99394 periodic comp preventive med 12 to 17 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

$19.67

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.

$281.00

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.

$50.96 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 $50.96 ↑ +159%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $63.50 ↑ +223%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $65.86 ↑ +235%
UHC JLL UHC JLL $77.28 ↑ +293%
AETNA - ALL PLANS AETNA - ALL PLANS $79.85 ↑ +306%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $80.36 ↑ +309%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $81.36 ↑ +314%
UHC HMO UHC HMO $81.36 ↑ +314%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $96.26 ↑ +389%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $98.00 ↑ +398%
CIGNA- ALL PLANS CIGNA- ALL PLANS $98.82 ↑ +402%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $126.11 ↑ +541%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $137.20 ↑ +598%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $140.12 ↑ +612%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $152.00 ↑ +673%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $152.00 ↑ +673%
HEALTHNET MCARE HEALTHNET MCARE $152.00 ↑ +673%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $152.00 ↑ +673%
UHC MCR ADV UHC MCR ADV $152.00 ↑ +673%
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +673%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $152.00 ↑ +673%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $152.00 ↑ +673%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +688%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $156.80 ↑ +697%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $156.80 ↑ +697%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $160.72 ↑ +717%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $176.40 ↑ +797%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $176.40 ↑ +797%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $182.40 ↑ +827%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $186.20 ↑ +847%
BC MCAL BC MCAL $196.00 ↑ +896%
MEDI-CAL MEDI-CAL $196.00 ↑ +896%
KAISER MCAL KAISER MCAL $196.00 ↑ +896%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $196.00 ↑ +896%
HP MCAL PRO FEE HP MCAL PRO FEE $215.60 ↑ +996%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $235.20 ↑ +1096%
HEALTHNET MCAL HEALTHNET MCAL $235.20 ↑ +1096%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +1446%

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99394 periodic comp preventive med 12 to 17 years est at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $139.20 $54.07 – $204.82
Healdsburg Hospital Healdsburg $139.74 not published
Redwood Memorial Hospital Fortuna $109.65 not published
Mercy Medical Center Merced Merced $161.71 $78.65 – $310.86
St. Mary Medical Center Long Beach $147.92 $70.79 – $393.25
Glendale Memorial Hospital Health Center Glendale $35.86 $27.50 – $332.69
Mercy Medical Center Redding Redding $56.28 $88.80 – $111.00
REEDLEY COMMUNITY HOSPITAL Reedley $58.71 $2.48 – $675.81

All California hospitals for this procedure →