99394 periodic comp preventive med 12 to 17 years est at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$161.71
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.
$314.00
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.
$78.65 with Partnership Health Plan vs $314.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $78.65 | ↓ -51% |
| Inland Empire Health Plan | Medicaid|> 21 | $78.65 | ↓ -51% |
| Inland Empire Health Plan | Medicaid|< 21 | $78.65 | ↓ -51% |
| Molina | Medicaid|< 21 | $78.65 | ↓ -51% |
| Molina | Medicaid|> 21 | $78.65 | ↓ -51% |
| Health Plan of San Joaquin | Medicaid|> 21 | $78.65 | ↓ -51% |
| Health Plan of San Joaquin | Medicaid|< 21 | $78.65 | ↓ -51% |
| Central California Alliance for Health | Medicaid|All Plans | $78.65 | ↓ -51% |
| California Health & Wellness | Medicaid|> 21 | $78.65 | ↓ -51% |
| Kaiser | Medicaid|> 21 | $78.65 | ↓ -51% |
| Partnership Health Plan | Medicaid|> 21 | $78.65 | ↓ -51% |
| California Health & Wellness | Medicaid|< 21 | $78.65 | ↓ -51% |
| Kern Health System | Medicaid|> 21 | $78.65 | ↓ -51% |
| Kern Health System | Medicaid|< 21 | $78.65 | ↓ -51% |
| Kaiser | Medicaid|< 21 | $78.65 | ↓ -51% |
| Blue Shield CA | Commercial|Exchange | $134.00 | ↓ -17% |
| Health Net | Medicaid|All Plans | $169.88 | ↑ +5% |
| Healthsmart | Commercial|All Plans | $188.40 | ↑ +17% |
| Blue Shield CA | Commercial|All Other Plans | $191.00 | ↑ +18% |
| Cigna | Commercial|All Other Plans | $204.10 | ↑ +26% |
| Cigna | Commercial|PPO | $204.10 | ↑ +26% |
| Kaiser | Commercial|All Plans | $216.66 | ↑ +34% |
| First Health | Commercial|All Plans | $251.20 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $295.16 | ↑ +83% |
| BCBS - Anthem | Commercial|All Other Plans | $298.30 | ↑ +84% |
| United | Commercial|HMO | $310.86 | ↑ +92% |
| United | Commercial|Non-Options PPO | $314.00 | ↑ +94% |
| United | Commercial|Options PPO | $314.00 | ↑ +94% |
| United | Commercial|All Other Plans | $314.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $314.00 | ↑ +94% |
Visitor-reported prices
Comments
99394 periodic comp preventive med 12 to 17 years est at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $139.20 | $54.07 – $204.82 |
| Healdsburg Hospital | Healdsburg | $139.74 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| St. Mary Medical Center | Long Beach | $147.92 | $70.79 – $393.25 |
| Glendale Memorial Hospital Health Center | Glendale | $35.86 | $27.50 – $332.69 |
| Mercy Medical Center Redding | Redding | $56.28 | $88.80 – $111.00 |