Aco annual medicare visit (awv), initial g0438aco 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

$29.89

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.

$427.00

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.

$8.63 with BLUE CROSS NON-MCS - ALL OTHER PLANS vs $498.00 with HEALTHNET MCAL — 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
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $8.63 ↓ -71%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $107.90 ↑ +261%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $134.46 ↑ +350%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $139.44 ↑ +367%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $152.00 ↑ +409%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $152.00 ↑ +409%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $152.00 ↑ +409%
HEALTHNET MCARE HEALTHNET MCARE $152.00 ↑ +409%
UHC MCR ADV UHC MCR ADV $152.00 ↑ +409%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $152.00 ↑ +409%
KAISER MCR ADV KAISER MCR ADV $152.00 ↑ +409%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $152.00 ↑ +409%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $155.04 ↑ +419%
UHC JLL UHC JLL $163.63 ↑ +447%
AETNA - ALL PLANS AETNA - ALL PLANS $169.07 ↑ +466%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $170.15 ↑ +469%
UHC HMO UHC HMO $172.27 ↑ +476%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $172.27 ↑ +476%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $181.05 ↑ +506%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $190.10 ↑ +536%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $199.16 ↑ +566%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $203.81 ↑ +582%
CIGNA- ALL PLANS CIGNA- ALL PLANS $207.50 ↑ +594%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $207.50 ↑ +594%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $217.26 ↑ +627%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $235.37 ↑ +687%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $235.37 ↑ +687%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $258.90 ↑ +766%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $267.01 ↑ +793%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $304.00 ↑ +917%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $332.00 ↑ +1011%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $373.50 ↑ +1150%
BC MCAL BC MCAL $415.00 ↑ +1288%
MEDI-CAL MEDI-CAL $415.00 ↑ +1288%
KAISER MCAL KAISER MCAL $415.00 ↑ +1288%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $415.00 ↑ +1288%
HP MCAL PRO FEE HP MCAL PRO FEE $456.50 ↑ +1427%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $498.00 ↑ +1566%
HEALTHNET MCAL HEALTHNET MCAL $498.00 ↑ +1566%

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Aco annual medicare visit (awv), initial g0438aco at other California hospitals

Hospital City Cash price Negotiated range
Redwood City Medical Center Redwood City $420.00 not published
Santa Clara Medical Center SANTA CLARA $420.00 not published
Sacramento Medical Center SACRAMENTO $420.00 not published
Oakland Medical Center Oakland $420.00 not published
Walnut Creek Medical Center WALNUT CREEK $420.00 not published
Mark Twain Medical Center San Andreas $293.04 $54.85 – $207.76
Healdsburg Hospital Healdsburg $576.30 not published
Redwood Memorial Hospital Fortuna $270.30 not published

All California hospitals for this procedure →