Balloon dilate urtrl strix at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$133.39
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.
$259.00
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.
$129.50 with Western Growers 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $129.50 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $155.40 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $168.35 | ↑ +26% |
| Cigna | Commercial|PPO | $168.35 | ↑ +26% |
| Kaiser | Commercial|All Plans | $178.71 | ↑ +34% |
| First Health | Commercial|All Plans | $207.20 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $243.46 | ↑ +83% |
| United | Commercial|HMO | $256.41 | ↑ +92% |
| Inland Empire Health Plan | Medicaid|> 21 | $259.00 | ↑ +94% |
| Molina | Medicaid|< 21 | $259.00 | ↑ +94% |
| Molina | Medicaid|> 21 | $259.00 | ↑ +94% |
| United | Commercial|All Other Plans | $259.00 | ↑ +94% |
| United | Commercial|Options PPO | $259.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $259.00 | ↑ +94% |
| Health Net | Medicaid|All Plans | $259.00 | ↑ +94% |
| California Health & Wellness | Medicaid|< 21 | $259.00 | ↑ +94% |
| California Health & Wellness | Medicaid|> 21 | $259.00 | ↑ +94% |
| Central California Alliance for Health | Medicaid|All Plans | $259.00 | ↑ +94% |
| Health Plan of San Joaquin | Medicaid|< 21 | $259.00 | ↑ +94% |
| Health Plan of San Joaquin | Medicaid|> 21 | $259.00 | ↑ +94% |
| Inland Empire Health Plan | Medicaid|< 21 | $259.00 | ↑ +94% |
| Kaiser | Medicaid|< 21 | $259.00 | ↑ +94% |
| Kaiser | Medicaid|> 21 | $259.00 | ↑ +94% |
| BCBS - Anthem | Medicaid|< 21 | $259.00 | ↑ +94% |
| BCBS - Anthem | Medicaid|> 21 | $259.00 | ↑ +94% |
| Partnership Health Plan | Medicaid|< 21 | $259.00 | ↑ +94% |
| Partnership Health Plan | Medicaid|> 21 | $259.00 | ↑ +94% |
| Kern Health System | Medicaid|< 21 | $259.00 | ↑ +94% |
| Kern Health System | Medicaid|> 21 | $259.00 | ↑ +94% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +3890% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +3890% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +3890% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +4225% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +5591% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +8892% |
Visitor-reported prices
Comments
Balloon dilate urtrl strix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $291.71 | $179.82 – $1,217.86 |
| Arroyo Grande Hospital | Santa Maria | $629.16 | $699.92 – $1,440.60 |
| French Hospital | San Luis Obispo | $593.49 | $396.90 – $1,440.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $106.85 | $158.40 – $288.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,715.35 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,694.40 | $1,200.00 – $5,357.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,995.30 | $924.00 – $3,773.00 |
| Dominican Hospital | Santa Cruz | $269.10 | $388.70 – $735.54 |