99397 periodic comp preventive med 65+ years est at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$217.85
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.
$423.00
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.
$134.00 with Blue Shield CA vs $423.00 with United — 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|Exchange | $134.00 | ↓ -38% |
| BCBS - Anthem | Medicaid|> 21 | $136.16 | ↓ -37% |
| BCBS - Anthem | Medicaid|< 21 | $136.16 | ↓ -37% |
| Inland Empire Health Plan | Medicaid|> 21 | $147.05 | ↓ -32% |
| Molina | Medicaid|< 21 | $147.05 | ↓ -32% |
| Molina | Medicaid|> 21 | $147.05 | ↓ -32% |
| Kaiser | Medicaid|< 21 | $147.05 | ↓ -32% |
| Kaiser | Medicaid|> 21 | $147.05 | ↓ -32% |
| Partnership Health Plan | Medicaid|< 21 | $147.05 | ↓ -32% |
| Partnership Health Plan | Medicaid|> 21 | $147.05 | ↓ -32% |
| Kern Health System | Medicaid|< 21 | $147.05 | ↓ -32% |
| Kern Health System | Medicaid|> 21 | $147.05 | ↓ -32% |
| California Health & Wellness | Medicaid|< 21 | $147.05 | ↓ -32% |
| California Health & Wellness | Medicaid|> 21 | $147.05 | ↓ -32% |
| Central California Alliance for Health | Medicaid|All Plans | $147.05 | ↓ -32% |
| Health Plan of San Joaquin | Medicaid|< 21 | $147.05 | ↓ -32% |
| Health Plan of San Joaquin | Medicaid|> 21 | $147.05 | ↓ -32% |
| Inland Empire Health Plan | Medicaid|< 21 | $147.05 | ↓ -32% |
| Blue Shield CA | Commercial|All Other Plans | $191.00 | ↓ -12% |
| Healthsmart | Commercial|All Plans | $253.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $274.95 | ↑ +26% |
| Cigna | Commercial|PPO | $274.95 | ↑ +26% |
| Kaiser | Commercial|All Plans | $291.87 | ↑ +34% |
| Health Net | Medicaid|All Plans | $317.63 | ↑ +46% |
| First Health | Commercial|All Plans | $338.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $397.62 | ↑ +83% |
| United | Commercial|HMO | $418.77 | ↑ +92% |
| United | Commercial|Non-Options PPO | $423.00 | ↑ +94% |
| United | Commercial|All Other Plans | $423.00 | ↑ +94% |
| United | Commercial|Options PPO | $423.00 | ↑ +94% |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $136.17 | not published |
| Redwood Memorial Hospital | Fortuna | $164.73 | not published |
| St. Mary Medical Center | Long Beach | $150.93 | $87.75 – $735.25 |
| Glendale Memorial Hospital Health Center | Glendale | $81.50 | $62.50 – $622.02 |