Analyze neurostimulator simple w/reprogramming 95971 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$317.76
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.
$617.00
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.
$38.69 with Partnership Health Plan vs $13,394.00 with United — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $38.69 | ↓ -88% |
| Inland Empire Health Plan | Medicaid|> 21 | $38.69 | ↓ -88% |
| Kern Health System | Medicaid|< 21 | $38.69 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $38.69 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|> 21 | $38.69 | ↓ -88% |
| Kaiser | Medicaid|< 21 | $38.69 | ↓ -88% |
| Kaiser | Medicaid|> 21 | $38.69 | ↓ -88% |
| Molina | Medicaid|< 21 | $38.69 | ↓ -88% |
| Molina | Medicaid|> 21 | $38.69 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|< 21 | $38.69 | ↓ -88% |
| Inland Empire Health Plan | Medicaid|< 21 | $38.69 | ↓ -88% |
| California Health & Wellness | Medicaid|> 21 | $38.69 | ↓ -88% |
| California Health & Wellness | Medicaid|< 21 | $38.69 | ↓ -88% |
| Kern Health System | Medicaid|> 21 | $38.69 | ↓ -88% |
| BCBS - Anthem | Medicaid|< 21 | $55.63 | ↓ -82% |
| BCBS - Anthem | Medicaid|> 21 | $55.63 | ↓ -82% |
| Central California Alliance for Health | Medicaid|All Plans | $61.33 | ↓ -81% |
| Humana | Medicare|All Plans | $116.63 | ↓ -63% |
| Aetna | Medicare|All Plans | $116.63 | ↓ -63% |
| United | Medicare|All Plans | $116.63 | ↓ -63% |
| Health Net | Medicare|All Plans | $116.63 | ↓ -63% |
| Kaiser | Medicare|All Plans | $116.63 | ↓ -63% |
| BCBS - Anthem | Medicare|All Plans | $116.63 | ↓ -63% |
| Blue Shield CA | Medicare|All Plans | $116.63 | ↓ -63% |
| Scan Health Plan | Medicare|All Plans | $116.63 | ↓ -63% |
| LA Care | Medicare|All Plans | $116.63 | ↓ -63% |
| Health Net | Medicaid|All Plans | $132.47 | ↓ -58% |
| Allcare | Commercial|All Plans | $149.04 | ↓ -53% |
| BCBS - Anthem | Commercial|Exchange | $306.01 | ↓ -4% |
| Healthsmart | Commercial|All Plans | $370.20 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $401.05 | ↑ +26% |
| Cigna | Commercial|PPO | $401.05 | ↑ +26% |
| BCBS - Anthem | Commercial|All Other Plans | $402.62 | ↑ +27% |
| Kaiser | Commercial|All Plans | $425.73 | ↑ +34% |
| First Health | Commercial|All Plans | $493.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $579.98 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $617.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $617.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +1986% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +2275% |
| United | Commercial|All Other Plans | $8,925.00 | ↑ +2709% |
| United | Commercial|Options PPO | $9,267.00 | ↑ +2816% |
| United | Commercial|HMO | $13,394.00 | ↑ +4115% |
Visitor-reported prices
Comments
Analyze neurostimulator simple w/reprogramming 95971 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $129.65 | $47.59 – $233.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $300.14 | $38.69 – $647.20 |
| Bakersfield Memorial Hospital | Bakersfield | $296.91 | $38.69 – $639.11 |
| St. Joseph's Medical Center Stockton | Stockton | $179.93 | $38.69 – $501.84 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $327.54 | $65.78 – $412.58 |
| St. Mary Medical Center | Long Beach | $153.51 | $38.69 – $357.00 |
| Providence Saint Joseph Medical Center | Burbank | $95.90 | $120.53 – $226.21 |
| Community Hospital San Bernardino | San Bernardino | $120.82 | $38.69 – $7,832.00 |