Hospital · CCN 050336

Adventist Health Lodi Memorial

975 S Fairmont Avenue, Lodi, CA 95240 · San Joaquin County
Part of Adventist Health · 186 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

40 admission types 38 outpatient services 21 Medicare-file findings
Billed per dollar paid, all admissions
9.90×
$243.7M billed against $24.6M paid across 1,592 Medicare discharges; the national figure is 5.03×.
—
of adults in San Joaquin County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.6%
uninsured in the county · state 7.5%
$86K
median household income
7.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (7 in the inpatient or outpatient file)ⓘ
30.7%
obesity in the countyⓘ
12.3%
diagnosed diabetes (PLACES)
5.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
401
$185,553
$19,373
9.6× st 6.2×
291
Heart failure and shock with mcc
141
$142,061
$13,576
10.5× st 6.5×
193
Simple pneumonia and pleurisy with mcc
97
$141,667
$13,532
10.5× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
71
$107,846
$10,576
10.2× st 6.1×
177
Respiratory infections and inflammations with mcc
64
$162,290
$16,256
10.0× st 6.6×
682
Renal failure with mcc
49
$133,087
$14,865
9.0× st 6.1×
698
Other kidney and urinary tract diagnoses with mcc
45
$138,301
$16,210
8.5× st 6.2×
689
Kidney and urinary tract infections with mcc
44
$130,697
$11,534
11.3× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
41
$134,277
$13,881
9.7× st 6.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
39
$108,412
$13,411
8.1× st 5.7×
189
Pulmonary edema and respiratory failure
36
$158,630
$12,754
12.4× st 6.7×
377
Gastrointestinal hemorrhage with mcc
34
$185,444
$17,635
10.5× st 6.4×
378
Gastrointestinal hemorrhage with cc
30
$104,614
$10,189
10.3× st 6.8×
690
Kidney and urinary tract infections without mcc
30
$98,785
$9,500
10.4× st 6.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
30
$121,680
$10,643
11.4× st 7.9×
683
Renal failure with cc
28
$89,445
$9,289
9.6× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
28
$393,048
$48,058
8.2× st 6.2×
190
Chronic obstructive pulmonary disease with mcc
28
$113,141
$11,141
10.2× st 7.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$97,518
$8,168
11.9× st 6.3×
308
Cardiac arrhythmia and conduction disorders with mcc
24
$163,069
$12,462
13.1× st 6.9×
603
Cellulitis without mcc
22
$111,310
$9,126
12.2× st 5.9×
481
Hip and femur procedures except major joint with cc
20
$197,588
$20,427
9.7× st 6.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
20
$204,173
$20,662
9.9× st 6.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
19
$91,871
$9,414
9.8× st 6.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
18
$290,652
$21,460
13.5× st 6.7×
638
Diabetes with cc
17
$87,612
$10,021
8.7× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
17
$147,806
$18,200
8.1× st 7.4×
389
Gastrointestinal obstruction with cc
17
$89,552
$9,156
9.8× st 6.9×
468
Revision of hip or knee replacement without cc/mcc
16
$114,716
$26,679
4.3× st 5.8×
194
Simple pneumonia and pleurisy with cc
15
$85,751
$8,113
10.6× st 7.5×
309
Cardiac arrhythmia and conduction disorders with cc
14
$82,338
$7,726
10.7× st 7.2×
699
Other kidney and urinary tract diagnoses with cc
14
$102,923
$10,625
9.7× st 6.1×
637
Diabetes with mcc
13
$208,456
$15,277
13.6× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
13
$85,892
$9,168
9.4× st 7.8×
813
Coagulation disorders
13
$242,701
$17,337
14.0× st 5.8×
304
Hypertension with mcc
13
$155,334
$11,962
13.0× st 5.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$70,681
$5,941
11.9× st 7.6×
330
Major small and large bowel procedures with cc
11
$222,709
$24,060
9.3× st 6.9×
069
Transient ischemia without thrombolytic
11
$126,778
$8,407
15.1× st 9.5×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$173,873
$19,683
8.8× st 5.6×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
361
$69,041
$3,428
20.1×
5115
Level 5 Musculoskeletal Procedures
316
$137,428
$16,447
8.4×
5302
Level 2 Upper GI Procedures
107
$27,808
$2,389
11.6×
5361
Level 1 Laparoscopy and Related Services
92
$113,421
$7,121
15.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
69
$17,568
$2,013
8.7×
5375
Level 5 Urology and Related Services
46
$57,592
$6,386
9.0×
5183
Level 3 Vascular Procedures
35
$38,212
$3,912
9.8×
5374
Level 4 Urology and Related Services
30
$48,674
$4,378
11.1×
5114
Level 4 Musculoskeletal Procedures
27
$121,431
$8,980
13.5×
5362
Level 2 Laparoscopy and Related Services
26
$162,564
$12,543
13.0×
5112
Level 2 Musculoskeletal Procedures
25
$19,306
$1,956
9.9×
5373
Level 3 Urology and Related Services
22
$29,588
$2,558
11.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
21
$70,167
$8,189
8.6×
5113
Level 3 Musculoskeletal Procedures
19
$48,325
$4,065
11.9×
5182
Level 2 Vascular Procedures
18
$32,515
$1,808
18.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
18
$64,599
$4,152
15.6×
5331
Complex GI Procedures
18
$86,491
$7,157
12.1×
5376
Level 6 Urology and Related Services
14
$97,379
$11,555
8.4×
5414
Level 4 Gynecologic Procedures
14
$36,787
$3,926
9.4×
5303
Level 3 Upper GI Procedures
12
$82,893
$4,810
17.2×
5431
Level 1 Nerve Procedures
12
$19,878
$2,425
8.2×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
03 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $121,680 is 11.4× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $126,778 is 15.1× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $158,630 is 12.4× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $113,141 is 10.2× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $141,667 is 10.5× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $85,751 is 10.6× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $142,061 is 10.5× the total payment
MS-DRG 304
info
inp_charge_10x_payment
average charge $155,334 is 13.0× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $163,069 is 13.1× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $82,338 is 10.7× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $70,681 is 11.9× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $185,444 is 10.5× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $104,614 is 10.3× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $111,310 is 12.2× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $208,456 is 13.6× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $97,518 is 11.9× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $130,697 is 11.3× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $98,785 is 10.4× the total payment
MS-DRG 813
info
inp_charge_10x_payment
average charge $242,701 is 14.0× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $290,652 is 13.5× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $107,846 is 10.2× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.