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 |
|---|---|---|---|---|
| Bilirubin total CPT 82247 | $41.16 | $588.00 | $1.68 – $55.00 | 23 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $3.99 | $57.00 | $18.85 – $72.12 | 32 |
| Biopsy abdominal mass CPT 49180 | $403.62 | $5,766.00 | $65.00 – $4,356.78 | 36 |
| Biopsy arm/elbow soft tissue CPT 24066 | $105.21 | $1,503.00 | $10.00 – $7,662.42 | 36 |
| Biopsy, bone open deep CPT 20245 | $81.06 | $1,158.00 | $210.72 – $1,241.03 | 34 |
| Biopsy bone trocar/needle superficial CPT 20220 | $438.13 | $6,259.00 | $18.00 – $4,356.78 | 36 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $100.52 | $1,436.00 | $39.00 – $304.00 | 36 |
| Biopsy conjunctiva CPT 68100 | $44.31 | $633.00 | $55.00 – $339.13 | 36 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $137.34 | $1,962.00 | $35.00 – $1,115.23 | 34 |
| Biopsy external ear 69100 CPT 69100 | $23.66 | $338.00 | $35.00 – $304.00 | 36 |
| Biopsy eyelid & lid margin CPT 67810 | $45.64 | $652.00 | $43.00 – $383.48 | 36 |
| Biopsy finger joint lining CPT 26110 | $82.60 | $1,180.00 | $35.00 – $4,241.76 | 36 |
| Biopsy forearm soft tissues CPT 25066 | $93.66 | $1,338.00 | $10.00 – $866.11 | 34 |
| Biopsy hand joint lining CPT 26100 | $86.10 | $1,230.00 | $210.72 – $8,631.30 | 36 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,215.62 | $17,366.00 | $62.33 – $7,662.42 | 36 |
| Biopsy knee joint lining CPT 27330 | $105.98 | $1,514.00 | $85.00 – $778.31 | 34 |
| Biopsy lower leg soft tissue CPT 27613 | $372.82 | $5,326.00 | $20.00 – $4,356.78 | 36 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $158.34 | $2,262.00 | $65.00 – $1,297.98 | 34 |
| Biopsy muscle percutaneous needle CPT 20206 | $406.07 | $5,801.00 | $45.00 – $541.02 | 36 |
| Biopsy needle liver percutaneous CPT 47000 | $530.25 | $7,575.00 | $76.40 – $4,356.78 | 36 |
| Biopsy needle lymph node superficial CPT 38505 | $698.25 | $9,975.00 | $70.74 – $304.00 | 36 |
| Biopsy of foot joint lining CPT 28050 | $69.58 | $994.00 | $50.63 – $741.15 | 34 |
| Biopsy of heart lining CPT 93505 | $36.96 | $528.00 | $220.75 – $856.04 | 34 |
| Biopsy of inestine 44100 CPT 44100 | $24.99 | $357.00 | $15.00 – $203.90 | 34 |
| Biopsy of lip 40490 CPT 40490 | $30.38 | $434.00 | $48.40 – $304.00 | 36 |
| Biopsy of nail unit 11755 CPT 11755 | $30.31 | $433.00 | $54.39 – $304.00 | 36 |
| Biopsy of penis CPT 54105 | $51.59 | $737.00 | $17.00 – $7,662.42 | 36 |
| Biopsy of penis 54100 CPT 54100 | $187.04 | $2,672.00 | $92.70 – $313.03 | 36 |
| Biopsy of prostate CPT 55705 | $63.84 | $912.00 | $30.00 – $9,298.64 | 36 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $74.41 | $1,063.00 | $168.65 – $7,321.98 | 36 |
| Biopsy of salivary gland 42400 CPT 42400 | $358.47 | $5,121.00 | $36.00 – $304.00 | 36 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $75.32 | $1,076.00 | $25.00 – $466.89 | 36 |
| Biopsy of stomach CPT 43605 | $198.24 | $2,832.00 | $35.00 – $1,429.09 | 34 |
| Biopsy of tear sac CPT 68525 | $61.60 | $880.00 | $65.00 – $500.87 | 34 |
| Biopsy of upper nose/throat CPT 42804 | $54.11 | $773.00 | $44.00 – $317.09 | 36 |
| Biopsy of urethra CPT 53200 | $33.81 | $483.00 | $126.42 – $5,514.28 | 36 |
| Biopsy/removal lymph nodes CPT 38525 | $105.56 | $1,508.00 | $34.00 – $10,328.62 | 36 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $112.84 | $1,612.00 | $14.00 – $10,328.62 | 36 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $464.10 | $6,630.00 | $35.00 – $4,356.78 | 36 |
| Biopsy roof of mouth CPT 42100 | $36.33 | $519.00 | $20.00 – $304.00 | 36 |
| Biopsy skin incisional single lesion CPT 11106 | $144.76 | $2,068.00 | $12.00 – $304.00 | 36 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $662.69 | $9,467.00 | $15.00 – $450.85 | 36 |
| Biopsy thigh soft tissues CPT 27324 | $101.85 | $1,455.00 | $55.00 – $7,662.42 | 36 |
| Biopsy tongue anterior two-thirds CPT 41100 | $46.76 | $668.00 | $67.76 – $304.00 | 36 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $35.98 | $514.00 | $23.00 – $8,539.30 | 36 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $42.56 | $608.00 | $20.00 – $304.00 | 36 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $103.18 | $1,474.00 | $30.00 – $825.77 | 34 |
| Biospy of bladder CPT 53899 | $324.45 | $4,635.00 | $38.00 – $304.00 | 14 |
| Biotinidase - quest CPT 82261 | $1.12 | $15.95 | $6.25 – $184.62 | 23 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $18.97 | $271.00 | $25.69 – $304.00 | 36 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $35.56 | $508.00 | $21.52 – $609.60 | 18 |
| Blepharoplasty lower 15820 CPT 15820 | $127.68 | $1,824.00 | $8.00 – $5,442.78 | 36 |
| Blepharoplasty upper 15822 CPT 15822 | $98.49 | $1,407.00 | $368.83 – $638.99 | 27 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $203.91 | $2,913.00 | $8.00 – $5,442.78 | 36 |
| Blepharp lwr eyelid fat pad CPT 15821 | $135.80 | $1,940.00 | $500.32 – $5,442.78 | 36 |
| Blink reflex test CPT 95933 | $5.46 | $78.00 | $32.69 – $267.23 | 37 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $885.71 | $12,653.00 | $575.00 – $821.68 | 5 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,302.00 | $18,600.00 | $74.00 – $720.00 | 9 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $883.75 | $12,625.00 | $7,500.00 – $10,717.50 | 5 |
| Bln press regulation 71-80cm HCPCS C1815 | $3,596.81 | $51,383.00 | $9,870.00 – $12,337.50 | 4 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $18.13 | $259.00 | $12.00 – $304.00 | 36 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $16.94 | $242.00 | $15.00 – $304.00 | 36 |
| Block paracervical nrv CPT 64435 | $19.60 | $280.00 | $38.11 – $304.00 | 36 |
| Block plantar digital nerve CPT 64455 | $34.09 | $487.00 | $28.29 – $304.00 | 36 |
| Block tap inj(s) w/wo img bi CPT 64488 | $14.14 | $202.00 | $8.00 – $425.93 | 36 |
| Block tap inj(s) w/wo img uni CPT 64486 | $27.09 | $387.00 | $8.00 – $346.98 | 36 |
| Blood Clotting (PT/INR) Test CPT 85610 | $44.03 | $629.00 | $0.73 – $38.98 | 36 |
| Blood Clotting (PTT) Test CPT 85730 | $49.56 | $708.00 | $2.09 – $66.03 | 23 |
| Blood Count (CBC) Test CPT 85025 | $43.19 | $617.00 | $2.78 – $85.50 | 23 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $28.56 | $408.00 | $2.27 – $71.14 | 23 |
| Blood count spun microhematocrit CPT 85013 | $0.49 | $7.00 | $0.73 – $25.98 | 23 |
| Blood Culture Test CPT 87040 | $81.34 | $1,162.00 | $3.76 – $113.48 | 23 |
| Blood draw capillary 36416 CPT 36416 | $1.96 | $28.00 | $1.31 – $6.86 | 15 |
| Blood gases o2 saturation direct measurement CPT 82805 | $78.96 | $1,128.00 | $10.53 – $309.14 | 23 |
| Blood gases ph venous CPT 82800 | $0.77 | $11.00 | $2.95 – $93.05 | 23 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $18.76 | $268.00 | $3.90 – $31.84 | 36 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $14.98 | $214.00 | $0.72 – $31.45 | 36 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $14.98 | $214.00 | $0.79 – $24.85 | 36 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $15.61 | $223.00 | $0.98 – $34.94 | 23 |
| Blood smear interpretation CPT 85060 | $6.44 | $92.00 | $11.49 – $44.20 | 33 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $11.41 | $163.00 | $1.05 – $37.83 | 23 |
| Blood typing abo CPT 86900 | $18.76 | $268.00 | $0.96 – $32.79 | 23 |
| Blood typing ag donor ea ag CPT 86902 | $35.53 | $507.50 | $0.91 – $31.91 | 23 |
| Blood typing patient serum CPT 86904 | $4.20 | $60.00 | $1.89 – $104.53 | 23 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $26.84 | $383.37 | $1.28 – $42.05 | 23 |
| Blood typing rh (d) CPT 86901 | $25.97 | $371.00 | $1.46 – $69.29 | 23 |
| Blood typing rh phenotype complete reference CPT 86906 | $4.20 | $60.00 | $2.71 – $85.21 | 23 |
| Bone biopsy open superficial CPT 20240 | $850.08 | $12,144.00 | $20.00 – $462.72 | 36 |
| Bone Density Scan (DEXA) CPT 77080 | $2.59 | $37.00 | $9.54 – $808.15 | 37 |
| Bone filler cerament 10cc HCPCS C1602 | $2,602.95 | $37,185.00 | $37,185.00 – $46,481.25 | 4 |
| Bone imaging multiple areas CPT 78305 | $10.71 | $153.00 | $38.66 – $277.15 | 34 |
| Bone/joint imaging ltd area CPT 78300 | $295.47 | $4,221.00 | $28.61 – $1,054.57 | 37 |
| Bone marrow;aspiration only 38220 CPT 38220 | $16.24 | $232.00 | $47.00 – $4,356.78 | 36 |
| Bone marrow aspir bone grfg CPT 20939 | $16.03 | $229.00 | $58.02 – $130.51 | 34 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,215.62 | $17,366.00 | $12.00 – $304.00 | 36 |
| Bone marrow harvest allogen CPT 38230 | $47.32 | $676.00 | $43.93 – $4,108.38 | 36 |
| Bone marrow harvest autolog CPT 38232 | $44.17 | $631.00 | $30.00 – $397.64 | 34 |
| Bone marrow imaging ltd CPT 78102 | $6.86 | $98.00 | $25.10 – $201.33 | 34 |
| Bone marrow imaging mult CPT 78103 | $8.12 | $116.00 | $29.74 – $264.35 | 27 |
| Bone marrow interpretation CPT 85097 | $13.25 | $189.34 | $50.56 – $2,125.32 | 24 |
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.