Brace knee extender plus 22-30in at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$665.38
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.
$1,292.00
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.
$46.92 with Health Net vs $204.00 with Inland Empire Health Plan — 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 | $46.92 | ↓ -93% |
| Healthsmart | Commercial|All Plans | $91.80 | ↓ -86% |
| Health Net | Commercial|Care Product | $116.28 | ↓ -83% |
| United | Commercial|HMO | $124.44 | ↓ -81% |
| Cigna | Commercial|All Other Plans | $132.60 | ↓ -80% |
| Cigna | Commercial|PPO | $132.60 | ↓ -80% |
| Western Growers | Commercial|All Plans | $132.60 | ↓ -80% |
| Health Net | Commercial|FFS | $134.64 | ↓ -80% |
| Kaiser | Commercial|All Plans | $140.76 | ↓ -79% |
| United | Commercial|Non-Options PPO | $150.96 | ↓ -77% |
| BCBS - Anthem | Commercial|Exchange | $155.04 | ↓ -77% |
| First Health | Commercial|All Plans | $163.20 | ↓ -75% |
| United | Commercial|Options PPO | $163.20 | ↓ -75% |
| United | Commercial|All Other Plans | $167.28 | ↓ -75% |
| Blue Shield CA | Commercial|Exchange | $177.48 | ↓ -73% |
| Blue Shield CA | Commercial|All Other Plans | $179.52 | ↓ -73% |
| MultiPlan | Commercial|All Plans | $191.76 | ↓ -71% |
| Aetna | Commercial|All Other Plans | $195.84 | ↓ -71% |
| Aetna | Commercial|PPO | $195.84 | ↓ -71% |
| Aetna | Commercial|HMO | $195.84 | ↓ -71% |
| Inland Empire Health Plan | Medicaid|> 21 | $204.00 | ↓ -69% |
| Molina | Medicaid|< 21 | $204.00 | ↓ -69% |
| Molina | Medicaid|> 21 | $204.00 | ↓ -69% |
| Kaiser | Medicaid|< 21 | $204.00 | ↓ -69% |
| Kaiser | Medicaid|> 21 | $204.00 | ↓ -69% |
| BCBS - Anthem | Commercial|All Other Plans | $204.00 | ↓ -69% |
| BCBS - Anthem | Commercial|MCS | $204.00 | ↓ -69% |
| BCBS - Anthem | Medicaid|< 21 | $204.00 | ↓ -69% |
| BCBS - Anthem | Medicaid|> 21 | $204.00 | ↓ -69% |
| Partnership Health Plan | Medicaid|< 21 | $204.00 | ↓ -69% |
| Partnership Health Plan | Medicaid|> 21 | $204.00 | ↓ -69% |
| Kern Health System | Medicaid|< 21 | $204.00 | ↓ -69% |
| Kern Health System | Medicaid|> 21 | $204.00 | ↓ -69% |
| California Health & Wellness | Medicaid|< 21 | $204.00 | ↓ -69% |
| California Health & Wellness | Medicaid|> 21 | $204.00 | ↓ -69% |
| Central California Alliance for Health | Medicaid|All Plans | $204.00 | ↓ -69% |
| Health Plan of San Joaquin | Medicaid|< 21 | $204.00 | ↓ -69% |
| Health Plan of San Joaquin | Medicaid|> 21 | $204.00 | ↓ -69% |
| Inland Empire Health Plan | Medicaid|< 21 | $204.00 | ↓ -69% |
Visitor-reported prices
Comments
Brace knee extender plus 22-30in at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,272.39 | $535.68 – $1,740.96 |
| Petaluma Valley Hospital | Petaluma | $485.78 | not published |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $101.50 – $203.00 |
| Mark Twain Medical Center | San Andreas | $233.77 | $90.81 – $351.00 |
| French Hospital | San Luis Obispo | $234.81 | $38.57 – $203.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,198.33 | $97.50 – $390.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,185.41 | $97.50 – $390.00 |
| Queen of The Valley Medical Center | Napa | $485.78 | not published |