Boot softgait shrt m at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$136.99
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.
$266.00
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.
$61.18 with Health Net vs $266.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $61.18 | ↓ -55% |
| Inland Empire Health Plan | Medicaid|> 21 | $116.74 | ↓ -15% |
| Molina | Medicaid|< 21 | $116.74 | ↓ -15% |
| Molina | Medicaid|> 21 | $116.74 | ↓ -15% |
| Kaiser | Medicaid|< 21 | $116.74 | ↓ -15% |
| Kaiser | Medicaid|> 21 | $116.74 | ↓ -15% |
| Partnership Health Plan | Medicaid|< 21 | $116.74 | ↓ -15% |
| Partnership Health Plan | Medicaid|> 21 | $116.74 | ↓ -15% |
| Kern Health System | Medicaid|< 21 | $116.74 | ↓ -15% |
| Kern Health System | Medicaid|> 21 | $116.74 | ↓ -15% |
| California Health & Wellness | Medicaid|< 21 | $116.74 | ↓ -15% |
| California Health & Wellness | Medicaid|> 21 | $116.74 | ↓ -15% |
| Central California Alliance for Health | Medicaid|All Plans | $116.74 | ↓ -15% |
| Health Plan of San Joaquin | Medicaid|< 21 | $116.74 | ↓ -15% |
| Health Plan of San Joaquin | Medicaid|> 21 | $116.74 | ↓ -15% |
| Inland Empire Health Plan | Medicaid|< 21 | $116.74 | ↓ -15% |
| Healthsmart | Commercial|All Plans | $119.70 | ↓ -13% |
| BCBS - Anthem | Medicaid|> 21 | $134.25 | ↓ -2% |
| BCBS - Anthem | Medicaid|< 21 | $134.25 | ↓ -2% |
| Health Net | Commercial|Care Product | $151.62 | ↑ +11% |
| United | Commercial|HMO | $162.26 | ↑ +18% |
| Cigna | Commercial|PPO | $172.90 | ↑ +26% |
| Western Growers | Commercial|All Plans | $172.90 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $172.90 | ↑ +26% |
| Health Net | Commercial|FFS | $175.56 | ↑ +28% |
| Kaiser | Commercial|All Plans | $183.54 | ↑ +34% |
| United | Commercial|Non-Options PPO | $196.84 | ↑ +44% |
| BCBS - Anthem | Commercial|Exchange | $202.16 | ↑ +48% |
| First Health | Commercial|All Plans | $212.80 | ↑ +55% |
| United | Commercial|Options PPO | $212.80 | ↑ +55% |
| United | Commercial|All Other Plans | $218.12 | ↑ +59% |
| Blue Shield CA | Commercial|Exchange | $231.42 | ↑ +69% |
| Blue Shield CA | Commercial|All Other Plans | $234.08 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $250.04 | ↑ +83% |
| Aetna | Commercial|HMO | $255.36 | ↑ +86% |
| Aetna | Commercial|PPO | $255.36 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $255.36 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $266.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $266.00 | ↑ +94% |
Visitor-reported prices
Comments
Boot softgait shrt m at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $116.74 – $598.50 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $116.74 – $645.05 |
| St. Joseph's Medical Center Stockton | Stockton | $156.41 | $116.74 – $532.00 |
| Dominican Hospital | Santa Cruz | $45.00 | $47.00 – $100.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $148.79 | $68.25 – $267.54 |
| St. Mary Medical Center | Long Beach | $83.85 | $23.00 – $583.70 |
| Community Hospital San Bernardino | San Bernardino | $76.25 | $24.15 – $583.70 |
| Glendale Memorial Hospital Health Center | Glendale | $63.57 | $23.00 – $486.45 |