CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Adventist Health Lodi Memorial

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.8× the $118 Medicare rate · typically $73–$223
modeled estimate · not a bill or quote
What this hospital charges insurers
$96
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $95 This hospital $96 Cash price $16 Hospital's list price $225

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $96

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $95 (about 0.8× the $118 Medicare rate). Adventist Health Lodi Memorial charges insurers about $96, or about $16 in cash — about the fair price. Located in Lodi, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $71 - $293 60%
Blue Cross Blue Shieldmajor $71 - $504 60%
Aetnamajor $92 - $287 78%
Cignamajor $87 - $634 74%
Humanamajor $71 - $152 60%
Kaiser Permanentemajor $57 - $289 48%
Bright Health $142 - $304 121%
Health Net $69 - $346 59%
+ 12 smaller / regional plans $57 - $352
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals