Aco cmplx chron care addl 20 min 99489aco 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

$12.88

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.

$184.00

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.

$25.48 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $140.04 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
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $25.48 ↑ +98%
CIGNA- ALL PLANS CIGNA- ALL PLANS $29.88 ↑ +132%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $31.75 ↑ +147%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $32.93 ↑ +156%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $33.87 ↑ +163%
UHC JLL UHC JLL $33.87 ↑ +163%
UHC HMO UHC HMO $33.87 ↑ +163%
AETNA - ALL PLANS AETNA - ALL PLANS $39.93 ↑ +210%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $40.18 ↑ +212%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $44.01 ↑ +242%
UHC MCR ADV UHC MCR ADV $44.01 ↑ +242%
KAISER MCR ADV KAISER MCR ADV $44.01 ↑ +242%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $44.01 ↑ +242%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $44.01 ↑ +242%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $44.01 ↑ +242%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $44.01 ↑ +242%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $44.01 ↑ +242%
HEALTHNET MCARE HEALTHNET MCARE $44.01 ↑ +242%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $44.01 ↑ +242%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $46.21 ↑ +259%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $48.13 ↑ +274%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $48.41 ↑ +276%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $49.00 ↑ +280%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $52.81 ↑ +310%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $57.21 ↑ +344%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $57.21 ↑ +344%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $57.21 ↑ +344%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $62.93 ↑ +389%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $63.05 ↑ +390%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $70.06 ↑ +444%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $88.02 ↑ +583%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $88.20 ↑ +585%
MEDI-CAL MEDI-CAL $98.00 ↑ +661%
KAISER MCAL KAISER MCAL $98.00 ↑ +661%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $109.76 ↑ +752%
BC MCAL BC MCAL $120.00 ↑ +832%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $122.50 ↑ +851%
HP MCAL PRO FEE HP MCAL PRO FEE $132.00 ↑ +925%
HEALTHNET MCAL HEALTHNET MCAL $140.04 ↑ +987%

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Aco cmplx chron care addl 20 min 99489aco at other California hospitals

Hospital City Cash price Negotiated range
Redwood City Medical Center Redwood City $77.28 not published
Santa Clara Medical Center SANTA CLARA $77.28 not published
Sacramento Medical Center SACRAMENTO $77.28 not published
Oakland Medical Center Oakland $77.28 not published
Walnut Creek Medical Center WALNUT CREEK $77.28 not published
REEDLEY COMMUNITY HOSPITAL Reedley $34.96 $0.73 – $240.00
San Leandro Medical Center SAN LEANDRO $77.28 not published
Santa Rosa Medical Center SANTA ROSA $77.28 not published

All California hospitals for this procedure →