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Emergency visit, moderate (level 3) at lodi hospital. CPT 99283.

What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.

Outpatient / ER

$1,242cash price (self-pay)
$1,911list price
$91.53–$1,720range insurers pay
Insurance planNegotiated rate
OPTUM | Managed Medicaid Transplant$91.53
Buckeye | Managed Medicaid$96.35
CARESOURCE | Managed Medicaid$96.35
ANTHEM | Managed Medicaid$101
MOLINA | Managed Medicaid$101
AMERIHEALTH | Managed Medicaid$106
OPTUM | Medicare Advantage Transplant$277
OPTUM | All Products VA$277
Anthem | Medicare Advantage$279
Oscar | All Products$540
HUMANA | Medicare Advantage HMO$573
MMO | Medicare Advantage HMO & PPO$573
Aetna | Medicare Advantage$612
Php | All Products$612
Phphi | All Products$612
Summacare | MEDICARE ADVANTAGE$612
Amish Community Aid Plan | ALL PRODUCTS$860
Aultcare | PPO/HMO$919
Ohcp | All Products$929
Omas | All Products$956
Mmo | Traditional$996
Ohio Healthy | TRANSPLANT$1,032
OPTUM | All Products Transplant$1,082
AETNA | Acop$1,085
Summacare | Preferred$1,101
Anthem | Hpn$1,157
Cigna | All Products$1,213
Anthem | Traditional$1,266
Cc Ehp | All Products$1,284
AETNA | Asa_Whirlpool_Peia$1,313

Inpatient

$1,242cash price (self-pay)
$1,911list price
$540–$1,720range insurers pay
Insurance planNegotiated rate
Oscar | All Products$690
Amish Community Aid Plan | ALL PRODUCTS$956
Anthem | Hpn$1,043
Anthem | PPO/HMO$1,228
Anthem | Traditional$1,291
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All common services at lodi hospital