99383 initial comp preventive med 5 to 11 years new at LODI MEMORIAL HOSPITAL ASSOCIATION INC

975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301

Source: hospital's published price file ↗ · Published Aug 2, 2026 · Ingested Sep 16, 2026

$24.43

Cash price

?

Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$349.00

Gross charge

?

Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$56.94 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $304.00 with BRIGHT HEALTH - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
?

Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
?

Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
?

Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $56.94 ↑ +133%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $70.96 ↑ +190%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $73.58 ↑ +201%
UHC JLL UHC JLL $86.35 ↑ +253%
AETNA - ALL PLANS AETNA - ALL PLANS $89.22 ↑ +265%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $89.79 ↑ +268%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $90.91 ↑ +272%
UHC HMO UHC HMO $90.91 ↑ +272%
CIGNA- ALL PLANS CIGNA- ALL PLANS $98.82 ↑ +305%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $107.55 ↑ +340%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $109.50 ↑ +348%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $140.90 ↑ +477%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $152.00 ↑ +522%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $152.00 ↑ +522%
HEALTHNET MCARE HEALTHNET MCARE $152.00 ↑ +522%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $152.00 ↑ +522%
UHC MCR ADV UHC MCR ADV $152.00 ↑ +522%
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +522%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $152.00 ↑ +522%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $152.00 ↑ +522%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $153.30 ↑ +528%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +535%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $156.56 ↑ +541%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $175.20 ↑ +617%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $175.20 ↑ +617%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $179.58 ↑ +635%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $182.40 ↑ +647%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $197.10 ↑ +707%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $197.10 ↑ +707%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $208.05 ↑ +752%
BC MCAL BC MCAL $219.00 ↑ +796%
MEDI-CAL MEDI-CAL $219.00 ↑ +796%
KAISER MCAL KAISER MCAL $219.00 ↑ +796%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $219.00 ↑ +796%
HP MCAL PRO FEE HP MCAL PRO FEE $240.90 ↑ +886%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $262.80 ↑ +976%
HEALTHNET MCAL HEALTHNET MCAL $262.80 ↑ +976%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +1144%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

99383 initial comp preventive med 5 to 11 years new at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $133.87 $52.00 – $196.98
Healdsburg Hospital Healdsburg $134.64 not published
Redwood Memorial Hospital Fortuna $109.65 not published
Mercy Medical Center Merced Merced $134.93 $78.65 – $259.38
St. Mary Medical Center Long Beach $167.27 $70.79 – $393.25
REEDLEY COMMUNITY HOSPITAL Reedley $51.68 $2.48 – $675.81
HANFORD COMMUNITY HOSPITAL Selma $41.61 $93.29 – $367.92
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $32.85 $66.97 – $308.79

All California hospitals for this procedure →