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 |
|---|---|---|---|---|
| Treatment of ankle fracture CPT 27823 | $240.17 | $3,431.00 | $402.00 – $2,073.91 | 34 |
| Treatment of ankle fracture 27786 CPT 27786 | $111.16 | $1,588.00 | $152.00 – $583.73 | 35 |
| Treatment of fibula fracture CPT 27784 | $174.51 | $2,493.00 | $40.00 – $1,122.38 | 34 |
| Treatment of fibula fracture 27780 CPT 27780 | $80.85 | $1,155.00 | $130.37 – $545.77 | 35 |
| Treatment of foot infection CPT 28002 | $33.74 | $482.00 | $127.62 – $4,241.76 | 36 |
| Treatment of foot infection CPT 28003 | $91.49 | $1,307.00 | $229.27 – $8,631.30 | 36 |
| Treatment of heel fracture 28400 CPT 28400 | $64.26 | $918.00 | $152.00 – $442.00 | 36 |
| Treatment of miscarriage CPT 59821 | $89.53 | $1,279.00 | $45.00 – $8,539.30 | 36 |
| Treatment of mouth lesion physical 40820 CPT 40820 | $64.61 | $923.00 | $45.00 – $332.00 | 36 |
| Treatment of penis lesion CPT 54110 | $150.64 | $2,152.00 | $65.90 – $9,298.64 | 36 |
| Treatment of penis lesion CPT 54115 | $104.23 | $1,489.00 | $20.00 – $760.21 | 34 |
| Treatment of retinal lesion CPT 67210 | $121.94 | $1,742.00 | $84.51 – $1,450.85 | 36 |
| Treatment of thigh fracture CPT 27506 | $323.05 | $4,615.00 | $80.00 – $2,626.80 | 34 |
| Treatment of thigh fracture CPT 27508 | $132.44 | $1,892.00 | $152.00 – $1,003.74 | 36 |
| Treatment of thigh fracture CPT 27509 | $167.44 | $2,392.00 | $65.00 – $1,278.99 | 34 |
| Treatment of thigh fracture CPT 27510 | $165.90 | $2,370.00 | $483.82 – $4,241.76 | 35 |
| Treatment of thigh fracture CPT 27511 | $238.98 | $3,414.00 | $399.00 – $2,035.95 | 34 |
| Treatment of thigh fracture CPT 27507 | $233.38 | $3,334.00 | $50.00 – $1,979.00 | 34 |
| Treatment of thigh fracture CPT 27513 | $294.84 | $4,212.00 | $75.00 – $2,709.85 | 34 |
| Treatment of thigh fracture CPT 27514 | $232.26 | $3,318.00 | $75.00 – $33,867.40 | 36 |
| Treatment of tibia fracture CPT 27756 | $146.09 | $2,087.00 | $35.00 – $1,115.26 | 34 |
| Treatment of tibia fracture CPT 27758 | $218.68 | $3,124.00 | $364.00 – $1,760.69 | 34 |
| Treatment of tibia fracture CPT 27759 | $241.85 | $3,455.00 | $144.45 – $2,007.47 | 34 |
| Treatment of toe fracture 28510 CPT 28510 | $31.57 | $451.00 | $6.00 – $304.00 | 36 |
| Treatment of urethra lesion CPT 53260 | $398.16 | $5,688.00 | $42.00 – $9,298.64 | 36 |
| Treatment x10sv retinopathy CPT 67228 | $73.71 | $1,053.00 | $50.00 – $1,940.87 | 36 |
| Treat metacarpal fracture CPT 26608 | $121.52 | $1,736.00 | $46.91 – $927.80 | 34 |
| Treat metacarpal fracture CPT 26615 | $144.34 | $2,062.00 | $295.23 – $858.99 | 34 |
| Treat metatarsal fracture CPT 28476 | $99.61 | $1,423.00 | $157.11 – $636.04 | 34 |
| Treat metatarsal fracture CPT 28485 | $140.14 | $2,002.00 | $35.00 – $851.65 | 34 |
| Treat midfoot fracture each CPT 28465 | $159.46 | $2,278.00 | $50.00 – $1,024.14 | 34 |
| Treat neck spine fracture CPT 22326 | $356.37 | $5,091.00 | $25.00 – $2,837.99 | 34 |
| Treat pelvic fracture(s) CPT 27215 | $16.52 | $236.00 | $236.00 – $1,461.71 | 15 |
| Treat pelvic ring fracture CPT 27217 | $174.93 | $2,499.00 | $994.55 – $2,998.80 | 15 |
| Treat radius fracture CPT 24665 | $163.66 | $2,338.00 | $272.00 – $1,274.25 | 34 |
| Treat radius fracture CPT 24666 | $180.46 | $2,578.00 | $70.00 – $1,445.10 | 34 |
| Treat slipped epiphysis CPT 27176 | $224.84 | $3,212.00 | $819.06 – $1,796.29 | 34 |
| Treat spine fracture CPT 22325 | $351.68 | $5,024.00 | $725.61 – $2,681.38 | 34 |
| Treat thigh fracture CPT 27230 | $122.01 | $1,743.00 | $152.00 – $906.45 | 30 |
| Treat thigh fracture CPT 27235 | $220.29 | $3,147.00 | $367.00 – $1,817.64 | 34 |
| Treat thigh fracture CPT 27236 | $288.05 | $4,115.00 | $480.00 – $2,337.31 | 34 |
| Treat thigh fracture CPT 27238 | $184.73 | $2,639.00 | $152.00 – $870.85 | 36 |
| Treat thigh fracture CPT 27245 | $295.82 | $4,226.00 | $40.00 – $19,141.34 | 36 |
| Treat thigh fracture CPT 27246 | $98.00 | $1,400.00 | $15.00 – $745.09 | 36 |
| Treat thigh fracture CPT 27248 | $180.81 | $2,583.00 | $65.00 – $1,547.13 | 34 |
| Treat thigh fracture CPT 27240 | $231.84 | $3,312.00 | $55.00 – $4,241.76 | 36 |
| Treat thigh fracture CPT 27244 | $296.17 | $4,231.00 | $677.00 – $2,318.32 | 34 |
| Treat thorax spine fracture CPT 22327 | $364.77 | $5,211.00 | $202.53 – $2,778.67 | 34 |
| Treat thumb fracture CPT 26650 | $122.36 | $1,748.00 | $50.63 – $991.87 | 34 |
| Treat thumb fracture CPT 26665 | $157.29 | $2,247.00 | $25.00 – $1,134.25 | 34 |
| Treat toe dislocation CPT 28636 | $55.51 | $793.00 | $29.41 – $517.46 | 34 |
| Treat toe fracture CPT 28525 | $100.38 | $1,434.00 | $35.00 – $860.55 | 34 |
| Treat ulnar fracture CPT 24685 | $162.26 | $2,318.00 | $67.39 – $1,335.94 | 34 |
| Treat vaginal bleeding CPT 57180 | $29.40 | $420.00 | $25.00 – $302.58 | 34 |
| Treat wrist bone fracture CPT 25635 | $108.50 | $1,550.00 | $230.45 – $830.52 | 34 |
| Treat wrist dislocation CPT 25675 | $105.35 | $1,505.00 | $12.00 – $816.28 | 34 |
| Treponema pallidum antibody CPT 86780 | $13.79 | $197.00 | $3.14 – $182.70 | 23 |
| Trg gene rearrangement anal CPT 81342 | $14.11 | $201.50 | $118.50 – $754.48 | 23 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $24.08 | $344.00 | $0.74 – $20.40 | 19 |
| Triamcinolone diacetate inj HCPCS J3302 | $4.90 | $70.00 | $0.28 – $84.00 | 15 |
| Triamcinolone hexacetonl inj HCPCS J3303 | $1.33 | $19.00 | $7.67 – $22.80 | 15 |
| Trichinella antibody CPT 86784 | $6.64 | $94.90 | $4.61 – $138.80 | 23 |
| Trichomonas assay w/optic CPT 87808 | $1.07 | $15.29 | $2.78 – $99.94 | 23 |
| #tricyclicantidprssnt CPT 80337 | $9.89 | $141.28 | $0.03 – $216.90 | 8 |
| Triglycerides CPT 84478 | $40.74 | $582.00 | $1.83 – $62.92 | 23 |
| Trimethobenzamide hcl inj HCPCS J3250 | $8.47 | $121.00 | $2.58 – $140.36 | 19 |
| Trim nail(s) HCPCS G0127 | $53.48 | $764.00 | $0.19 – $840.40 | 34 |
| Trim nondyst nails CPT 11719 | $23.03 | $329.00 | $5.51 – $155.62 | 36 |
| Trluml dil aq o/f can without st CPT 66174 | $153.30 | $2,190.00 | $500.37 – $2,123.48 | 34 |
| Trluml dil aq o/f can w/st CPT 66175 | $177.17 | $2,531.00 | $175.00 – $2,311.31 | 34 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $130.83 | $1,869.00 | $152.00 – $782.19 | 18 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $220.99 | $3,157.00 | $75.00 – $1,956.07 | 34 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $46.76 | $668.00 | $36.49 – $4,106.60 | 34 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $33.88 | $484.00 | $125.55 – $5,268.80 | 34 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $2,641.17 | $37,731.00 | $45.00 – $30,452.80 | 36 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $950.95 | $13,585.00 | $80.00 – $8,329.20 | 36 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,016.40 | $14,520.00 | $45.00 – $14,678.70 | 36 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $523.39 | $7,477.00 | $50.00 – $8,329.20 | 36 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $843.64 | $12,052.00 | $45.00 – $8,329.20 | 36 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $76.44 | $1,092.00 | $282.72 – $933.42 | 34 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $210.77 | $3,011.00 | $39.00 – $1,841.17 | 34 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $50.54 | $722.00 | $37.97 – $387.19 | 34 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $190.82 | $2,726.00 | $84.51 – $1,129.07 | 36 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $200.97 | $2,871.00 | $148.18 – $1,616.44 | 34 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $174.16 | $2,488.00 | $27.00 – $5,442.78 | 36 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $159.18 | $2,274.00 | $291.88 – $5,442.78 | 36 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $158.34 | $2,262.00 | $52.00 – $936.83 | 36 |
| Troponin quantitative CPT 84484 | $69.58 | $994.00 | $3.57 – $209.79 | 23 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $93.45 | $1,335.00 | $50.00 – $9,298.64 | 36 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $89.25 | $1,275.00 | $150.00 – $790.71 | 34 |
| Tvh >250 gms 58290 CPT 58290 | $272.44 | $3,892.00 | $40.00 – $2,441.66 | 34 |
| Tvh w/mmk 58267 CPT 58267 | $254.03 | $3,629.00 | $65.00 – $2,220.65 | 34 |
| Tx closed hip disl traumatic without anes CPT 27250 | $40.95 | $585.00 | $6.00 – $932.55 | 34 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $144.27 | $2,061.00 | $250.19 – $8,631.30 | 36 |
| Tx closed tib shaft fx without manip CPT 27750 | $90.23 | $1,289.00 | $152.00 – $638.31 | 36 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $183.82 | $2,626.00 | $50.00 – $1,012.92 | 34 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $126.91 | $1,813.00 | $50.00 – $724.64 | 34 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $137.97 | $1,971.00 | $50.00 – $8,631.30 | 36 |
| Tx open nsl fx uncomp CPT 21325 | $111.09 | $1,587.00 | $33.51 – $944.41 | 34 |
| Tx open nsl sptl fx CPT 21336 | $158.13 | $2,259.00 | $47.65 – $1,233.91 | 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.