Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$3,215.66
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.
$6,244.00
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.
$223.73 with Inland Empire Health Plan vs $6,244.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $223.73 | ↓ -93% |
| Molina | Medicaid|< 21 | $223.73 | ↓ -93% |
| Molina | Medicaid|> 21 | $223.73 | ↓ -93% |
| Kaiser | Medicaid|< 21 | $223.73 | ↓ -93% |
| Kaiser | Medicaid|> 21 | $223.73 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $223.73 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $223.73 | ↓ -93% |
| Kern Health System | Medicaid|< 21 | $223.73 | ↓ -93% |
| Kern Health System | Medicaid|> 21 | $223.73 | ↓ -93% |
| California Health & Wellness | Medicaid|< 21 | $223.73 | ↓ -93% |
| California Health & Wellness | Medicaid|> 21 | $223.73 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $223.73 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|< 21 | $223.73 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|> 21 | $223.73 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|< 21 | $223.73 | ↓ -93% |
| BCBS - Anthem | Medicaid|> 21 | $257.29 | ↓ -92% |
| BCBS - Anthem | Medicaid|< 21 | $257.29 | ↓ -92% |
| Blue Shield CA | Commercial|Exchange | $323.08 | ↓ -90% |
| Blue Shield CA | Commercial|All Other Plans | $323.08 | ↓ -90% |
| United | Commercial|Non-Options PPO | $369.15 | ↓ -89% |
| Health Net | Commercial|Care Product | $387.70 | ↓ -88% |
| United | Commercial|All Other Plans | $400.50 | ↓ -88% |
| United | Commercial|Options PPO | $400.50 | ↓ -88% |
| United | Commercial|HMO | $400.50 | ↓ -88% |
| Health Net | Commercial|FFS | $442.62 | ↓ -86% |
| Health Net | Medicaid|All Plans | $483.26 | ↓ -85% |
| Healthsmart | Commercial|All Plans | $2,809.80 | ↓ -13% |
| Cigna | Commercial|All Other Plans | $4,058.60 | ↑ +26% |
| Cigna | Commercial|PPO | $4,058.60 | ↑ +26% |
| Western Growers | Commercial|All Plans | $4,058.60 | ↑ +26% |
| Kaiser | Commercial|All Plans | $4,308.36 | ↑ +34% |
| BCBS - Anthem | Commercial|Exchange | $4,745.44 | ↑ +48% |
| First Health | Commercial|All Plans | $4,995.20 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $5,869.36 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $5,994.24 | ↑ +86% |
| Aetna | Commercial|PPO | $5,994.24 | ↑ +86% |
| Aetna | Commercial|HMO | $5,994.24 | ↑ +86% |
| BCBS - Anthem | Commercial|MCS | $6,244.00 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $6,244.00 | ↑ +94% |
Visitor-reported prices
Comments
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $10,064.32 | $167.70 – $593.00 |
| Arroyo Grande Hospital | Santa Maria | $6,012.98 | $223.73 – $6,262.20 |
| French Hospital | San Luis Obispo | $5,507.21 | $223.73 – $6,262.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,791.31 | $200.31 – $14,049.00 |
| Bakersfield Memorial Hospital | Bakersfield | $5,728.87 | $223.73 – $6,887.00 |
| Queen of The Valley Medical Center | Napa | $8,359.61 | $176.69 – $1,727.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,737.11 | $160.06 – $1,802.00 |
| Healdsburg Hospital | Healdsburg | $5,245.25 | $167.67 – $274.62 |