Emergency visit, highest (level 5) at lodi hospital. CPT 99285.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$2,750cash price (self-pay)
$4,230list price
$91.53–$3,807range insurers pay
| Insurance plan | Negotiated 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 |
| Anthem | Medicare Advantage | $608 |
| OPTUM | Medicare Advantage Transplant | $613 |
| OPTUM | All Products VA | $613 |
| Oscar | All Products | $1,196 |
| HUMANA | Medicare Advantage HMO | $1,269 |
| MMO | Medicare Advantage HMO & PPO | $1,269 |
| Aetna | Medicare Advantage | $1,354 |
| Php | All Products | $1,354 |
| Phphi | All Products | $1,354 |
| Summacare | MEDICARE ADVANTAGE | $1,354 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,904 |
| Aultcare | PPO/HMO | $2,035 |
| Ohcp | All Products | $2,056 |
| Omas | All Products | $2,115 |
| Mmo | Traditional | $2,204 |
| Ohio Healthy | TRANSPLANT | $2,284 |
| OPTUM | All Products Transplant | $2,394 |
| AETNA | Acop | $2,403 |
| Summacare | Preferred | $2,436 |
| Anthem | Hpn | $2,561 |
| Cigna | All Products | $2,686 |
| Anthem | Traditional | $2,802 |
| Cc Ehp | All Products | $2,843 |
| AETNA | Asa_Whirlpool_Peia | $2,906 |
Inpatient
$2,750cash price (self-pay)
$4,230list price
$1,196–$3,807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $1,527 |
| Amish Community Aid Plan | ALL PRODUCTS | $2,115 |
| Anthem | Hpn | $2,310 |
| Anthem | PPO/HMO | $2,717 |
| Anthem | Traditional | $2,858 |
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