Brace back t-lso custom at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,473.03
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.
$4,802.00
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.
$653.20 with Health Net vs $2,840.00 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 | $653.20 | ↓ -74% |
| Healthsmart | Commercial|All Plans | $1,278.00 | ↓ -48% |
| Inland Empire Health Plan | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| Molina | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| Molina | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| Kaiser | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| Kaiser | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| Partnership Health Plan | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| Partnership Health Plan | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| Kern Health System | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| Kern Health System | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| California Health & Wellness | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| California Health & Wellness | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| Central California Alliance for Health | Medicaid|All Plans | $1,354.09 | ↓ -45% |
| Health Plan of San Joaquin | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| Health Plan of San Joaquin | Medicaid|> 21 | $1,354.09 | ↓ -45% |
| Inland Empire Health Plan | Medicaid|< 21 | $1,354.09 | ↓ -45% |
| BCBS - Anthem | Medicaid|> 21 | $1,557.20 | ↓ -37% |
| BCBS - Anthem | Medicaid|< 21 | $1,557.20 | ↓ -37% |
| Health Net | Commercial|Care Product | $1,618.80 | ↓ -35% |
| United | Commercial|HMO | $1,732.40 | ↓ -30% |
| Cigna | Commercial|All Other Plans | $1,846.00 | ↓ -25% |
| Cigna | Commercial|PPO | $1,846.00 | ↓ -25% |
| Western Growers | Commercial|All Plans | $1,846.00 | ↓ -25% |
| Health Net | Commercial|FFS | $1,874.40 | ↓ -24% |
| Kaiser | Commercial|All Plans | $1,959.60 | ↓ -21% |
| United | Commercial|Non-Options PPO | $2,101.60 | ↓ -15% |
| BCBS - Anthem | Commercial|Exchange | $2,158.40 | ↓ -13% |
| First Health | Commercial|All Plans | $2,272.00 | ↓ -8% |
| United | Commercial|Options PPO | $2,272.00 | ↓ -8% |
| United | Commercial|All Other Plans | $2,328.80 | ↓ -6% |
| Blue Shield CA | Commercial|Exchange | $2,470.80 | ↓ -0% |
| Blue Shield CA | Commercial|All Other Plans | $2,499.20 | ↑ +1% |
| MultiPlan | Commercial|All Plans | $2,669.60 | ↑ +8% |
| Aetna | Commercial|All Other Plans | $2,726.40 | ↑ +10% |
| Aetna | Commercial|PPO | $2,726.40 | ↑ +10% |
| Aetna | Commercial|HMO | $2,726.40 | ↑ +10% |
| BCBS - Anthem | Commercial|MCS | $2,840.00 | ↑ +15% |
| BCBS - Anthem | Commercial|All Other Plans | $2,840.00 | ↑ +15% |
Visitor-reported prices
Comments
Brace back t-lso custom at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,638.47 | $1,533.12 – $4,982.64 |
| Petaluma Valley Hospital | Petaluma | $5,407.85 | not published |
| Arroyo Grande Hospital | Santa Maria | $3,555.40 | $1,354.09 – $8,140.86 |
| French Hospital | San Luis Obispo | $3,256.35 | $1,354.09 – $8,140.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,453.86 | $1,354.09 – $6,390.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,405.84 | $1,354.09 – $6,887.00 |
| Queen of The Valley Medical Center | Napa | $5,407.85 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $3,570.57 | not published |