Breathing response hypoxia at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$181.80
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.
$353.00
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.
$27.77 with Kaiser vs $353.00 with United — 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $27.77 | ↓ -85% |
| Inland Empire Health Plan | Medicaid|> 21 | $27.77 | ↓ -85% |
| Inland Empire Health Plan | Medicaid|< 21 | $27.77 | ↓ -85% |
| Health Plan of San Joaquin | Medicaid|> 21 | $27.77 | ↓ -85% |
| Health Plan of San Joaquin | Medicaid|< 21 | $27.77 | ↓ -85% |
| Molina | Medicaid|< 21 | $27.77 | ↓ -85% |
| Molina | Medicaid|> 21 | $27.77 | ↓ -85% |
| Kern Health System | Medicaid|> 21 | $27.77 | ↓ -85% |
| Kern Health System | Medicaid|< 21 | $27.77 | ↓ -85% |
| Partnership Health Plan | Medicaid|> 21 | $27.77 | ↓ -85% |
| Partnership Health Plan | Medicaid|< 21 | $27.77 | ↓ -85% |
| Kaiser | Medicaid|> 21 | $27.77 | ↓ -85% |
| California Health & Wellness | Medicaid|> 21 | $27.77 | ↓ -85% |
| California Health & Wellness | Medicaid|< 21 | $27.77 | ↓ -85% |
| BCBS - Anthem | Medicaid|< 21 | $39.92 | ↓ -78% |
| BCBS - Anthem | Medicaid|> 21 | $39.92 | ↓ -78% |
| Central California Alliance for Health | Medicaid|All Plans | $44.02 | ↓ -76% |
| Health Net | Medicaid|All Plans | $95.08 | ↓ -48% |
| BCBS - Anthem | Commercial|Exchange | $148.98 | ↓ -18% |
| Allcare | Commercial|All Plans | $181.78 | ↓ -0% |
| BCBS - Anthem | Commercial|All Other Plans | $196.01 | ↑ +8% |
| BCBS - Anthem | Medicare|All Plans | $198.80 | ↑ +9% |
| Kaiser | Medicare|All Plans | $198.80 | ↑ +9% |
| Humana | Medicare|All Plans | $198.80 | ↑ +9% |
| Blue Shield CA | Medicare|All Plans | $198.80 | ↑ +9% |
| Health Net | Medicare|All Plans | $198.80 | ↑ +9% |
| Scan Health Plan | Medicare|All Plans | $198.80 | ↑ +9% |
| LA Care | Medicare|All Plans | $198.80 | ↑ +9% |
| United | Medicare|All Plans | $198.80 | ↑ +9% |
| Aetna | Medicare|All Plans | $198.80 | ↑ +9% |
| Healthsmart | Commercial|All Plans | $211.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $229.45 | ↑ +26% |
| Cigna | Commercial|PPO | $229.45 | ↑ +26% |
| Kaiser | Commercial|All Plans | $243.57 | ↑ +34% |
| First Health | Commercial|All Plans | $282.40 | ↑ +55% |
| BCBS - Anthem | Commercial|MCS | $309.76 | ↑ +70% |
| MultiPlan | Commercial|All Plans | $331.82 | ↑ +83% |
| United | Commercial|HMO | $349.47 | ↑ +92% |
| United | Commercial|Options PPO | $353.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $353.00 | ↑ +94% |
| United | Commercial|All Other Plans | $353.00 | ↑ +94% |
Visitor-reported prices
Comments
Breathing response hypoxia at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital Eureka | Eureka | $415.14 | $163.19 – $165.49 |
| St. Joseph's Medical Center Stockton | Stockton | $173.76 | $27.77 – $496.44 |
| Petaluma Valley Hospital | Petaluma | not published | $113.87 – $176.94 |
| Queen of The Valley Medical Center | Napa | not published | $143.90 – $182.70 |
| Healdsburg Hospital | Healdsburg | not published | $65.10 – $173.37 |
| Redwood Memorial Hospital | Fortuna | not published | $163.57 – $163.57 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $122.43 – $182.70 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $140.67 – $306.17 |