Ablation cryo adrenal tumor at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
not published by hospital
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.
not published by hospital
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.
$5,322.00 with Aetna vs $19,600.00 with Health Net — 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 |
|---|---|---|---|
| Aetna | Commercial|All Other Plans | $5,322.00 | — |
| Aetna | Commercial|HMO | $5,322.00 | — |
| Aetna | Commercial|PPO | $5,322.00 | — |
| Humana | Medicare|All Plans | $7,413.14 | — |
| Aetna | Medicare|All Plans | $7,413.14 | — |
| United | Medicare|All Plans | $7,413.14 | — |
| Health Net | Medicare|All Plans | $7,413.14 | — |
| Kaiser | Medicare|All Plans | $7,413.14 | — |
| BCBS - Anthem | Medicare|All Plans | $7,413.14 | — |
| Blue Shield CA | Medicare|All Plans | $7,413.14 | — |
| Scan Health Plan | Medicare|All Plans | $7,413.14 | — |
| LA Care | Medicare|All Plans | $7,413.14 | — |
| Health Net | Commercial|Care Product | $17,217.00 | — |
| Health Net | Commercial|FFS | $19,600.00 | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Cigna | Commercial|All Other Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Cigna | Commercial|PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Ablation cryo adrenal tumor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $10,840.56 | $8,583.81 – $27,307.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,066.49 | $6,682.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $9,703.20 | $3,429.00 – $15,436.00 |
| Dominican Hospital | Santa Cruz | $7,547.85 | $1,932.00 – $25,088.80 |
| Northridge Hospital Medical Center | Northridge | $2,647.99 | $2,182.93 – $9,491.00 |
| St Jude Medical Center | Fullerton | $8,225.76 | $3,363.00 – $14,384.78 |
| Providence St Joseph Hospital Orange | Orange | $3,599.52 | $3,363.00 – $14,839.00 |
| Providence Saint John's Health Center | Santa Monica | $2,450.00 | $3,409.47 – $13,460.00 |