Bundled special stain group 1 microorganisms at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$63.46
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.
$123.21
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.
$31.78 with BCBS - Anthem vs $123.21 with Aetna — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Exchange | $31.78 | ↓ -50% |
| BCBS - Anthem | Commercial|All Other Plans | $41.81 | ↓ -34% |
| Kaiser | Medicaid|< 21 | $47.09 | ↓ -26% |
| Molina | Medicaid|< 21 | $47.09 | ↓ -26% |
| Molina | Medicaid|> 21 | $47.09 | ↓ -26% |
| Kaiser | Medicaid|> 21 | $47.09 | ↓ -26% |
| Partnership Health Plan | Medicaid|< 21 | $47.09 | ↓ -26% |
| Partnership Health Plan | Medicaid|> 21 | $47.09 | ↓ -26% |
| Kern Health System | Medicaid|< 21 | $47.09 | ↓ -26% |
| Kern Health System | Medicaid|> 21 | $47.09 | ↓ -26% |
| California Health & Wellness | Medicaid|< 21 | $47.09 | ↓ -26% |
| California Health & Wellness | Medicaid|> 21 | $47.09 | ↓ -26% |
| Central California Alliance for Health | Medicaid|All Plans | $47.09 | ↓ -26% |
| Health Plan of San Joaquin | Medicaid|< 21 | $47.09 | ↓ -26% |
| Health Plan of San Joaquin | Medicaid|> 21 | $47.09 | ↓ -26% |
| Inland Empire Health Plan | Medicaid|< 21 | $47.09 | ↓ -26% |
| Inland Empire Health Plan | Medicaid|> 21 | $47.09 | ↓ -26% |
| BCBS - Anthem | Medicaid|< 21 | $54.15 | ↓ -15% |
| BCBS - Anthem | Medicaid|> 21 | $54.15 | ↓ -15% |
| United | Commercial|All Other Plans | $59.71 | ↓ -6% |
| United | Commercial|Non-Options PPO | $59.71 | ↓ -6% |
| United | Commercial|Options PPO | $59.71 | ↓ -6% |
| United | Commercial|HMO | $59.71 | ↓ -6% |
| Allcare | Commercial|All Plans | $65.00 | ↑ +2% |
| BCBS - Anthem | Commercial|MCS | $66.08 | ↑ +4% |
| Humana | Medicare|All Plans | $67.89 | ↑ +7% |
| LA Care | Medicare|All Plans | $67.89 | ↑ +7% |
| BCBS - Anthem | Medicare|All Plans | $67.89 | ↑ +7% |
| Blue Shield CA | Medicare|All Plans | $67.89 | ↑ +7% |
| Scan Health Plan | Medicare|All Plans | $67.89 | ↑ +7% |
| Aetna | Medicare|All Plans | $67.89 | ↑ +7% |
| United | Medicare|All Plans | $67.89 | ↑ +7% |
| Kaiser | Medicare|All Plans | $67.89 | ↑ +7% |
| Health Net | Medicare|All Plans | $67.89 | ↑ +7% |
| Healthsmart | Commercial|All Plans | $73.93 | ↑ +16% |
| Cigna | Commercial|PPO | $80.09 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $80.09 | ↑ +26% |
| Kaiser | Commercial|All Plans | $85.02 | ↑ +34% |
| First Health | Commercial|All Plans | $98.57 | ↑ +55% |
| Health Net | Medicaid|All Plans | $101.71 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $115.82 | ↑ +83% |
| Aetna | Commercial|HMO | $123.21 | ↑ +94% |
| Aetna | Commercial|PPO | $123.21 | ↑ +94% |
| Aetna | Commercial|All Other Plans | $123.21 | ↑ +94% |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $97.24 | $13.77 – $234.14 |
| Petaluma Valley Hospital | Petaluma | $231.03 | $24.29 – $98.94 |
| Arroyo Grande Hospital | Santa Maria | $122.93 | $28.50 – $227.38 |
| Mark Twain Medical Center | San Andreas | $60.52 | $18.89 – $71.54 |
| French Hospital | San Luis Obispo | $112.59 | $15.39 – $267.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $45.72 | $25.00 – $253.59 |
| Bakersfield Memorial Hospital | Bakersfield | $45.22 | $25.00 – $253.59 |
| Queen of The Valley Medical Center | Napa | $108.12 | $30.70 – $98.94 |