Bronch w/debrdmt subgltc & uppr trach at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$302.31
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.
$587.00
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.
$193.71 with Central California Alliance for Health vs $7,546.00 with Health Net — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $193.71 | ↓ -36% |
| Allcare | Commercial|All Plans | $205.69 | ↓ -32% |
| BCBS - Anthem | Medicaid|> 21 | $245.65 | ↓ -19% |
| BCBS - Anthem | Medicaid|< 21 | $245.65 | ↓ -19% |
| Humana | Medicare|All Plans | $246.67 | ↓ -18% |
| Aetna | Medicare|All Plans | $246.67 | ↓ -18% |
| United | Medicare|All Plans | $246.67 | ↓ -18% |
| Health Net | Medicare|All Plans | $246.67 | ↓ -18% |
| Kaiser | Medicare|All Plans | $246.67 | ↓ -18% |
| BCBS - Anthem | Medicare|All Plans | $246.67 | ↓ -18% |
| Blue Shield CA | Medicare|All Plans | $246.67 | ↓ -18% |
| Scan Health Plan | Medicare|All Plans | $246.67 | ↓ -18% |
| LA Care | Medicare|All Plans | $246.67 | ↓ -18% |
| Western Growers | Commercial|All Plans | $293.50 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $352.20 | ↑ +17% |
| Cigna | Commercial|PPO | $381.55 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $381.55 | ↑ +26% |
| Kaiser | Commercial|All Plans | $405.03 | ↑ +34% |
| First Health | Commercial|All Plans | $469.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $551.78 | ↑ +83% |
| United | Commercial|HMO | $581.13 | ↑ +92% |
| United | Commercial|Options PPO | $587.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $587.00 | ↑ +94% |
| United | Commercial|All Other Plans | $587.00 | ↑ +94% |
| Health Net | Medicaid|All Plans | $2,266.00 | ↑ +650% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +1660% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +1660% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +1660% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +2093% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +2396% |
Visitor-reported prices
Comments
Bronch w/debrdmt subgltc & uppr trach at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $214.81 | $156.33 – $463.20 |
| Bakersfield Memorial Hospital | Bakersfield | $212.50 | $156.33 – $457.41 |
| St. Joseph's Behavioral Health Center | Stockton | $318.05 | $55.70 – $445.60 |
| Healdsburg Hospital | Healdsburg | $269.79 | $268.94 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $161.70 | $115.50 – $462.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,113.76 | $218.22 – $5,171.00 |
| Providence St Joseph Hospital Orange | Orange | $2,675.04 | $218.22 – $4,971.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $246.67 – $448.66 |