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 |
|---|---|---|---|---|
| Tprnl balo cntnc dev bi CPT 53451 | $8.19 | $117.00 | $30.00 – $1,153.70 | 14 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $7,067.20 | $100,960.00 | $65.00 – $14,144.02 | 36 |
| Trabeculoplasty laser surg CPT 65855 | $49.91 | $713.00 | $30.00 – $1,450.85 | 36 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $91.14 | $1,302.00 | $263.48 – $713.03 | 34 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $42.14 | $602.00 | $40.00 – $304.00 | 36 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $11.83 | $169.00 | $7.54 – $116.02 | 34 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $11.81 | $168.69 | $0.04 – $241.06 | 7 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $265.86 | $3,798.00 | $445.00 – $2,297.15 | 34 |
| Transab esoph hiat hern rpr CPT 43333 | $292.32 | $4,176.00 | $1,056.22 – $2,491.53 | 34 |
| Transcath biopsy CPT 37200 | $49.77 | $711.00 | $27.55 – $409.52 | 34 |
| Transcatheter bx s&i CPT 75970 | $10.15 | $145.00 | $37.01 – $601.36 | 34 |
| Transcath mv repair init prosthesis CPT 33418 | $407.33 | $5,819.00 | $110.00 – $5,522.75 | 34 |
| Transcath occlusion non-cns CPT 61626 | $207.41 | $2,963.00 | $125.00 – $1,418.94 | 34 |
| Transcutaneous hgb 88738 CPT 88738 | $1.40 | $20.00 | $1.00 – $24.00 | 33 |
| Transfer of abdominal muscle CPT 27100 | $203.49 | $2,907.00 | $126.58 – $1,613.57 | 34 |
| Transfer of iliopsoas muscle CPT 27110 | $236.11 | $3,373.00 | $759.12 – $1,869.85 | 34 |
| Transferrin CPT 84466 | $26.18 | $374.00 | $4.08 – $144.50 | 23 |
| Transfer skin pedicle flap CPT 15650 | $100.03 | $1,429.00 | $176.86 – $733.76 | 34 |
| Transfusion blood/blood component(s) CPT 36430 | $486.22 | $6,946.00 | $27.54 – $2,188.30 | 21 |
| Transperi needle place pros CPT 55875 | $189.98 | $2,714.00 | $65.00 – $14,144.02 | 36 |
| Transplant femur ridge CPT 27140 | $218.26 | $3,118.00 | $40.00 – $1,793.91 | 34 |
| Transplant forearm tendon CPT 25310 | $177.38 | $2,534.00 | $80.04 – $1,618.32 | 34 |
| Transplant forearm tendon CPT 25312 | $177.10 | $2,530.00 | $429.63 – $1,808.15 | 34 |
| Transplant/graft hand tendon CPT 26483 | $216.09 | $3,087.00 | $92.70 – $1,793.91 | 34 |
| Transplant/graft palm tendon CPT 26489 | $237.51 | $3,393.00 | $56.00 – $1,706.12 | 34 |
| Transplant hand tendon CPT 26480 | $177.52 | $2,536.00 | $61.00 – $1,618.32 | 34 |
| Transplant of thigh tendon CPT 27396 | $152.95 | $2,185.00 | $592.43 – $1,214.92 | 34 |
| Transplant palm tendon CPT 26485 | $207.97 | $2,971.00 | $430.01 – $1,727.47 | 34 |
| Transplt allo hct/donor CPT 38240 | $58.80 | $840.00 | $60.00 – $314.48 | 34 |
| Transplt autol hct/donor CPT 38241 | $43.33 | $619.00 | $40.00 – $274.24 | 34 |
| Treat ankle dislocation CPT 27842 | $122.57 | $1,751.00 | $497.00 – $934.92 | 27 |
| Treat ankle dislocation CPT 27846 | $177.24 | $2,532.00 | $101.27 – $1,473.57 | 34 |
| Treat ankle dislocation CPT 27848 | $194.04 | $2,772.00 | $35.00 – $1,713.23 | 34 |
| Treat ankle fracture CPT 28445 | $254.38 | $3,634.00 | $84.51 – $19,141.34 | 36 |
| Treat big toe fracture CPT 28505 | $122.71 | $1,753.00 | $40.00 – $1,009.28 | 34 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | $129.43 | $1,849.00 | $59.20 – $1,022.72 | 34 |
| Treat each add spine fx CPT 22328 | $63.98 | $914.00 | $65.00 – $578.99 | 34 |
| Treat ectopic pregnancy CPT 59150 | $184.03 | $2,629.00 | $70.00 – $1,628.65 | 34 |
| Treat ectopic pregnancy CPT 59151 | $179.69 | $2,567.00 | $397.25 – $1,607.60 | 34 |
| Treat ectopic pregnancy CPT 59140 | $98.14 | $1,402.00 | $297.94 – $747.23 | 34 |
| Treat elbow dislocation CPT 24605 | $119.91 | $1,713.00 | $13.00 – $4,241.76 | 36 |
| Treat elbow dislocation CPT 24615 | $175.28 | $2,504.00 | $30.00 – $1,418.99 | 34 |
| Treat elbow fracture CPT 24586 | $262.85 | $3,755.00 | $70.00 – $2,190.19 | 34 |
| Treat elbow fracture CPT 24620 | $147.42 | $2,106.00 | $40.00 – $1,070.18 | 34 |
| Treat elbow fracture CPT 24635 | $168.07 | $2,401.00 | $65.00 – $2,183.07 | 34 |
| Treat eyelid by injection CPT 68200 | $8.33 | $119.00 | $10.00 – $1,178.42 | 36 |
| Treat eyelid lesion 67850 CPT 67850 | $32.34 | $462.00 | $116.08 – $391.31 | 34 |
| Treat finger fracture each CPT 26727 | $120.05 | $1,715.00 | $30.00 – $913.57 | 34 |
| Treat finger fracture each CPT 26742 | $96.18 | $1,374.00 | $20.00 – $702.38 | 36 |
| Treat foot bone lesion CPT 28005 | $140.63 | $2,009.00 | $30.00 – $1,177.76 | 34 |
| Treat foot dislocation CPT 28546 | $90.16 | $1,288.00 | $45.00 – $801.73 | 34 |
| Treat foot dislocation CPT 28605 | $79.17 | $1,131.00 | $40.00 – $650.69 | 36 |
| Treat foot dislocation CPT 28606 | $99.61 | $1,423.00 | $40.00 – $8,631.30 | 36 |
| Treat fracture of radius CPT 25505 | $153.65 | $2,195.00 | $33.00 – $946.79 | 36 |
| Treat fracture of radius CPT 25520 | $137.69 | $1,967.00 | $64.78 – $4,241.76 | 36 |
| Treat fracture of ulna CPT 25535 | $116.06 | $1,658.00 | $247.21 – $906.45 | 36 |
| Treat/graft heel fracture CPT 28420 | $315.42 | $4,506.00 | $186.89 – $2,312.40 | 34 |
| Treat hand bone lesion CPT 26034 | $138.46 | $1,978.00 | $63.66 – $1,029.84 | 34 |
| Treat hand dislocation CPT 26685 | $145.25 | $2,075.00 | $60.00 – $1,065.43 | 34 |
| Treat hand dislocation CPT 26686 | $153.93 | $2,199.00 | $40.00 – $1,207.81 | 34 |
| Treat heel fracture CPT 28415 | $273.63 | $3,909.00 | $75.00 – $2,368.99 | 34 |
| Treat hip dislocation CPT 27252 | $180.95 | $2,585.00 | $714.92 – $1,492.55 | 27 |
| Treat hip dislocation CPT 27253 | $227.71 | $3,253.00 | $60.00 – $1,893.57 | 34 |
| Treat humerus fracture CPT 24515 | $215.60 | $3,080.00 | $92.70 – $33,867.40 | 36 |
| Treat humerus fracture CPT 24516 | $209.23 | $2,989.00 | $478.00 – $1,722.73 | 34 |
| Treat humerus fracture CPT 24535 | $143.85 | $2,055.00 | $55.00 – $4,241.76 | 36 |
| Treat humerus fracture CPT 24545 | $226.66 | $3,238.00 | $320.00 – $1,573.23 | 34 |
| Treat humerus fracture CPT 24546 | $252.49 | $3,607.00 | $60.00 – $2,232.90 | 34 |
| Treat humerus fracture CPT 24565 | $125.51 | $1,793.00 | $15.00 – $4,241.76 | 36 |
| Treat humerus fracture CPT 24575 | $181.44 | $2,592.00 | $75.95 – $1,585.10 | 34 |
| Treat humerus fracture CPT 24579 | $205.31 | $2,933.00 | $75.95 – $1,703.74 | 34 |
| Treat humerus fracture CPT 24582 | $202.86 | $2,898.00 | $30.00 – $1,528.15 | 34 |
| Treat kneecap dislocation CPT 27562 | $123.34 | $1,762.00 | $11.00 – $866.11 | 34 |
| Treat kneecap fracture CPT 27524 | $184.66 | $2,638.00 | $60.00 – $1,502.05 | 34 |
| Treat knee dislocation CPT 27552 | $157.50 | $2,250.00 | $10.00 – $1,217.30 | 34 |
| Treat knee fracture CPT 27535 | $216.02 | $3,086.00 | $65.00 – $1,767.81 | 34 |
| Treat knee fracture CPT 27536 | $287.21 | $4,103.00 | $478.00 – $2,353.92 | 34 |
| Treat knee fracture CPT 27540 | $199.29 | $2,847.00 | $40.00 – $19,141.34 | 36 |
| Treat knee fracture 27530 CPT 27530 | $80.57 | $1,151.00 | $12.00 – $740.34 | 36 |
| Treat knuckle dislocation CPT 26705 | $101.57 | $1,451.00 | $28.00 – $4,241.76 | 36 |
| Treat knuckle dislocation CPT 26715 | $143.71 | $2,053.00 | $35.00 – $908.82 | 34 |
| Treat lower jaw fracture 21462 CPT 21462 | $287.91 | $4,113.00 | $65.00 – $3,267.48 | 34 |
| Treat lower leg bone lesion CPT 27607 | $146.09 | $2,087.00 | $45.00 – $1,198.31 | 34 |
| Treat lower leg dislocation CPT 27832 | $186.69 | $2,667.00 | $70.00 – $1,048.97 | 34 |
| Treat lower leg fracture CPT 27826 | $209.37 | $2,991.00 | $743.11 – $1,418.99 | 34 |
| Treat lower leg fracture CPT 27827 | $273.63 | $3,909.00 | $50.00 – $2,296.97 | 34 |
| Treat lower leg fracture CPT 27828 | $321.44 | $4,592.00 | $80.00 – $2,605.44 | 34 |
| Treat lower leg joint CPT 27829 | $173.95 | $2,485.00 | $45.00 – $997.33 | 34 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $204.68 | $2,924.00 | $131.79 – $1,551.88 | 34 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $258.93 | $3,699.00 | $25.00 – $1,979.00 | 34 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $184.10 | $2,630.00 | $20.00 – $1,354.93 | 34 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $72.38 | $1,034.00 | $40.00 – $8,539.30 | 36 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $96.88 | $1,384.00 | $17.00 – $445.00 | 37 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $96.88 | $1,384.00 | $17.79 – $499.00 | 24 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $38.15 | $545.00 | $9.33 – $577.64 | 37 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $367.08 | $5,244.00 | $168.65 – $8,539.30 | 36 |
| Treatment mouth roof lesion CPT 42160 | $56.00 | $800.00 | $30.00 – $386.73 | 36 |
| Treatment of ankle fracture CPT 27792 | $158.55 | $2,265.00 | $40.00 – $1,200.69 | 34 |
| Treatment of ankle fracture CPT 27814 | $186.97 | $2,671.00 | $101.27 – $1,599.33 | 34 |
| Treatment of ankle fracture CPT 27822 | $213.92 | $3,056.00 | $358.00 – $1,827.13 | 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.