Advance care planning each additional 30 min 99498 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

$12.46

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.

$178.00

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.

$43.68 with MEDCORE(OMNI IPA) OP ONLY- ALL PLANS vs $151.20 with THREE RIVERS PROVIDER NETWORK- 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 $43.68 ↑ +251%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $54.43 ↑ +337%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $56.45 ↑ +353%
MEDI-CAL MEDI-CAL $62.64 ↑ +403%
BC MCAL BC MCAL $62.64 ↑ +403%
KAISER MCAL KAISER MCAL $62.64 ↑ +403%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $62.64 ↑ +403%
UHC MCR ADV UHC MCR ADV $64.18 ↑ +415%
KAISER MCR ADV KAISER MCR ADV $64.18 ↑ +415%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $64.18 ↑ +415%
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $64.18 ↑ +415%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $64.18 ↑ +415%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $64.18 ↑ +415%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $64.18 ↑ +415%
HEALTHNET MCARE HEALTHNET MCARE $64.18 ↑ +415%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $64.18 ↑ +415%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $64.18 ↑ +415%
UHC JLL UHC JLL $66.24 ↑ +432%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $67.39 ↑ +441%
AETNA - ALL PLANS AETNA - ALL PLANS $68.44 ↑ +449%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $68.88 ↑ +453%
HP MCAL PRO FEE HP MCAL PRO FEE $68.90 ↑ +453%
UHC HMO UHC HMO $69.74 ↑ +460%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $69.74 ↑ +460%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $70.60 ↑ +467%
HEALTHNET MCAL HEALTHNET MCAL $75.17 ↑ +503%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $75.17 ↑ +503%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $77.02 ↑ +518%
CIGNA- ALL PLANS CIGNA- ALL PLANS $81.52 ↑ +554%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $82.50 ↑ +562%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $83.43 ↑ +570%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $83.43 ↑ +570%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $83.43 ↑ +570%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $84.00 ↑ +574%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $91.78 ↑ +637%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $108.09 ↑ +767%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $120.10 ↑ +864%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $128.36 ↑ +930%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $151.20 ↑ +1113%

Visitor-reported prices

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Advance care planning each additional 30 min 99498 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $131.21 $50.97 – $193.06
Mercy Medical Center Merced Merced $58.20 $62.64 – $113.00
REEDLEY COMMUNITY HOSPITAL Reedley $33.25 $2.10 – $206.85
ST HELENA HOSPITAL Vallejo $23.25 $62.64 – $229.36
HANFORD COMMUNITY HOSPITAL Selma $33.06 $62.64 – $206.85
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $26.10 $62.64 – $209.65
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $115.50 $20.67 – $115.93
WILLITS HOSPITAL INC Willits $52.50 $62.64 – $209.98

All California hospitals for this procedure →