Aco ccm; at least 20 min 99490aco 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

$10.92

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.

$156.00

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.

$31.20 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $267.99 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 $31.20 ↑ +186%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $38.88 ↑ +256%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $40.32 ↑ +269%
UHC JLL UHC JLL $47.32 ↑ +333%
AETNA - ALL PLANS AETNA - ALL PLANS $48.89 ↑ +348%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $49.20 ↑ +351%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $49.81 ↑ +356%
UHC HMO UHC HMO $49.81 ↑ +356%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $58.93 ↑ +440%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $60.00 ↑ +449%
BC MCAL BC MCAL $62.12 ↑ +469%
MEDI-CAL MEDI-CAL $64.71 ↑ +493%
KAISER MCAL KAISER MCAL $64.71 ↑ +493%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $72.47 ↑ +564%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $77.21 ↑ +607%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $80.88 ↑ +641%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $85.79 ↑ +686%
HEALTHNET MCAL HEALTHNET MCAL $92.46 ↑ +747%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $96.00 ↑ +779%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $98.40 ↑ +801%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $108.00 ↑ +889%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $108.00 ↑ +889%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $108.00 ↑ +889%
CIGNA- ALL PLANS CIGNA- ALL PLANS $108.00 ↑ +889%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $114.00 ↑ +944%
KAISER MCR ADV KAISER MCR ADV $133.99 ↑ +1127%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $133.99 ↑ +1127%
UHC MCR ADV UHC MCR ADV $133.99 ↑ +1127%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $133.99 ↑ +1127%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $133.99 ↑ +1127%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $133.99 ↑ +1127%
HEALTHNET MCARE HEALTHNET MCARE $133.99 ↑ +1127%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $133.99 ↑ +1127%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $133.99 ↑ +1127%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $160.79 ↑ +1372%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $241.19 ↑ +2109%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $267.99 ↑ +2354%

Visitor-reported prices

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Aco ccm; at least 20 min 99490aco at other California hospitals

Hospital City Cash price Negotiated range
REEDLEY COMMUNITY HOSPITAL Reedley $29.64 $23.40 – $675.81
ST HELENA HOSPITAL Vallejo $9.15 $61.00 – $242.92
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $38.22 $30.68 – $1,014.93
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $102.96 $64.71 – $278.92
WILLITS HOSPITAL INC Willits $46.80 $64.71 – $407.41
RIDEOUT MEMORIAL HOSPITAL Marysville $20.90 $19.00 – $235.99
SONORA COMMUNITY HOSPITAL Sonora $26.52 $64.71 – $251.89
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi $42.12 $64.71 – $684.56

All California hospitals for this procedure →