CMS Price Transparency Data

X-ray, hip

Facility: Adventist Health Lodi Memorial

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $56
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Adventist Health Lodi Memorial is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.63x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $35 (39%)
Insurance Median: $56 (63%)
Cash: $35 (39% of Medicare)
Ins. Median: $56 (63% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Shield Epn - All Other Plans $6 - $507 7%
Blue Shield Non-Epn $7 - $526 8%
Alignment Health Plan (Ahp)-All Plans $11 - $115 12%
Blue Shield Mcare Adv $11 - $115 12%
Healthnet Mcare $11 - $115 12%
Hp Of San Joaquin Mcr Adv $11 - $115 12%
Humana $11 - $115 12%
Knnex Health - All Plans $11 - $138 12%
Medcore(Omni Ipa) Op Only- All Plans $11 - $407 12%
Tricare $11 - $115 12%
UnitedHealthcare $11 - $650 12%
Ah Employee Health Plan - All Plans $12 - $207 13%
Hp Healthy Kids Pro Fee $12 13%
Cigna $13 - $1,408 15%
First Health- All Plans $13 - $1,283 15%
Beech Street- All Plans $14 - $1,408 16%
Hp Of San Joaquin Ppo - All Other Plans $14 - $1,487 16%
Multiplan- All Plans $14 - $1,252 16%
Kaiser Commercial - All Other Plans $15 - $642 17%
Kaiser Mcr Adv $15 - $115 17%
Networks By Design- All Plans $15 - $782 17%
Healthnet- All Other Plans $16 - $769 18%
Western Growers- All Plans $17 - $1,408 19%
Bc Mcal $31 - $37 35%
Blue Cross Blue Shield $31 - $364 35%
Celtic Ins Company - All Plans $37 - $60 42%
Kaiser Mcal $37 - $53 42%
Medi-Cal $37 - $53 42%
Three Rivers Provider Network- All Plans $38 - $1,408 43%
Hp Mcal Pro Fee $41 46%
Aetna $42 - $348 47%
Healthnet Mcal $42 - $76 47%
Hp Of San Joaquin Mcal $42 - $67 47%
Cca Health Plan Mcr Adv- All Plans $115 129%
Bright Health - All Plans $230 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals