Bx breast add lesion mr imag at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,263.43
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.
$4,395.00
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.
$77.44 with Inland Empire Health Plan vs $11,994.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $77.44 | ↓ -97% |
| Molina | Medicaid|< 21 | $77.44 | ↓ -97% |
| Molina | Medicaid|> 21 | $77.44 | ↓ -97% |
| Kaiser | Medicaid|< 21 | $77.44 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $77.44 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $77.44 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $77.44 | ↓ -97% |
| Kern Health System | Medicaid|< 21 | $77.44 | ↓ -97% |
| Kern Health System | Medicaid|> 21 | $77.44 | ↓ -97% |
| California Health & Wellness | Medicaid|< 21 | $77.44 | ↓ -97% |
| California Health & Wellness | Medicaid|> 21 | $77.44 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $77.44 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|< 21 | $77.44 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|> 21 | $77.44 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|< 21 | $77.44 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $164.59 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $164.59 | ↓ -93% |
| Health Net | Medicaid|All Plans | $167.27 | ↓ -93% |
| Western Growers | Commercial|All Plans | $947.00 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $1,212.16 | ↓ -46% |
| Cigna | Commercial|PPO | $1,231.10 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $1,231.10 | ↓ -46% |
| Kaiser | Commercial|All Plans | $1,306.86 | ↓ -42% |
| First Health | Commercial|All Plans | $1,515.20 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $1,780.36 | ↓ -21% |
| United | Commercial|HMO | $1,875.06 | ↓ -17% |
| United | Commercial|Options PPO | $1,894.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $1,894.00 | ↓ -16% |
| United | Commercial|All Other Plans | $1,894.00 | ↓ -16% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +135% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +135% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +135% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +155% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +235% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +430% |
Visitor-reported prices
Comments
Bx breast add lesion mr imag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $499.91 | $77.44 – $1,096.62 |
| French Hospital | San Luis Obispo | $572.32 | $77.44 – $1,382.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,035.47 | $77.44 – $1,098.26 |
| Bakersfield Memorial Hospital | Bakersfield | $1,024.30 | $77.44 – $1,221.66 |
| St. Joseph's Medical Center Stockton | Stockton | $1,825.45 | $0.80 – $2,507.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $900.66 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,728.48 | $1,200.00 – $5,357.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,226.00 | $1,287.00 – $5,446.00 |