Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$13.39
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.
$26.00
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.
$0.01 with BCBS - Anthem vs $15.00 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 | Medicaid|< 21 | $0.01 | ↓ -100% |
| BCBS - Anthem | Medicaid|> 21 | $0.01 | ↓ -100% |
| Inland Empire Health Plan | Medicaid|> 21 | $0.74 | ↓ -94% |
| Molina | Medicaid|< 21 | $0.74 | ↓ -94% |
| Molina | Medicaid|> 21 | $0.74 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $0.74 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $0.74 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $0.74 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $0.74 | ↓ -94% |
| Kern Health System | Medicaid|< 21 | $0.74 | ↓ -94% |
| Kern Health System | Medicaid|> 21 | $0.74 | ↓ -94% |
| California Health & Wellness | Medicaid|< 21 | $0.74 | ↓ -94% |
| California Health & Wellness | Medicaid|> 21 | $0.74 | ↓ -94% |
| Central California Alliance for Health | Medicaid|All Plans | $0.74 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|< 21 | $0.74 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|> 21 | $0.74 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|< 21 | $0.74 | ↓ -94% |
| Health Net | Medicaid|All Plans | $1.60 | ↓ -88% |
| Blue Shield CA | Commercial|Exchange | $3.11 | ↓ -77% |
| Blue Shield CA | Commercial|All Other Plans | $3.11 | ↓ -77% |
| Health Net | Commercial|Care Product | $3.73 | ↓ -72% |
| Health Net | Commercial|FFS | $4.26 | ↓ -68% |
| BCBS - Anthem | Commercial|Exchange | $5.35 | ↓ -60% |
| BCBS - Anthem | Commercial|All Other Plans | $7.04 | ↓ -47% |
| Healthsmart | Commercial|All Plans | $9.00 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $9.75 | ↓ -27% |
| Cigna | Commercial|PPO | $9.75 | ↓ -27% |
| Kaiser | Commercial|All Plans | $10.35 | ↓ -23% |
| BCBS - Anthem | Commercial|MCS | $11.11 | ↓ -17% |
| United | Commercial|Non-Options PPO | $11.76 | ↓ -12% |
| United | Commercial|All Other Plans | $11.78 | ↓ -12% |
| United | Commercial|HMO | $11.78 | ↓ -12% |
| United | Commercial|Options PPO | $11.78 | ↓ -12% |
| First Health | Commercial|All Plans | $12.00 | ↓ -10% |
| MultiPlan | Commercial|All Plans | $14.10 | ↑ +5% |
| Aetna | Commercial|HMO | $15.00 | ↑ +12% |
| Aetna | Commercial|PPO | $15.00 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $15.00 | ↑ +12% |
Visitor-reported prices
Comments
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Behavioral Health Center | Stockton | $11.42 | $1.20 – $9.60 |
| Dominican Hospital | Santa Cruz | $21.15 | $0.74 – $39.95 |
| Northridge Hospital Medical Center | Northridge | $6.42 | $0.01 – $23.00 |
| Sequoia Hospital | Redwood City | $17.11 | $0.74 – $38.54 |
| St. Mary Medical Center | Long Beach | $24.94 | $0.01 – $58.00 |
| Glendale Memorial Hospital Health Center | Glendale | $19.89 | $0.01 – $48.80 |
| Mercy Medical Center Redding | Redding | $14.20 | $0.02 – $22.54 |
| Mercy General Hospital | Sacramento | $5.67 | $0.02 – $12.00 |