ADVENTIST HEALTH LODI MEMORIAL

CCN 050336

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
5,846
Insurances with rates
33
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

10439465_1
$8,837
CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)
Gross
$126,248
10465458_1
$8,837
CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)
Gross
$126,248
10501752_1
$8,837
CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE)
Gross
$126,248
10263426_1
$7,043
Insertion of permanent leadless pacemaker using imaging guidance
Gross
$100,609
10465459_1
$6,628
CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)
Gross
$94,686
10555372_1
$6,628
CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)
Gross
$94,686
10619926_1
$6,628
CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)
Gross
$94,686
10753711_1
$5,523
PROSTHESIS, PENILE, INFLATABLE
Gross
$78,905
11171844_1
$5,523
PROSTHESIS, PENILE, INFLATABLE
Gross
$78,905
10263424_1
$5,511
Insertion of wireless pressure sensor into lung artery through tube with review by radiologist
Gross
$78,726
10161613_1
$4,971
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$71,014
10312472_1
$3,756
PROSTHESIS, PENILE, NON-INFLATABLE
Gross
$53,655
10889714_1
$3,314
REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT
Gross
$47,343
11435823_1
$3,314
CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)
Gross
$47,343
10114096_1
$3,207
Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment
Gross
$45,809
10371670_1
$3,093
JOINT DEVICE (IMPLANTABLE)
Gross
$44,187
11270937_1
$3,093
JOINT DEVICE (IMPLANTABLE)
Gross
$44,187
10761779_1
$2,872
JOINT DEVICE (IMPLANTABLE)
Gross
$41,031
11495811_1
$2,872
JOINT DEVICE (IMPLANTABLE)
Gross
$41,031
10360218_1
$2,430
PROSTHESIS, PENILE, INFLATABLE
Gross
$34,718
10451470_1
$2,430
JOINT DEVICE (IMPLANTABLE)
Gross
$34,718
11231817_1
$2,430
REPAIR DEVICE, URINARY, INCONTINENCE, WITH SLING GRAFT
Gross
$34,718
11415825_1
$2,430
JOINT DEVICE (IMPLANTABLE)
Gross
$34,718
10445388_1
$2,320
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$33,140
10114024_1
$2,209
SURGICAL SUPPLY; MISCELLANEOUS
Gross
$31,562
10114046_1
$2,209
STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM
Gross
$31,562
10311487_1
$2,209
JOINT DEVICE (IMPLANTABLE)
Gross
$31,562
10347877_1
$2,209
JOINT DEVICE (IMPLANTABLE)
Gross
$31,562
10369481_1
$2,209
JOINT DEVICE (IMPLANTABLE)
Gross
$31,562
10429431_1
$2,209
JOINT DEVICE (IMPLANTABLE)
Gross
$31,562
10491448_1
$2,209
JOINT DEVICE (IMPLANTABLE)
Gross
$31,562
11189809_1
$2,209
JOINT DEVICE (IMPLANTABLE)
Gross
$31,562
10114023_1
$1,988
SURGICAL SUPPLY; MISCELLANEOUS
Gross
$28,406
10114045_1
$1,988
STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM
Gross
$28,406
10743737_1
$1,988
JOINT DEVICE (IMPLANTABLE)
Gross
$28,406
11101806_1
$1,988
JOINT DEVICE (IMPLANTABLE)
Gross
$28,406
11423807_1
$1,988
JOINT DEVICE (IMPLANTABLE)
Gross
$28,406
10437376_1
$1,878
LEAD, NEUROSTIMULATOR (IMPLANTABLE)
Gross
$26,828
11321817_1
$1,878
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$26,828
10282032_2
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10282032_I_1
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10282032_I_2
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10282035_1
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10284133_1
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10285428_1
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10285431_1
$1,832
Nuclear medicine study, SPECT imaging with concurrent CT scan, at least 2 areas or separate acquisit
Gross
$26,167
10114000_1
$1,768
STENT, COATED/COVERED, WITH DELIVERY SYSTEM
Gross
$25,250
10114044_1
$1,768
STENT, NON-COATED/NON-COVERED, WITH DELIVERY SYSTEM
Gross
$25,250
10383358_1
$1,768
JOINT DEVICE (IMPLANTABLE)
Gross
$25,250
10676027_1
$1,768
JOINT DEVICE (IMPLANTABLE)
Gross
$25,250
Showing top 50 of 5,846 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.