99392 periodic comp preventive med 1 to 4 years est 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

$17.64

Cash price

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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.

$252.00

Gross charge

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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.

$45.24 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 →

Payer
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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
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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 $45.24 ↑ +156%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $56.38 ↑ +220%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $58.46 ↑ +231%
UHC JLL UHC JLL $68.61 ↑ +289%
AETNA - ALL PLANS AETNA - ALL PLANS $70.89 ↑ +302%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $71.34 ↑ +304%
UHC HMO UHC HMO $72.23 ↑ +309%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $72.23 ↑ +309%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $85.45 ↑ +384%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $87.00 ↑ +393%
CIGNA- ALL PLANS CIGNA- ALL PLANS $87.51 ↑ +396%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $111.95 ↑ +535%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $121.80 ↑ +590%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $124.39 ↑ +605%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $139.20 ↑ +689%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $139.20 ↑ +689%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $142.68 ↑ +709%
HEALTHNET MCARE HEALTHNET MCARE $152.00 ↑ +762%
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +762%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $152.00 ↑ +762%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $152.00 ↑ +762%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $152.00 ↑ +762%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $152.00 ↑ +762%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $152.00 ↑ +762%
UHC MCR ADV UHC MCR ADV $152.00 ↑ +762%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +779%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $156.60 ↑ +788%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $156.60 ↑ +788%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $165.30 ↑ +837%
BC MCAL BC MCAL $174.00 ↑ +886%
MEDI-CAL MEDI-CAL $174.00 ↑ +886%
KAISER MCAL KAISER MCAL $174.00 ↑ +886%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $174.00 ↑ +886%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $182.40 ↑ +934%
HP MCAL PRO FEE HP MCAL PRO FEE $191.40 ↑ +985%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $208.80 ↑ +1084%
HEALTHNET MCAL HEALTHNET MCAL $208.80 ↑ +1084%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +1623%

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99392 periodic comp preventive med 1 to 4 years est at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $114.56 $44.50 – $168.56
Healdsburg Hospital Healdsburg $124.95 not published
Redwood Memorial Hospital Fortuna $82.62 not published
Mercy Medical Center Merced Merced $161.71 $53.63 – $310.86
St. Mary Medical Center Long Beach $139.32 $48.27 – $324.00
Mercy Medical Center Redding Redding $50.20 $79.20 – $99.00
REEDLEY COMMUNITY HOSPITAL Reedley $45.22 $2.19 – $675.81
HANFORD COMMUNITY HOSPITAL Selma $33.06 $81.57 – $292.32

All California hospitals for this procedure →