Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$13,442.02
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.
$26,101.00
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.
$195.09 with Inland Empire Health Plan vs $11,239.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $195.09 | ↓ -99% |
| Molina | Medicaid|< 21 | $195.09 | ↓ -99% |
| Molina | Medicaid|> 21 | $195.09 | ↓ -99% |
| Kaiser | Medicaid|< 21 | $195.09 | ↓ -99% |
| Kaiser | Medicaid|> 21 | $195.09 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $195.09 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $195.09 | ↓ -99% |
| Kern Health System | Medicaid|< 21 | $195.09 | ↓ -99% |
| Kern Health System | Medicaid|> 21 | $195.09 | ↓ -99% |
| California Health & Wellness | Medicaid|< 21 | $195.09 | ↓ -99% |
| California Health & Wellness | Medicaid|> 21 | $195.09 | ↓ -99% |
| Central California Alliance for Health | Medicaid|All Plans | $195.09 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|< 21 | $195.09 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|> 21 | $195.09 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|< 21 | $195.09 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $224.35 | ↓ -98% |
| BCBS - Anthem | Medicaid|< 21 | $224.35 | ↓ -98% |
| Health Net | Medicaid|All Plans | $421.39 | ↓ -97% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↓ -69% |
| Aetna | Commercial|PPO | $5,322.00 | ↓ -60% |
| Aetna | Commercial|HMO | $5,322.00 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↓ -60% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↓ -60% |
| Western Growers | Commercial|All Plans | $5,619.50 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $7,192.96 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $7,305.35 | ↓ -46% |
| Cigna | Commercial|PPO | $7,305.35 | ↓ -46% |
| Kaiser | Commercial|All Plans | $7,754.91 | ↓ -42% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↓ -36% |
| First Health | Commercial|All Plans | $8,991.20 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $10,564.66 | ↓ -21% |
| United | Commercial|HMO | $11,126.61 | ↓ -17% |
| United | Commercial|Non-Options PPO | $11,239.00 | ↓ -16% |
| United | Commercial|Options PPO | $11,239.00 | ↓ -16% |
| United | Commercial|All Other Plans | $11,239.00 | ↓ -16% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,458.01 | $295.15 – $6,158.10 |
| Arroyo Grande Hospital | Santa Maria | $11,124.15 | $195.09 – $25,471.18 |
| French Hospital | San Luis Obispo | $10,188.48 | $195.09 – $25,471.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,518.01 | $195.09 – $9,450.02 |
| Bakersfield Memorial Hospital | Bakersfield | $9,415.39 | $195.09 – $25,398.45 |
| Healdsburg Hospital | Healdsburg | $427.38 | $3,982.87 – $6,972.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,628.53 | $195.09 – $7,614.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,132.28 | $1,716.00 – $12,908.00 |