Acute venous thrombus image at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,113.43
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.
?
What you pay up front if you don't use insurance.
$2,162.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$213.21 with Kaiser vs $1,658.74 with Blue Shield CA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $213.21 | ↓ -81% |
| Kaiser | Medicaid|< 21 | $213.21 | ↓ -81% |
| Inland Empire Health Plan | Medicaid|> 21 | $213.21 | ↓ -81% |
| Inland Empire Health Plan | Medicaid|< 21 | $213.21 | ↓ -81% |
| Health Plan of San Joaquin | Medicaid|> 21 | $213.21 | ↓ -81% |
| Health Plan of San Joaquin | Medicaid|< 21 | $213.21 | ↓ -81% |
| Central California Alliance for Health | Medicaid|All Plans | $213.21 | ↓ -81% |
| California Health & Wellness | Medicaid|> 21 | $213.21 | ↓ -81% |
| Molina | Medicaid|< 21 | $213.21 | ↓ -81% |
| Molina | Medicaid|> 21 | $213.21 | ↓ -81% |
| California Health & Wellness | Medicaid|< 21 | $213.21 | ↓ -81% |
| Kern Health System | Medicaid|> 21 | $213.21 | ↓ -81% |
| Kern Health System | Medicaid|< 21 | $213.21 | ↓ -81% |
| Partnership Health Plan | Medicaid|> 21 | $213.21 | ↓ -81% |
| Partnership Health Plan | Medicaid|< 21 | $213.21 | ↓ -81% |
| BCBS - Anthem | Medicaid|> 21 | $245.19 | ↓ -78% |
| BCBS - Anthem | Medicaid|< 21 | $245.19 | ↓ -78% |
| Health Net | Medicaid|All Plans | $460.53 | ↓ -59% |
| Healthsmart | Commercial|All Plans | $633.60 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $643.50 | ↓ -42% |
| Cigna | Commercial|PPO | $643.50 | ↓ -42% |
| BCBS - Anthem | Commercial|Exchange | $673.20 | ↓ -40% |
| Kaiser | Commercial|All Plans | $683.10 | ↓ -39% |
| First Health | Commercial|All Plans | $792.00 | ↓ -29% |
| BCBS - Anthem | Commercial|All Other Plans | $881.10 | ↓ -21% |
| MultiPlan | Commercial|All Plans | $930.60 | ↓ -16% |
| United | Commercial|Non-Options PPO | $990.00 | ↓ -11% |
| Kaiser | Medicare|All Plans | $990.00 | ↓ -11% |
| Scan Health Plan | Medicare|All Plans | $990.00 | ↓ -11% |
| United | Commercial|HMO | $990.00 | ↓ -11% |
| United | Commercial|Options PPO | $990.00 | ↓ -11% |
| BCBS - Anthem | Medicare|All Plans | $990.00 | ↓ -11% |
| BCBS - Anthem | Commercial|MCS | $990.00 | ↓ -11% |
| Humana | Medicare|All Plans | $990.00 | ↓ -11% |
| Health Net | Medicare|All Plans | $990.00 | ↓ -11% |
| Aetna | Medicare|All Plans | $990.00 | ↓ -11% |
| Aetna | Commercial|PPO | $990.00 | ↓ -11% |
| Aetna | Commercial|All Other Plans | $990.00 | ↓ -11% |
| LA Care | Medicare|All Plans | $990.00 | ↓ -11% |
| United | Commercial|All Other Plans | $990.00 | ↓ -11% |
| Aetna | Commercial|HMO | $990.00 | ↓ -11% |
| Allcare | Commercial|All Plans | $1,089.00 | ↓ -2% |
| United | Medicare|All Plans | $1,658.74 | ↑ +49% |
| Blue Shield CA | Medicare|All Plans | $1,658.74 | ↑ +49% |
Visitor-reported prices
Comments
Acute venous thrombus image at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $5,656.34 | $213.21 – $3,920.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $741.63 | $213.21 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $733.64 | $213.21 – $6,851.62 |
| St. Joseph's Medical Center Stockton | Stockton | $553.61 | $213.21 – $1,826.00 |
| Northridge Hospital Medical Center | Northridge | $945.26 | $213.21 – $4,347.16 |
| Petaluma Valley Hospital | Petaluma | not published | $926.96 – $2,035.50 |
| Queen of The Valley Medical Center | Napa | not published | $1,171.45 – $2,035.50 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1,328.43 – $2,035.50 |