99391 periodic comp preventive med less than 1 year est at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$12.04
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.
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What you pay up front if you don't use insurance.
$172.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$31.72 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
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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 →
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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 | $31.72 | ↑ +163% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $39.53 | ↑ +228% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $40.99 | ↑ +240% |
| UHC JLL | UHC JLL | $48.10 | ↑ +300% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $49.70 | ↑ +313% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $50.02 | ↑ +315% |
| UHC HMO | UHC HMO | $50.64 | ↑ +321% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $50.64 | ↑ +321% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $59.91 | ↑ +398% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $61.00 | ↑ +407% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $78.49 | ↑ +552% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $79.88 | ↑ +563% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $87.22 | ↑ +624% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $97.60 | ↑ +711% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $100.04 | ↑ +731% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $109.80 | ↑ +812% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $109.80 | ↑ +812% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $109.80 | ↑ +812% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $111.30 | ↑ +824% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $115.90 | ↑ +863% |
| MEDI-CAL | MEDI-CAL | $122.00 | ↑ +913% |
| KAISER MCAL | KAISER MCAL | $122.00 | ↑ +913% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $136.64 | ↑ +1035% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↑ +1162% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↑ +1162% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +1162% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +1162% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↑ +1162% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↑ +1162% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↑ +1162% |
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↑ +1162% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $152.50 | ↑ +1167% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +1188% |
| BC MCAL | BC MCAL | $159.00 | ↑ +1221% |
| HEALTHNET MCAL | HEALTHNET MCAL | $174.34 | ↑ +1348% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $174.90 | ↑ +1353% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | ↑ +1415% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +2425% |
Visitor-reported prices
Comments
99391 periodic comp preventive med less than 1 year est at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $96.57 | $37.52 – $142.10 |
| Healdsburg Hospital | Healdsburg | $107.10 | not published |
| Redwood Memorial Hospital | Fortuna | $82.62 | not published |
| Mercy Medical Center Merced | Merced | $161.71 | $49.76 – $310.86 |
| St. Mary Medical Center | Long Beach | $126.85 | $44.78 – $295.00 |
| Mercy Medical Center Redding | Redding | $45.13 | $71.20 – $89.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $38.76 | $2.01 – $675.81 |
| HANFORD COMMUNITY HOSPITAL | Selma | $30.21 | $70.09 – $267.12 |