Anaplsma phgcytophlm amp prb at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$20.60
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.
$40.00
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.
$11.60 with Blue Shield CA vs $40.00 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|Exchange | $11.60 | ↓ -44% |
| Blue Shield CA | Commercial|All Other Plans | $15.60 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $24.00 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $26.00 | ↑ +26% |
| Cigna | Commercial|PPO | $26.00 | ↑ +26% |
| Kaiser | Commercial|All Plans | $27.60 | ↑ +34% |
| First Health | Commercial|All Plans | $32.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $37.60 | ↑ +83% |
| United | Commercial|HMO | $39.60 | ↑ +92% |
| United | Commercial|Non-Options PPO | $40.00 | ↑ +94% |
| United | Commercial|Options PPO | $40.00 | ↑ +94% |
| United | Commercial|All Other Plans | $40.00 | ↑ +94% |
Visitor-reported prices
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Anaplsma phgcytophlm amp prb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17.52 | $10.80 – $31.20 |
| Arroyo Grande Hospital | Santa Maria | $17.12 | $12.50 – $24.50 |
| French Hospital | San Luis Obispo | $15.68 | $6.75 – $24.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14.84 | $20.00 – $32.00 |
| Bakersfield Memorial Hospital | Bakersfield | $14.68 | $20.00 – $39.60 |
| St. Joseph's Behavioral Health Center | Stockton | $22.84 | $4.00 – $32.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11.76 | $8.40 – $33.60 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $31.12 | $6.00 – $24.50 |