Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$449.60
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.
$873.00
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.
$32.81 with Kaiser vs $2,885.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $32.81 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|> 21 | $32.81 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|< 21 | $32.81 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|> 21 | $32.81 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|< 21 | $32.81 | ↓ -93% |
| Kern Health System | Medicaid|< 21 | $32.81 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $32.81 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $32.81 | ↓ -93% |
| Kaiser | Medicaid|< 21 | $32.81 | ↓ -93% |
| California Health & Wellness | Medicaid|> 21 | $32.81 | ↓ -93% |
| California Health & Wellness | Medicaid|< 21 | $32.81 | ↓ -93% |
| Molina | Medicaid|< 21 | $32.81 | ↓ -93% |
| Molina | Medicaid|> 21 | $32.81 | ↓ -93% |
| Kern Health System | Medicaid|> 21 | $32.81 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $32.88 | ↓ -93% |
| BCBS - Anthem | Medicaid|> 21 | $32.88 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $36.26 | ↓ -92% |
| Health Net | Medicaid|All Plans | $78.32 | ↓ -83% |
| Allcare | Commercial|All Plans | $79.45 | ↓ -82% |
| Scan Health Plan | Medicare|All Plans | $90.43 | ↓ -80% |
| Kaiser | Medicare|All Plans | $90.43 | ↓ -80% |
| BCBS - Anthem | Medicare|All Plans | $90.43 | ↓ -80% |
| Health Net | Medicare|All Plans | $90.43 | ↓ -80% |
| Aetna | Medicare|All Plans | $90.43 | ↓ -80% |
| Blue Shield CA | Medicare|All Plans | $90.43 | ↓ -80% |
| LA Care | Medicare|All Plans | $90.43 | ↓ -80% |
| United | Medicare|All Plans | $90.43 | ↓ -80% |
| Humana | Medicare|All Plans | $90.43 | ↓ -80% |
| Healthsmart | Commercial|All Plans | $523.80 | ↑ +17% |
| Cigna | Commercial|PPO | $567.45 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $567.45 | ↑ +26% |
| Aetna | Commercial|PPO | $584.45 | ↑ +30% |
| Aetna | Commercial|HMO | $584.45 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $584.45 | ↑ +30% |
| Kaiser | Commercial|All Plans | $602.37 | ↑ +34% |
| First Health | Commercial|All Plans | $698.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $820.62 | ↑ +83% |
| United | Commercial|All Other Plans | $873.00 | ↑ +94% |
| United | Commercial|Options PPO | $873.00 | ↑ +94% |
| United | Commercial|HMO | $873.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $873.00 | ↑ +94% |
| BCBS - Anthem | Commercial|Exchange | $1,388.00 | ↑ +209% |
| Blue Shield CA | Commercial|Exchange | $1,411.00 | ↑ +214% |
| BCBS - Anthem | Commercial|All Other Plans | $1,826.00 | ↑ +306% |
| Blue Shield CA | Commercial|All Other Plans | $1,980.00 | ↑ +340% |
| BCBS - Anthem | Commercial|MCS | $2,885.00 | ↑ +542% |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $220.76 | $40.36 – $365.20 |
| Banner Lassen Medical Center | Susanville | $106.68 | $14.23 – $235.71 |
| Arroyo Grande Hospital | Santa Maria | $168.21 | $32.81 – $11,311.00 |
| Mark Twain Medical Center | San Andreas | $634.70 | $32.81 – $866.32 |
| French Hospital | San Luis Obispo | $131.32 | $32.81 – $9,050.00 |
| Bakersfield Memorial Hospital | Bakersfield | $663.91 | $32.81 – $318.16 |
| Queen of The Valley Medical Center | Napa | $247.86 | $102.23 – $102.23 |
| Providence St Joseph Hospital Eureka | Eureka | $767.04 | $92.60 – $92.60 |