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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Adventist Health Lodi Memorial

Adventist Health · Lodi, CA

975 South Fairmont Avenue, Lodi, CA 95240(209) 334-3411

3 of 5

CMS star rating

194

Beds

8,510

Inpatient discharges a year

$308M

Net patient revenue a year

33

In-network payers

About this hospital

Adventist Health Lodi Memorial is a 194-bed voluntary non-profit - other hospital in Lodi, CA, affiliated with Adventist Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 195 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050336
NPI
1316938301
Health system
Adventist Health
Teaching
No Medicare-funded residents
County
San Joaquin County
Metro area
Stockton-Lodi, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services Adventist Health Lodi Memorial most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,321 - $30,128

from 4 insurers · median $13,217

Cigna$3,321
Insurer A*$11,837
Insurer B*$14,596
Insurer C*$30,128

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,321 - $30,128

from 4 insurers · median $19,865

Cigna$3,321
Insurer A*$18,009
Insurer B*$21,721
Insurer C*$30,128

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$597 - $2,207

from 3 insurers · median $1,164

Aetna$1,164
Insurer A*$597
Insurer B*$2,207
Medicare $469Nearby hospitals $82841% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,800 - $5,533

from 2 insurers · median $3,667

Aetna$5,533
Insurer A*$1,800
Medicare $4,351Nearby hospitals $9,23660% below nearby hospitals

14 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Adventist Health Lodi Memorial

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*16
686%
210
Insurer B*24
332%
190
Insurer C*20
155%
19
Insurer D*8
117%
20

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Adventist Health Lodi Memorial, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    3 of 5 stars

    • 188 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.87%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 19 services
    • 349 affiliated clinicians
    See doctors and services
  • Finances

    $308M net patient revenue

    • Operating margin on patient care -7.7%
    • $25.9M unreimbursed and uncompensated care
    • $5.9M net income
    See finances
  • Ownership and leadership

    Owned by Adventist Health System/west

    • Other
    • Brooke Mccollough, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Adventist Health Lodi Memorial in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1044474Lodi Memorial Hospital Association INC60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 55 more1316938301 Lodi Memorial Hospital Association Inc1306855523 Lodi Memorial Hospital Association Inc1194735886 Lodi Memorial Hospital Association Incand 19 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

975 South Fairmont Avenue, Lodi, CA 95240

(209) 334-3411

Get directions

Frequently asked questions

About Adventist Health Lodi Memorial's rates and hospital price transparency.

How much does an MRI cost at Adventist Health Lodi Memorial?

For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Adventist Health Lodi Memorial range from $394 to $2,512 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,905. The median at nearby comparable hospitals is $509. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Adventist Health Lodi Memorial?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventist Health Lodi Memorial range from $597 to $2,207 across 3 insurers. Aetna's rate is $1,164. The median at nearby comparable hospitals is $828. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Adventist Health Lodi Memorial?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Adventist Health Lodi Memorial range from $395 to $16,196 across 4 insurers. UnitedHealthcare's rate is $797. The median at nearby comparable hospitals is $6,016. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Adventist Health Lodi Memorial?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Adventist Health Lodi Memorial range from $3,321 to $30,128 across 4 insurers. Cigna's rate is $3,321. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Adventist Health Lodi Memorial's CMS star rating?

Adventist Health Lodi Memorial has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Adventist Health Lodi Memorial a teaching hospital?

CMS reports no Medicare-funded interns or residents at Adventist Health Lodi Memorial for fiscal year 2027.

Does Medicare penalize Adventist Health Lodi Memorial for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Adventist Health Lodi Memorial's base inpatient payments by an estimated 0.87% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Adventist Health Lodi Memorial?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (401 discharges), heart failure and shock with mcc (141 discharges), simple pneumonia and pleurisy with mcc (97 discharges).

What is Adventist Health Lodi Memorial's case mix index?

Adventist Health Lodi Memorial's Medicare case mix index is 1.58 for fiscal year 2027, higher than 37% of hospitals paid under the inpatient prospective payment system.

How many patients does Adventist Health Lodi Memorial admit?

Adventist Health Lodi Memorial reported 8,510 inpatient discharges and 33,538 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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