Adventist Health Lodi Memorial
Adventist Health









Hospital Overview
Facility Details
CCN
050336
NPI
1316938301
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
194
Contact Information
Address
975 South Fairmont Avenue
Lodi, CA 95240
Phone
Insurance Accepted






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Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
---|---|---|---|---|
Aetna | Outpatient | CPT Pathology and Laboratory Procedures Range: 80047 - 89398 | Negotiated | Very Low |
Aetna | Facility | RC Radiology Diagnostic Range: 0320 - 0329 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Negotiated | Very High |
Aetna | Outpatient | HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037 | Negotiated | Very Low |
Aetna | Inpatient | MS-DRG Endocrine, Nutritional & Metabolic Diseases & Disorders Range: 614 - 645 | Negotiated | Low |
Aetna | Outpatient | CPT Multianalyte Assay Range: 0002M - 0018M | Negotiated | Very High |
Aetna | Outpatient | HCPCS Miscellaneous Medical Services Range: M0075 - M0301 | Negotiated | Average |
Aetna | Outpatient | HCPCS Other Therapeutic Procedures Range: C1052 - C1062 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999 | Negotiated | Very High |
Aetna | Facility | RC Pharmacy (Also see 063X, an extension of 250X) Range: 0250 - 0259 | Percentage of Bill Charged |
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