Adventist Health Lodi Memorial
Lodi, CA
Posts prices for 66 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) range across 7 matching MRF lines |
$69.16–$385 | $988–$5,500 | varies |
| Shoulder arthroscopy with decompression (29826) range across 5 matching MRF lines |
$4.69–$72.87 | $67–$1,041 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 8 matching MRF lines |
$21.42–$374.57 | $223–$5,351 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$71.82 | $1,026 | 0.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 5 matching MRF lines |
$21.35–$108.22 | $305–$1,546 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 4 matching MRF lines |
$24.08–$108.22 | $344–$1,546 | varies |
| Diagnostic colonoscopy (45378) range across 4 matching MRF lines |
$31.92–$105.28 | $456–$1,504 | varies |
| Colonoscopy with biopsy (45380) range across 4 matching MRF lines |
$34.72–$136.08 | $496–$1,944 | varies |
| Colonoscopy with lesion removal (45385) range across 4 matching MRF lines |
$43.82–$136.08 | $626–$1,944 | varies |
| Colonoscopy with endoscopic ultrasound (45391) range across 2 matching MRF lines |
$44.52–$60.76 | $636–$868 | varies |
| Laparoscopic gallbladder removal (47562) range across 3 matching MRF lines |
$21.21–$156.17 | $303–$2,231 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 6 matching MRF lines |
$14.56–$187.04 | $208–$2,672 | varies |
| Laparoscopic radical prostatectomy (55866) range across 2 matching MRF lines |
$207.41–$284.13 | $2,963–$4,059 | varies |
| Obstetric care, vaginal delivery (global) (59400) range across 2 matching MRF lines |
$416.08–$565.11 | $5,944–$8,073 | varies |
| Obstetric care, cesarean delivery (global) (59510) range across 2 matching MRF lines |
$459.13–$623 | $6,559–$8,900 | varies |
| Obstetric care, VBAC delivery (global) (59610) range across 2 matching MRF lines |
$432.53–$586.88 | $6,179–$8,384 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $18.62 | $266 | 0.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 4 matching MRF lines |
$26.95–$527.73 | $385–$7,539 | varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $76.86 | $1,098 | 0.1× |
| Cataract removal with lens insertion (66984) | $132.79 | $1,897 | 0.0× |
| CT head/brain without contrast (70450) range across 3 matching MRF lines |
$11.06–$577.22 | $158–$8,246 | varies |
| MRI brain without contrast (70551) range across 4 matching MRF lines |
$19.18–$854.49 | $274–$12,207 | varies |
| MRI brain with contrast (70552) range across 3 matching MRF lines |
$23.17–$868.14 | $331–$12,402 | varies |
| MRI brain without and with contrast (70553) range across 3 matching MRF lines |
$29.82–$902.72 | $426–$12,896 | varies |
| X-ray lower spine, 4+ views (72110) range across 4 matching MRF lines |
$41.58–$194.39 | $50–$2,777 | varies |
| MRI lumbar spine without contrast (72148) range across 3 matching MRF lines |
$19.32–$844.76 | $276–$12,068 | varies |
| CT pelvis with contrast (72193) range across 4 matching MRF lines |
$15.05–$705.95 | $108–$10,085 | varies |
| MRI lower-extremity joint without contrast (73721) range across 7 matching MRF lines |
$17.64–$630.21 | $126–$9,003 | varies |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$23.73–$1,205.82 | $339–$17,226 | varies |
| Ultrasound, abdomen complete (76700) range across 4 matching MRF lines |
$10.50–$289.38 | $150–$4,134 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 6 matching MRF lines |
$10.71–$313.46 | $153–$4,478 | varies |
| Ultrasound, transvaginal (76830) range across 5 matching MRF lines |
$9.03–$132.51 | $129–$1,893 | varies |
| Mammography, one breast (diagnostic) (77065) | $10.50 | $150 | 0.1× |
| Mammography, both breasts (diagnostic) (77066) | $12.95 | $185 | 0.1× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$4.97–$9.94 | $71–$142 | varies |
| Basic metabolic panel (80048) range across 5 matching MRF lines |
$10.57–$51.87 | $7.27–$741 | varies |
| Comprehensive metabolic panel (80053) range across 5 matching MRF lines |
$14.91–$70.07 | $10.56–$1,001 | varies |
| Obstetric panel (80055) range across 3 matching MRF lines |
$3.35–$46.90 | $47.81–$670 | varies |
| Lipid panel (80061) range across 9 matching MRF lines |
$1.48–$45.64 | $11.54–$652 | varies |
| Renal function panel (80069) range across 4 matching MRF lines |
$1.12–$44.87 | $8.68–$641 | varies |
| Hepatic function panel (80076) range across 4 matching MRF lines |
$11.83–$51.87 | $8.17–$741 | varies |
| Urinalysis, non-automated, with microscopy (81000) range across 3 matching MRF lines |
$1.12–$8.26 | $16–$118 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 5 matching MRF lines |
$1.75–$4.48 | $2.15–$64 | varies |
| PSA, total (84153) range across 6 matching MRF lines |
$1.14–$45.57 | $16.35–$651 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 7 matching MRF lines |
$1.03–$44.87 | $14.76–$641 | varies |
| CBC with automated differential (85025) range across 6 matching MRF lines |
$10.08–$43.19 | $6.75–$617 | varies |
| CBC, automated (85027) range across 7 matching MRF lines |
$7.42–$28.56 | $5.71–$408 | varies |
| Prothrombin time (PT) (85610) range across 9 matching MRF lines |
$1.19–$44.03 | $3.49–$629 | varies |
| Partial thromboplastin time (PTT) (85730) range across 11 matching MRF lines |
$1.33–$49.56 | $5.34–$708 | varies |
| Psychotherapy, 30 minutes (90832) range across 5 matching MRF lines |
$10.08–$18.55 | $144–$265 | varies |
| Psychotherapy, 45 minutes (90834) range across 2 matching MRF lines |
$16.17–$18.69 | $231–$267 | varies |
| Psychotherapy, 60 minutes (90837) range across 2 matching MRF lines |
$23.87–$27.65 | $341–$395 | varies |
| Family psychotherapy, without patient (50 min) (90846) | $17.50 | $250 | 0.1× |
| Family psychotherapy, with patient (50 min) (90847) | $18.27 | $261 | 0.1× |
| Group psychotherapy (90853) | $5.04 | $72 | 0.0× |
| Electrocardiogram (ECG), complete (93000) range across 3 matching MRF lines |
$4.06–$4.48 | $58–$64 | varies |
| Left heart catheterization (93452) | $38.08 | $544 | 0.0× |
| Sleep study (attended polysomnography) (95810) range across 6 matching MRF lines |
$27.16–$512.19 | $287–$7,317 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$5.46–$23.73 | $78–$339 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 5 matching MRF lines |
$11.20–$49.35 | $160–$705 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 5 matching MRF lines |
$18.27–$61.46 | $261–$878 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 5 matching MRF lines |
$24.78–$78.26 | $354–$1,118 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 5 matching MRF lines |
$12.04–$21.07 | $172–$301 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 4 matching MRF lines |
$16.87–$30.17 | $241–$431 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 3 matching MRF lines |
$16.73–$23.03 | $239–$329 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$21.84–$23.03 | $312–$329 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 398 codes with posted prices and Medicare benchmarks
- Lab & pathology: 985 codes with posted prices and Medicare benchmarks
- Visits & medical services: 368 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 2669 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 179 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 531.8 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.