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Emergency visit, moderate (level 3) at Lodi Memorial Hospital Association. CPT 99283.

What Lodi Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated August 2, 2026.

Outpatient / ER

$16.59cash price (self-pay)
$237list price
$44.60–$3,980range insurers pay
Insurance planNegotiated rate
Bc Mcal | Bc Mcal$44.60
Celtic Ins Company - All Plans | Celtic Ins Company - All Plans$44.60
Kaiser Mcal | Kaiser Mcal$44.60
Medi-Cal | Medi-Cal$44.60
Hp Mcal Pro Fee | Hp Mcal Pro Fee$49.06
Healthnet Mcal | Healthnet Mcal$53.52
Hp Of San Joaquin Mcal | Hp Of San Joaquin Mcal$53.52
Alignment Health Plan (Ahp)-All Plans | Alignment Health Plan (Ahp)-Al$68.18
Blue Shield Mcare Adv | Blue Shield Mcare Adv$68.18
Healthnet Mcare | Healthnet Mcare$68.18
Hp Of San Joaquin Mcr Adv | Hp Of San Joaquin Mcr Adv$68.18
Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans$68.18
Knnex Health - All Plans | Knnex Health - All Plans$68.18
Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans$68.18
UHC Mcr Adv | UHC Mcr Adv$68.18
Cigna- All Plans | Cigna- All Plans$69.41
Hp Healthy Kids Pro Fee | Hp Healthy Kids Pro Fee$71.59
Aetna - All Plans | Aetna - All Plans$73.64
Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl$75.00
First Health- All Plans | First Health- All Plans$81.82
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$85.34
UHC HMO | UHC HMO$85.34
UHC Jll | UHC Jll$85.34
Beech Street- All Plans | Beech Street- All Plans$88.63
Hp Of San Joaquin PPO - All Other Plans | Hp Of San Joaquin PPO - All $88.63
Multiplan- All Plans | Multiplan- All Plans$88.63
Kaiser Commercial - All Other Plans | Kaiser Commercial - All Other Pl$92.04
Kaiser Mcr Adv | Kaiser Mcr Adv$92.04
Networks By Design- All Plans | Networks By Design- All Plans$92.04
Western Growers- All Plans | Western Growers- All Plans$97.50
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All common services at Lodi Memorial Hospital Association