Aspirate/inj ganglion cyst 20612 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$449.60
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.
$873.00
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.
$62.38 with California Health & Wellness vs $11,994.00 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 |
|---|---|---|---|
| California Health & Wellness | Medicaid|< 21 | $62.38 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $62.38 | ↓ -86% |
| Partnership Health Plan | Medicaid|< 21 | $62.38 | ↓ -86% |
| Molina | Medicaid|< 21 | $62.38 | ↓ -86% |
| Molina | Medicaid|> 21 | $62.38 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|< 21 | $62.38 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|> 21 | $62.38 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|< 21 | $62.38 | ↓ -86% |
| California Health & Wellness | Medicaid|> 21 | $62.38 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|> 21 | $62.38 | ↓ -86% |
| Kaiser | Medicaid|< 21 | $62.38 | ↓ -86% |
| Kaiser | Medicaid|> 21 | $62.38 | ↓ -86% |
| Kern Health System | Medicaid|> 21 | $62.38 | ↓ -86% |
| Kern Health System | Medicaid|< 21 | $62.38 | ↓ -86% |
| BCBS - Anthem | Medicaid|< 21 | $62.51 | ↓ -86% |
| BCBS - Anthem | Medicaid|> 21 | $62.51 | ↓ -86% |
| Central California Alliance for Health | Medicaid|All Plans | $68.55 | ↓ -85% |
| Western Growers | Commercial|All Plans | $84.50 | ↓ -81% |
| Healthsmart | Commercial|All Plans | $108.16 | ↓ -76% |
| Cigna | Commercial|All Other Plans | $109.85 | ↓ -76% |
| Cigna | Commercial|PPO | $109.85 | ↓ -76% |
| Kaiser | Commercial|All Plans | $116.61 | ↓ -74% |
| First Health | Commercial|All Plans | $135.20 | ↓ -70% |
| Health Net | Medicaid|All Plans | $148.07 | ↓ -67% |
| MultiPlan | Commercial|All Plans | $158.86 | ↓ -65% |
| United | Commercial|HMO | $167.31 | ↓ -63% |
| United | Commercial|All Other Plans | $169.00 | ↓ -62% |
| Aetna | Medicare|All Plans | $169.00 | ↓ -62% |
| Humana | Medicare|All Plans | $169.00 | ↓ -62% |
| United | Commercial|Options PPO | $169.00 | ↓ -62% |
| United | Commercial|Non-Options PPO | $169.00 | ↓ -62% |
| Health Net | Medicare|All Plans | $169.00 | ↓ -62% |
| Kaiser | Medicare|All Plans | $169.00 | ↓ -62% |
| BCBS - Anthem | Medicare|All Plans | $169.00 | ↓ -62% |
| Scan Health Plan | Medicare|All Plans | $169.00 | ↓ -62% |
| LA Care | Medicare|All Plans | $169.00 | ↓ -62% |
| Allcare | Commercial|All Plans | $185.90 | ↓ -59% |
| United | Medicare|All Plans | $375.07 | ↓ -17% |
| Blue Shield CA | Medicare|All Plans | $375.07 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +1084% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +1084% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +1084% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +1183% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +1374% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +1578% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +1588% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +2568% |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $491.88 | $76.73 – $875.94 |
| Petaluma Valley Hospital | Petaluma | $550.80 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $480.22 | $62.38 – $1,099.56 |
| Mark Twain Medical Center | San Andreas | $68.60 | $21.99 – $83.30 |
| French Hospital | San Luis Obispo | $356.33 | $62.38 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $142.84 | $62.38 – $375.07 |
| Bakersfield Memorial Hospital | Bakersfield | $335.81 | $62.38 – $375.07 |
| Queen of The Valley Medical Center | Napa | $612.51 | $435.83 – $6,200.00 |