Bld prd mix at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$149.87
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.
?
What you pay up front if you don't use insurance.
$291.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$101.99 with Aetna vs $291.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Commercial|All Other Plans | $101.99 | ↓ -32% |
| Aetna | Commercial|PPO | $101.99 | ↓ -32% |
| Aetna | Commercial|HMO | $101.99 | ↓ -32% |
| Healthsmart | Commercial|All Plans | $174.60 | ↑ +17% |
| United | Commercial|HMO | $178.99 | ↑ +19% |
| United | Commercial|Options PPO | $178.99 | ↑ +19% |
| United | Commercial|Non-Options PPO | $178.99 | ↑ +19% |
| United | Commercial|All Other Plans | $178.99 | ↑ +19% |
| Allcare | Commercial|All Plans | $188.55 | ↑ +26% |
| Cigna | Commercial|PPO | $189.15 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $189.15 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $192.19 | ↑ +28% |
| Kaiser | Commercial|All Plans | $200.79 | ↑ +34% |
| LA Care | Medicare|All Plans | $217.73 | ↑ +45% |
| Aetna | Medicare|All Plans | $217.73 | ↑ +45% |
| United | Medicare|All Plans | $217.73 | ↑ +45% |
| Health Net | Medicare|All Plans | $217.73 | ↑ +45% |
| Kaiser | Medicare|All Plans | $217.73 | ↑ +45% |
| BCBS - Anthem | Medicare|All Plans | $217.73 | ↑ +45% |
| Blue Shield CA | Medicare|All Plans | $217.73 | ↑ +45% |
| Scan Health Plan | Medicare|All Plans | $217.73 | ↑ +45% |
| Humana | Medicare|All Plans | $217.73 | ↑ +45% |
| First Health | Commercial|All Plans | $232.80 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $252.87 | ↑ +69% |
| MultiPlan | Commercial|All Plans | $273.54 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $291.00 | ↑ +94% |
Visitor-reported prices
Comments
Bld prd mix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $290.19 | $116.25 – $287.00 |
| Mark Twain Medical Center | San Andreas | $150.52 | $58.47 – $221.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $107.97 | $89.30 – $232.80 |
| Bakersfield Memorial Hospital | Bakersfield | $106.80 | $85.90 – $229.89 |
| Queen of The Valley Medical Center | Napa | $278.97 | $163.83 – $287.00 |
| Providence St Joseph Hospital Eureka | Eureka | $161.67 | $210.52 – $287.00 |
| St. Joseph's Behavioral Health Center | Stockton | $193.57 | $33.90 – $271.20 |
| Redwood Memorial Hospital | Fortuna | $148.41 | $211.01 – $211.01 |