Bx breast add lesion Ultrasound imag at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,069.79
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.
?
What you pay up front if you don't use insurance.
$4,019.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$506.70 with Inland Empire Health Plan vs $11,994.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $506.70 | ↓ -76% |
| Molina | Medicaid|< 21 | $506.70 | ↓ -76% |
| Molina | Medicaid|> 21 | $506.70 | ↓ -76% |
| Kaiser | Medicaid|< 21 | $506.70 | ↓ -76% |
| Kaiser | Medicaid|> 21 | $506.70 | ↓ -76% |
| Partnership Health Plan | Medicaid|< 21 | $506.70 | ↓ -76% |
| Partnership Health Plan | Medicaid|> 21 | $506.70 | ↓ -76% |
| Kern Health System | Medicaid|< 21 | $506.70 | ↓ -76% |
| Kern Health System | Medicaid|> 21 | $506.70 | ↓ -76% |
| California Health & Wellness | Medicaid|< 21 | $506.70 | ↓ -76% |
| California Health & Wellness | Medicaid|> 21 | $506.70 | ↓ -76% |
| Central California Alliance for Health | Medicaid|All Plans | $506.70 | ↓ -76% |
| Health Plan of San Joaquin | Medicaid|< 21 | $506.70 | ↓ -76% |
| Health Plan of San Joaquin | Medicaid|> 21 | $506.70 | ↓ -76% |
| Inland Empire Health Plan | Medicaid|< 21 | $506.70 | ↓ -76% |
| BCBS - Anthem | Medicaid|> 21 | $582.71 | ↓ -72% |
| BCBS - Anthem | Medicaid|< 21 | $582.71 | ↓ -72% |
| Western Growers | Commercial|All Plans | $869.50 | ↓ -58% |
| Health Net | Medicaid|All Plans | $1,094.47 | ↓ -47% |
| Healthsmart | Commercial|All Plans | $1,112.96 | ↓ -46% |
| Cigna | Commercial|PPO | $1,130.35 | ↓ -45% |
| Cigna | Commercial|All Other Plans | $1,130.35 | ↓ -45% |
| Kaiser | Commercial|All Plans | $1,199.91 | ↓ -42% |
| First Health | Commercial|All Plans | $1,391.20 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $1,634.66 | ↓ -21% |
| United | Commercial|HMO | $1,721.61 | ↓ -17% |
| United | Commercial|Options PPO | $1,739.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $1,739.00 | ↓ -16% |
| United | Commercial|All Other Plans | $1,739.00 | ↓ -16% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +157% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +157% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +157% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +179% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +267% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +479% |
Visitor-reported prices
Comments
Bx breast add lesion Ultrasound imag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $196.23 | $120.96 – $881.66 |
| Banner Lassen Medical Center | Susanville | $1,132.74 | $836.05 – $2,104.90 |
| Petaluma Valley Hospital | Petaluma | $2,368.95 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $487.07 | $506.70 – $1,014.30 |
| Mark Twain Medical Center | San Andreas | $1,417.92 | $292.85 – $1,109.36 |
| French Hospital | San Luis Obispo | $405.72 | $239.49 – $869.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $554.28 | $506.70 – $1,221.15 |
| Bakersfield Memorial Hospital | Bakersfield | $548.30 | $506.70 – $1,308.78 |