft finger lesion CPT 26215 | $140.77 | $2,011.00 | $332.84 – $1,074.92 | 34 |
| Remove & graft wrist lesion CPT 25135 | $139.93 | $1,999.00 | $65.00 – $1,143.74 | 34 |
| Remove groin lymph nodes CPT 38760 | $198.66 | $2,838.00 | $30.00 – $17,516.26 | 36 |
| Remove hip bone les deep CPT 27066 | $200.62 | $2,866.00 | $80.04 – $8,631.30 | 36 |
| Remove hip bone les super CPT 27065 | $130.27 | $1,861.00 | $515.05 – $965.77 | 27 |
| Remove hip foreign body 27086 CPT 27086 | $77.98 | $1,114.00 | $50.00 – $488.82 | 36 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $330.40 | $4,720.00 | $102.75 – $7,662.42 | 36 |
| Remove humerus lesion CPT 23174 | $188.65 | $2,695.00 | $35.00 – $1,480.69 | 34 |
| Remove implant of eye CPT 65920 | $193.90 | $2,770.00 | $515.64 – $1,387.83 | 34 |
| Remove in/ex hem groups 2+ CPT 46260 | $117.46 | $1,678.00 | $268.00 – $7,321.98 | 36 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | $103.04 | $1,472.00 | $30.00 – $656.74 | 34 |
| Remove in/ex hem grps & fiss CPT 46261 | $129.36 | $1,848.00 | $60.00 – $848.78 | 34 |
| Remove in/ex hem grps w/fist CPT 46262 | $141.75 | $2,025.00 | $440.06 – $877.23 | 34 |
| Remove in/ex hem grp w/fistu CPT 46258 | $116.76 | $1,668.00 | $332.84 – $725.50 | 34 |
| Remove intact mammary implant CPT 19328 | $135.73 | $1,939.00 | $45.00 – $976.85 | 34 |
| Remove int/ext hem 1 group CPT 46255 | $86.66 | $1,238.00 | $295.23 – $7,321.98 | 36 |
| Remove knee cyst CPT 27347 | $131.25 | $1,875.00 | $80.00 – $8,631.30 | 36 |
| Remove knee joint lining CPT 27334 | $169.33 | $2,419.00 | $80.00 – $1,338.32 | 34 |
| Remove knee joint lining CPT 27335 | $187.81 | $2,683.00 | $129.19 – $1,516.28 | 34 |
| Remove lamina/facets lumbar CPT 63012 | $281.82 | $4,026.00 | $208.49 – $2,847.61 | 34 |
| Remove limb nerve lesion CPT 64782 | $113.05 | $1,615.00 | $45.00 – $1,079.59 | 34 |
| Remove lower leg bone lesion CPT 27635 | $142.17 | $2,031.00 | $421.82 – $1,184.08 | 34 |
| Remove mandible cyst complex CPT 21046 | $242.83 | $3,469.00 | $413.63 – $2,088.15 | 34 |
| Remove muti-comp penis pros CPT 54406 | $176.19 | $2,517.00 | $65.00 – $1,244.23 | 34 |
| Remove nasal foreign body CPT 30310 | $51.38 | $734.00 | $84.51 – $418.21 | 34 |
| Remove nerve lesion CPT 64784 | $176.61 | $2,523.00 | $84.51 – $1,728.91 | 34 |
| Remove part lumbar vertebra CPT 22114 | $270.27 | $3,861.00 | $40.00 – $1,938.66 | 34 |
| Remove part of neck vertebra CPT 22100 | $226.94 | $3,242.00 | $480.27 – $1,554.25 | 34 |
| Remove part of neck vertebra CPT 22110 | $252.14 | $3,602.00 | $620.25 – $1,938.66 | 34 |
| Remove pelvis lymph nodes 38770 CPT 38770 | $192.57 | $2,751.00 | $45.00 – $1,743.68 | 34 |
| Remove pilonidal cyst compl CPT 11772 | $140.70 | $2,010.00 | $35.00 – $7,662.42 | 36 |
| Remove pilonidal cyst exten CPT 11771 | $330.40 | $4,720.00 | $295.23 – $7,662.42 | 36 |
| Remove prostate regrowth CPT 52630 | $99.12 | $1,416.00 | $379.81 – $14,144.02 | 36 |
| Remove renal tube w/fluoro CPT 50389 | $327.88 | $4,684.00 | $45.08 – $1,839.42 | 36 |
| Remove sacrum pressure sore close 15936 CPT 15936 | $213.15 | $3,045.00 | $683.17 – $1,375.46 | 34 |
| Remove self-contd penis pros CPT 54415 | $129.22 | $1,846.00 | $35.00 – $889.11 | 34 |
| Remove shoulder fb deep CPT 23333 | $118.09 | $1,687.00 | $78.93 – $1,065.43 | 34 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $41.86 | $598.00 | $18.00 – $429.49 | 34 |
| Remove skin nerve lesion CPT 64774 | $105.35 | $1,505.00 | $40.00 – $970.06 | 36 |
| Remove skin nerve lesion 64788 CPT 64788 | $100.59 | $1,437.00 | $40.00 – $5,151.14 | 36 |
| Remove spinal canal catheter 62355 CPT 62355 | $68.18 | $974.00 | $12.00 – $5,151.14 | 36 |
| Remove spinal lamina add-on 63048 CPT 63048 | $48.02 | $686.00 | $93.00 – $542.40 | 34 |
| Remove spine eltrd perq aray CPT 63661 | $79.24 | $1,132.00 | $25.00 – $5,151.14 | 36 |
| Remove spine eltrd plate CPT 63662 | $203.14 | $2,902.00 | $116.16 – $2,323.46 | 34 |
| Remove spine fixation device CPT 22850 | $176.96 | $2,528.00 | $25.00 – $1,407.13 | 34 |
| Remove spine fixation device CPT 22852 | $170.59 | $2,437.00 | $106.85 – $1,345.43 | 34 |
| Remove spine infusion device CPT 62365 | $72.31 | $1,033.00 | $140.00 – $9,011.54 | 36 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | $347.55 | $4,965.00 | $70.00 – $3,515.18 | 34 |
| Remove spine lamina 1/2 lmbr CPT 63005 | $284.27 | $4,061.00 | $193.60 – $2,779.81 | 34 |
| Remove stent via transureth CPT 50386 | $38.43 | $549.00 | $142.83 – $5,514.28 | 36 |
| Remove sympathetic nerves CPT 64822 | $171.78 | $2,454.00 | $515.64 – $1,650.67 | 34 |
| Remove thyroid duct lesion CPT 60280 | $111.86 | $1,598.00 | $45.00 – $15,947.64 | 36 |
| Remove thyroid lesion 60200 CPT 60200 | $160.86 | $2,298.00 | $400.59 – $1,359.75 | 34 |
| Remove tonsils and adenoids CPT 42820 | $71.82 | $1,026.00 | $55.00 – $528.71 | 34 |
| Remove tonsils and adenoids CPT 42821 | $74.90 | $1,070.00 | $202.53 – $8,745.94 | 36 |
| Remove/transplant tendon CPT 23440 | $184.80 | $2,640.00 | $101.27 – $1,528.15 | 34 |
| Remove ureter stent percut CPT 50384 | $628.04 | $8,972.00 | $1,317.57 – $5,514.28 | 18 |
| Remove uro sphincter CPT 53446 | $155.40 | $2,220.00 | $589.59 – $1,096.92 | 34 |
| Remove vaginal foreign body 57415 CPT 57415 | $42.56 | $608.00 | $42.00 – $323.63 | 34 |
| Remove vc lesion w/scope 31545 CPT 31545 | $85.61 | $1,223.00 | $206.25 – $799.86 | 34 |
| Remove ventilating tube CPT 69424 | $15.05 | $215.00 | $54.00 – $199.07 | 34 |
| Remove vert bodycerv 63081 CPT 63081 | $412.16 | $5,888.00 | $269.55 – $4,297.49 | 34 |
| Remove vert body dcmprn lmbr CPT 63090 | $455.91 | $6,513.00 | $305.66 – $4,756.44 | 34 |
| Remove vert body dcmprn thrc CPT 63085 | $449.47 | $6,421.00 | $70.00 – $4,597.38 | 34 |
| Remove vertebral body add-on CPT 63086 | $43.40 | $620.00 | $159.96 – $495.46 | 34 |
| Remove vertebral body add-on CPT 63088 | $58.66 | $838.00 | $53.24 – $675.39 | 34 |
| Remove vertebral body add-on CPT 63091 | $40.18 | $574.00 | $45.00 – $458.96 | 34 |
| Remove wrist/forearm lesion CPT 25115 | $187.88 | $2,684.00 | $50.00 – $1,831.88 | 34 |
| Remove wrist/forearm lesion CPT 25116 | $151.41 | $2,163.00 | $50.00 – $1,554.25 | 34 |
| Remove wrist joint cartilage CPT 25107 | $155.19 | $2,217.00 | $63.29 – $1,248.15 | 34 |
| Remove wrist joint lining CPT 25105 | $122.36 | $1,748.00 | $67.39 – $1,036.96 | 34 |
| Remove wrist tendon lesion CPT 25110 | $87.50 | $1,250.00 | $190.25 – $4,241.76 | 35 |
| Remove wrist tendon lesion CPT 25111 | $184.87 | $2,641.00 | $70.00 – $643.06 | 36 |
| Remov vertbr dcmprn thrclmbr CPT 63087 | $563.64 | $8,052.00 | $1,915.48 – $5,869.93 | 34 |
| Remvl peritoneal fb frm cavity CPT 49402 | $201.04 | $2,872.00 | $80.00 – $9,444.82 | 36 |
| Renal abscess open drng 50020 CPT 50020 | $243.46 | $3,478.00 | $60.00 – $1,722.98 | 34 |
| Renal bx surg exposure kdn CPT 50205 | $178.01 | $2,543.00 | $337.30 – $1,183.73 | 34 |
| Renal function panel CPT 80069 | $44.87 | $641.00 | $3.13 – $95.42 | 23 |
| Renal venogram bil s&i CPT 75833 | $18.48 | $264.00 | $71.14 – $245.81 | 27 |
| Reopen fallopian tube CPT 58350 | $23.31 | $333.00 | $30.00 – $13,196.08 | 36 |
| Reopening of recent laparotomy 49002 CPT 49002 | $243.39 | $3,477.00 | $406.00 – $1,885.22 | 36 |
| Reoperation bypass graft 35700 CPT 35700 | $33.25 | $475.00 | $70.00 – $292.84 | 34 |
| Reoperation carotid add-on 35390 CPT 35390 | $35.00 | $500.00 | $65.00 – $304.28 | 34 |
| Repair achilles tendon CPT 27650 | $162.89 | $2,327.00 | $92.70 – $1,414.25 | 34 |
| Repair anal fistula CPT 46288 | $136.78 | $1,954.00 | $59.94 – $863.01 | 34 |
| Repair anorectal fist w/plug CPT 46707 | $122.78 | $1,754.00 | $55.00 – $964.96 | 34 |
| Repair arm/leg nerve CPT 64857 | $252.00 | $3,600.00 | $781.46 – $2,576.41 | 34 |
| Repair artery rupture aorta CPT 35092 | $574.21 | $8,203.00 | $2,004.84 – $4,834.12 | 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.