Adventist Health Lodi Memorial
ADVENTIST HEALTH LODI MEMORIAL in Lodi, CA charges 11.2x the Medicare reimbursement rate across 39 analyzed procedures, with 95% classified as pricing outliers.
Lodi, CA 95240 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
11.2x
Charge / Medicare rate
Max markup
15.73x
Worst procedure
Procedures analyzed
39
With pricing data
Outlier procedures
94.9%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $184,244 | $92,122 | — | 15.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $101,548 | $50,774 | — | 15.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $158,662 | $79,331 | — | 14.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $95,215 | $47,607 | — | 13.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $91,707 | $45,853 | — | 13.5x |
| DIABETES WITH CC | 638 | $100,159 | $50,079 | — | 13x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $115,235 | $57,618 | — | 12.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $160,705 | $80,352 | — | 12.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $109,206 | $54,603 | — | 12.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $103,532 | $51,766 | — | 12.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $113,566 | $56,783 | — | 12.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $74,506 | $37,253 | — | 12x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $142,406 | $71,203 | — | 11.9x |
| RENAL FAILURE WITH CC | 683 | $94,709 | $47,355 | — | 11.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $112,863 | $56,431 | — | 11.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $172,448 | $86,224 | — | 11.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $77,562 | $38,781 | — | 11.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $130,126 | $65,063 | — | 11.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $112,856 | $56,428 | — | 11.2x |
| CELLULITIS WITHOUT MCC | 603 | $82,935 | $41,468 | — | 10.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $72,318 | $36,159 | — | 10.6x |
| RENAL FAILURE WITH MCC | 682 | $124,803 | $62,401 | — | 10.5x |
| DIABETES WITH MCC | 637 | $126,610 | $63,305 | — | 10.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $123,343 | $61,671 | — | 10.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $215,528 | $107,764 | — | 10.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $119,424 | $59,712 | — | 10.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $731,485 | $365,742 | — | 10.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $182,156 | $91,078 | — | 10.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $88,114 | $44,057 | — | 10.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $165,498 | $82,749 | — | 10.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $190,340 | $95,170 | — | 9.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $170,426 | $85,213 | — | 9.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $156,630 | $78,315 | — | 9.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $209,267 | $104,633 | — | 9.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $171,503 | $85,752 | — | 9.1x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $314,129 | $157,064 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $140,104 | $70,052 | — | 8.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $396,084 | $198,042 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $96,897 | $48,448 | — | 7.5x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use