Screen/visual acuity/bilat/quant 99173 at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$12.53
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.
$179.00
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.
$3.65 with CIGNA- ALL PLANS vs $78.00 with HP OF SAN JOAQUIN 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 →
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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 |
|---|---|---|---|
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $3.65 | ↓ -71% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $3.71 | ↓ -70% |
| UHC HMO | UHC HMO | $3.71 | ↓ -70% |
| UHC JLL | UHC JLL | $3.71 | ↓ -70% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $3.73 | ↓ -70% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $3.87 | ↓ -69% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $3.94 | ↓ -69% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $4.88 | ↓ -61% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $16.90 | ↑ +35% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $26.65 | ↑ +113% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $31.92 | ↑ +155% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $32.50 | ↑ +159% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $41.82 | ↑ +234% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $45.50 | ↑ +263% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $52.00 | ↑ +315% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $52.00 | ↑ +315% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $53.30 | ↑ +325% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $58.50 | ↑ +367% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $58.50 | ↑ +367% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $61.75 | ↑ +393% |
| BC MCAL | BC MCAL | $65.00 | ↑ +419% |
| KAISER MCAL | KAISER MCAL | $65.00 | ↑ +419% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $65.00 | ↑ +419% |
| MEDI-CAL | MEDI-CAL | $65.00 | ↑ +419% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $71.50 | ↑ +471% |
| HEALTHNET MCAL | HEALTHNET MCAL | $78.00 | ↑ +523% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $78.00 | ↑ +523% |
Visitor-reported prices
Comments
Screen/visual acuity/bilat/quant 99173 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3.33 | $1.30 – $4.90 |
| Redwood Memorial Hospital | Fortuna | $6.12 | not published |
| Mercy Medical Center Merced | Merced | $6.18 | $7.20 – $11.88 |
| Dominican Hospital | Santa Cruz | $39.60 | $57.20 – $79.20 |
| St. Mary Medical Center | Long Beach | $9.89 | $5.75 – $23.00 |
| Mercy Medical Center Redding | Redding | $3.05 | $4.80 – $5.88 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $41.23 | $0.08 – $2,699.00 |
| ST HELENA HOSPITAL | Vallejo | $19.65 | $36.00 – $36.00 |