California / Adventist Health Lodi Memorial
CMS certification 050336 · Lodi, CA · 3 entries in CMS's price-transparency list
Adventist Health Lodi Memorial: charges and Medicare payments
Adventist Health Lodi Memorial reported 1,592 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 9.9 times what it was paid — among the higher ratios in California, number 25 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 401 stays at an average charge of $185,553, 105% above the national average. It also billed 1,302 outpatient services, charging 12.99 times what Medicare paid.
- 1Medicare inpatient stays 1,592
- 2Charge ÷ paid, inpatient 9.9×
- 3Rank in CA (highest ratio = 1) 25 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 40 DRGs that can be compared with the national average, Adventist Health Lodi Memorial charged more than the national average in 39 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 401 | $185,553 | +105% | $19,373 |
| 291 Heart Failure and Shock with MCC | 141 | $142,061 | +152% | $13,576 |
| 193 Simple Pneumonia and Pleurisy with MCC | 97 | $141,667 | +137% | $13,532 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 71 | $107,846 | +120% | $10,576 |
| 177 Respiratory Infections and Inflammations with MCC | 64 | $162,290 | +130% | $16,256 |
| 682 Renal Failure with MCC | 49 | $133,087 | +102% | $14,865 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 45 | $138,301 | +88% | $16,210 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $130,697 | +155% | $11,534 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 41 | $134,277 | +77% | $13,881 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $108,412 | +80% | $13,411 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $158,630 | +176% | $12,754 |
| 377 Gastrointestinal Hemorrhage with MCC | 34 | $185,444 | +117% | $17,635 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $121,680 | +118% | $10,643 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $104,614 | +115% | $10,189 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $98,785 | +161% | $9,500 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 28 | $113,141 | +124% | $11,141 |
| 683 Renal Failure with CC | 28 | $89,445 | +120% | $9,289 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 28 | $393,048 | +72% | $48,058 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $97,518 | +163% | $8,168 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $163,069 | +188% | $12,462 |
| 603 Cellulitis without MCC | 22 | $111,310 | +199% | $9,126 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $197,588 | +96% | $20,427 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $204,173 | +100% | $20,662 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $91,871 | +129% | $9,414 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $290,652 | +196% | $21,460 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $147,806 | +48% | $18,200 |
| 389 Gastrointestinal Obstruction with CC | 17 | $89,552 | +130% | $9,156 |
| 638 Diabetes with CC | 17 | $87,612 | +110% | $10,021 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 16 | $114,716 | -7% | $26,679 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $85,751 | +123% | $8,113 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $82,338 | +128% | $7,726 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $102,923 | +117% | $10,625 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $85,892 | +70% | $9,168 |
| 304 Hypertension with MCC | 13 | $155,334 | +172% | $11,962 |
| 637 Diabetes with MCC | 13 | $208,456 | +213% | $15,277 |
| 813 Coagulation Disorders | 13 | $242,701 | +203% | $17,337 |
| 069 Transient Ischemia without Thrombolytic | 11 | $126,778 | +151% | $8,407 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $70,681 | +146% | $5,941 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $222,709 | +87% | $24,060 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 11 | $173,873 | +82% | $19,683 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Lodi Memorial charged $185,553 on average, 30% more than the California average of $143,063, and was paid $19,373 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Lodi Memorial charged $142,061 on average, 41% more than the California average of $100,739, and was paid $13,576 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventist Health Lodi Memorial charged $141,667 on average, 37% more than the California average of $103,761, and was paid $13,532 against a state average of $15,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventist Health Lodi Memorial charged $107,846 on average, 42% more than the California average of $76,120, and was paid $10,576 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $69,041 was 66% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $137,428 was 26% above the state average of $109,149. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $27,808 was 46% above the state average of $19,034. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $113,421 was 76% above the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Health Lodi Memorial in Lodi, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-01-10 (CMS case 1287)
- Met Requirements — 2024-03-05 (CMS case 2313)
- Met Requirements — 2025-08-27 (CMS case 6408)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.