Bx breast pq tomo guide at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,576.81
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.
$8,887.00
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.
$1,262.58 with Central California Alliance for Health vs $16,193.00 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 | $1,262.58 | ↓ -72% |
| Western Growers | Commercial|All Plans | $1,913.00 | ↓ -58% |
| Health Net | Medicaid|All Plans | $2,266.00 | ↓ -50% |
| Healthsmart | Commercial|All Plans | $2,448.64 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $2,486.90 | ↓ -46% |
| Cigna | Commercial|PPO | $2,486.90 | ↓ -46% |
| Kaiser | Commercial|All Plans | $2,639.94 | ↓ -42% |
| First Health | Commercial|All Plans | $3,060.80 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $3,596.44 | ↓ -21% |
| United | Commercial|HMO | $3,787.74 | ↓ -17% |
| Health Net | Medicare|All Plans | $3,826.00 | ↓ -16% |
| LA Care | Medicare|All Plans | $3,826.00 | ↓ -16% |
| BCBS - Anthem | Medicare|All Plans | $3,826.00 | ↓ -16% |
| Scan Health Plan | Medicare|All Plans | $3,826.00 | ↓ -16% |
| Aetna | Medicare|All Plans | $3,826.00 | ↓ -16% |
| United | Commercial|All Other Plans | $3,826.00 | ↓ -16% |
| United | Commercial|Options PPO | $3,826.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $3,826.00 | ↓ -16% |
| Humana | Medicare|All Plans | $3,826.00 | ↓ -16% |
| Kaiser | Medicare|All Plans | $3,826.00 | ↓ -16% |
| Blue Shield CA | Medicare|All Plans | $4,865.48 | ↑ +6% |
| United | Medicare|All Plans | $4,865.48 | ↑ +6% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +16% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +16% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +16% |
| Health Net | Commercial|Care Product | $14,225.00 | ↑ +211% |
| Health Net | Commercial|FFS | $16,193.00 | ↑ +254% |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,714.40 | $1,247.67 – $4,621.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,695.91 | $1,218.24 – $4,512.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,708.41 | $305.13 – $1,453.00 |
| California Hospital Medical Center | Los Angeles | $6,331.68 | $3,263.75 – $10,313.45 |
| Mercy San Juan Medical Center | Carmichael | $5,225.18 | $2,097.70 – $15,828.10 |
| Mercy General Hospital | Sacramento | $4,157.26 | $4,745.23 – $19,070.00 |
| Mercy Hospital of Folsom | Folsom | $7,418.23 | $2,097.70 – $19,070.00 |
| Woodland Memorial Hospital | Woodland | $5,225.18 | $2,097.70 – $19,070.00 |