Anal/urinary muscle study at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$290.98
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.
$565.00
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.
$72.63 with Health Plan of San Joaquin vs $8,557.00 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 |
|---|---|---|---|
| Health Plan of San Joaquin | Medicaid|> 21 | $72.63 | ↓ -75% |
| Partnership Health Plan | Medicaid|< 21 | $72.63 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|< 21 | $72.63 | ↓ -75% |
| Kaiser | Medicaid|< 21 | $72.63 | ↓ -75% |
| Kaiser | Medicaid|> 21 | $72.63 | ↓ -75% |
| Inland Empire Health Plan | Medicaid|> 21 | $72.63 | ↓ -75% |
| Partnership Health Plan | Medicaid|> 21 | $72.63 | ↓ -75% |
| California Health & Wellness | Medicaid|> 21 | $72.63 | ↓ -75% |
| Molina | Medicaid|< 21 | $72.63 | ↓ -75% |
| Molina | Medicaid|> 21 | $72.63 | ↓ -75% |
| California Health & Wellness | Medicaid|< 21 | $72.63 | ↓ -75% |
| Inland Empire Health Plan | Medicaid|< 21 | $72.63 | ↓ -75% |
| Kern Health System | Medicaid|> 21 | $72.63 | ↓ -75% |
| Kern Health System | Medicaid|< 21 | $72.63 | ↓ -75% |
| BCBS - Anthem | Medicaid|> 21 | $104.40 | ↓ -64% |
| BCBS - Anthem | Medicaid|< 21 | $104.40 | ↓ -64% |
| Central California Alliance for Health | Medicaid|All Plans | $114.49 | ↓ -61% |
| Health Net | Medicaid|All Plans | $247.30 | ↓ -15% |
| Western Growers | Commercial|All Plans | $282.50 | ↓ -3% |
| Allcare | Commercial|All Plans | $308.64 | ↑ +6% |
| Humana | Medicare|All Plans | $309.02 | ↑ +6% |
| Aetna | Medicare|All Plans | $309.02 | ↑ +6% |
| United | Medicare|All Plans | $309.02 | ↑ +6% |
| Health Net | Medicare|All Plans | $309.02 | ↑ +6% |
| Kaiser | Medicare|All Plans | $309.02 | ↑ +6% |
| BCBS - Anthem | Medicare|All Plans | $309.02 | ↑ +6% |
| Blue Shield CA | Medicare|All Plans | $309.02 | ↑ +6% |
| Scan Health Plan | Medicare|All Plans | $309.02 | ↑ +6% |
| LA Care | Medicare|All Plans | $309.02 | ↑ +6% |
| Healthsmart | Commercial|All Plans | $339.00 | ↑ +17% |
| Cigna | Commercial|PPO | $367.25 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $367.25 | ↑ +26% |
| Kaiser | Commercial|All Plans | $389.85 | ↑ +34% |
| First Health | Commercial|All Plans | $452.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $531.10 | ↑ +83% |
| United | Commercial|HMO | $559.35 | ↑ +92% |
| United | Commercial|Non-Options PPO | $565.00 | ↑ +94% |
| United | Commercial|Options PPO | $565.00 | ↑ +94% |
| United | Commercial|All Other Plans | $565.00 | ↑ +94% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +1315% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +1729% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +1729% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +1729% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +1761% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +2178% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +2493% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +2841% |
Visitor-reported prices
Comments
Anal/urinary muscle study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $374.06 | $89.33 – $597.80 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $444.24 | $123.46 – $559.58 |
| St. Mary Medical Center | Long Beach | $211.56 | $72.63 – $572.45 |
| Community Hospital San Bernardino | San Bernardino | $312.02 | $72.63 – $798.00 |
| Glendale Memorial Hospital Health Center | Glendale | $393.81 | $113.48 – $966.40 |
| Mercy Medical Center Redding | Redding | $435.52 | $144.34 – $841.82 |
| St. Bernardine Medical Center | San Bernardino | $235.44 | $72.63 – $602.59 |
| St. Elizabeth Community Hospital | Red Bluff | $506.33 | $129.82 – $849.66 |