Artery x-rays spine at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$5,393.08
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.
$10,472.00
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.
$303.17 with Kern Health System vs $10,472.00 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 |
|---|---|---|---|
| Kern Health System | Medicaid|< 21 | $303.17 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $303.17 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|> 21 | $303.17 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $303.17 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $303.17 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|< 21 | $303.17 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $303.17 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|> 21 | $303.17 | ↓ -94% |
| Molina | Medicaid|< 21 | $303.17 | ↓ -94% |
| Molina | Medicaid|> 21 | $303.17 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|< 21 | $303.17 | ↓ -94% |
| Central California Alliance for Health | Medicaid|All Plans | $303.17 | ↓ -94% |
| California Health & Wellness | Medicaid|> 21 | $303.17 | ↓ -94% |
| California Health & Wellness | Medicaid|< 21 | $303.17 | ↓ -94% |
| Kern Health System | Medicaid|> 21 | $303.17 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $463.53 | ↓ -91% |
| BCBS - Anthem | Medicaid|> 21 | $463.53 | ↓ -91% |
| Health Net | Medicaid|All Plans | $654.85 | ↓ -88% |
| Aetna | Commercial|PPO | $1,038.58 | ↓ -81% |
| Aetna | Commercial|All Other Plans | $1,038.58 | ↓ -81% |
| Aetna | Commercial|HMO | $1,038.58 | ↓ -81% |
| BCBS - Anthem | Commercial|Exchange | $3,850.10 | ↓ -29% |
| BCBS - Anthem | Commercial|All Other Plans | $5,065.64 | ↓ -6% |
| Allcare | Commercial|All Plans | $6,038.97 | ↑ +12% |
| Healthsmart | Commercial|All Plans | $6,283.20 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $6,806.80 | ↑ +26% |
| Cigna | Commercial|PPO | $6,806.80 | ↑ +26% |
| United | Medicare|All Plans | $6,868.48 | ↑ +27% |
| BCBS - Anthem | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Kaiser | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Blue Shield CA | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Health Net | Medicare|All Plans | $6,868.48 | ↑ +27% |
| LA Care | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Aetna | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Humana | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Scan Health Plan | Medicare|All Plans | $6,868.48 | ↑ +27% |
| Kaiser | Commercial|All Plans | $7,225.68 | ↑ +34% |
| BCBS - Anthem | Commercial|MCS | $8,005.43 | ↑ +48% |
| First Health | Commercial|All Plans | $8,377.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $9,843.68 | ↑ +83% |
| United | Commercial|All Other Plans | $10,472.00 | ↑ +94% |
| United | Commercial|HMO | $10,472.00 | ↑ +94% |
| United | Commercial|Options PPO | $10,472.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $10,472.00 | ↑ +94% |
Visitor-reported prices
Comments
Artery x-rays spine at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,493.98 | $458.67 – $23,085.47 |
| Arroyo Grande Hospital | Santa Maria | $6,431.56 | $303.17 – $22,418.12 |
| French Hospital | San Luis Obispo | $5,890.59 | $303.17 – $26,354.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,613.92 | $303.17 – $25,002.66 |
| Bakersfield Memorial Hospital | Bakersfield | $3,574.95 | $303.17 – $25,002.66 |
| St. Joseph's Medical Center Stockton | Stockton | $1,972.74 | $303.17 – $6,710.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,949.88 | $1,240.14 – $7,742.78 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,535.68 | $1,010.92 – $13,240.19 |