Initial hosp neonate 28 d/less than not critically ill 99477 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$59.15
Cash price 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.
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What you pay up front if you don't use insurance.
$845.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$152.00 with TRICARE BLUE SHIELD - ALL PLANS vs $737.10 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 →
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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 ?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 ?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 |
|---|---|---|---|
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | ↑ +157% |
| UHC MCR ADV | UHC MCR ADV | $152.00 | ↑ +157% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | ↑ +157% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | ↑ +157% |
| KAISER MCR ADV | KAISER MCR ADV | $152.00 | ↑ +157% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | ↑ +157% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | ↑ +157% |
| HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | ↑ +157% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | ↑ +162% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | ↑ +208% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $212.94 | ↑ +260% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $265.36 | ↑ +349% |
| MEDI-CAL | MEDI-CAL | $265.48 | ↑ +349% |
| BC MCAL | BC MCAL | $265.48 | ↑ +349% |
| KAISER MCAL | KAISER MCAL | $265.48 | ↑ +349% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $265.48 | ↑ +349% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $273.60 | ↑ +363% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $275.18 | ↑ +365% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $292.03 | ↑ +394% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $304.00 | ↑ +414% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $311.96 | ↑ +427% |
| HEALTHNET MCAL | HEALTHNET MCAL | $318.58 | ↑ +439% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $318.58 | ↑ +439% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $333.66 | ↑ +464% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $335.79 | ↑ +468% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $356.52 | ↑ +503% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $386.23 | ↑ +553% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $386.23 | ↑ +553% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $386.23 | ↑ +553% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $401.09 | ↑ +578% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $402.21 | ↑ +580% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $402.62 | ↑ +581% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $424.85 | ↑ +618% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $457.79 | ↑ +674% |
| UHC HMO | UHC HMO | $457.79 | ↑ +674% |
| UHC JLL | UHC JLL | $457.79 | ↑ +674% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $526.94 | ↑ +791% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $585.50 | ↑ +890% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $737.10 | ↑ +1146% |
Visitor-reported prices
Comments
Initial hosp neonate 28 d/less than not critically ill 99477 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $155.61 | $9.87 – $622.20 |
| HANFORD COMMUNITY HOSPITAL | Selma | $155.61 | $139.00 – $628.33 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $122.85 | $265.48 – $630.60 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $540.54 | $265.48 – $457.79 |
| WILLITS HOSPITAL INC | Willits | $245.70 | $265.48 – $631.59 |
| SONORA COMMUNITY HOSPITAL | Sonora | $139.23 | $152.00 – $631.59 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $221.13 | $265.48 – $630.60 |
| ADVENTIST HEALTH TULARE | Tulare | $155.61 | $265.48 – $545.60 |