8/100
#2,429 nationally
Adventist Health Lodi Memorial
975 S Fairmont Avenue, Lodi, CA 95240 · (209) 334-3411
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Adventist Health Lodi Memorial billed $10.24 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.2x
- volume-weighted across all its priced work
- Procedures priced
- 61
- inpatient and outpatient combined
- Rank in CA
- #206
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 6% of U.S. hospitals.
Better than 14% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 10% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
401 | $185,553 | $19,373 | +184% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
361 | $69,041 | $3,428 | +255% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
316 | $137,428 | $16,447 | +120% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
141 | $142,061 | $13,576 | +227% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
107 | $27,808 | $2,389 | +137% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
97 | $141,667 | $13,532 | +204% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
92 | $113,421 | $7,121 | +223% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
71 | $107,846 | $10,576 | +175% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
69 | $17,568 | $2,013 | +74% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
64 | $162,290 | $16,256 | +195% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$32,515 | $1,808 | +279% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$82,893 | $4,810 | +279% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$208,456 | $15,277 | +270% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$111,310 | $9,126 | +265% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$242,701 | $17,337 | +262% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$69,041 | $3,428 | +255% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$290,652 | $21,460 | +250% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$163,069 | $12,462 | +244% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$114,716 | $26,679 | +6% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$19,306 | $1,956 | +72% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$17,568 | $2,013 | +74% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$19,878 | $2,425 | +75% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$70,167 | $8,189 | +78% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$147,806 | $18,200 | +94% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$85,892 | $9,168 | +96% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$38,212 | $3,912 | +100% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.