Bx thigh/knee soft tiss supf 27323 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$144.40 with California Health & Wellness vs $13,379.00 with Health Net — 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 |
|---|---|---|---|
| California Health & Wellness | Medicaid|< 21 | $144.40 | ↓ -94% |
| Kern Health System | Medicaid|> 21 | $144.40 | ↓ -94% |
| Kern Health System | Medicaid|< 21 | $144.40 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $144.40 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $144.40 | ↓ -94% |
| Molina | Medicaid|< 21 | $144.40 | ↓ -94% |
| Molina | Medicaid|> 21 | $144.40 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|< 21 | $144.40 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|> 21 | $144.40 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|< 21 | $144.40 | ↓ -94% |
| California Health & Wellness | Medicaid|> 21 | $144.40 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|> 21 | $144.40 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $144.40 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $144.40 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $207.58 | ↓ -91% |
| BCBS - Anthem | Medicaid|> 21 | $207.58 | ↓ -91% |
| Central California Alliance for Health | Medicaid|All Plans | $227.62 | ↓ -90% |
| Health Net | Medicaid|All Plans | $491.66 | ↓ -78% |
| 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|All Other Plans | $1,894.00 | ↓ -16% |
| Aetna | Medicare|All Plans | $1,894.00 | ↓ -16% |
| Humana | Medicare|All Plans | $1,894.00 | ↓ -16% |
| United | Commercial|Options PPO | $1,894.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $1,894.00 | ↓ -16% |
| Health Net | Medicare|All Plans | $1,894.00 | ↓ -16% |
| Kaiser | Medicare|All Plans | $1,894.00 | ↓ -16% |
| BCBS - Anthem | Medicare|All Plans | $1,894.00 | ↓ -16% |
| Scan Health Plan | Medicare|All Plans | $1,894.00 | ↓ -16% |
| LA Care | Medicare|All Plans | $1,894.00 | ↓ -16% |
| United | Medicare|All Plans | $2,058.68 | ↓ -9% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↓ -9% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +82% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +135% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +135% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +135% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +139% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +278% |
| Health Net | Commercial|Care Product | $11,751.00 | ↑ +419% |
| Health Net | Commercial|FFS | $13,379.00 | ↑ +491% |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $144.40 – $435.00 |
| Bakersfield Memorial Hospital | Bakersfield | $159.65 | $144.40 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,726.67 | $144.40 – $2,394.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,434.40 | $1,805.60 – $5,171.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,014.47 | $144.40 – $4,500.16 |
| Mercy San Juan Medical Center | Carmichael | $2,601.91 | $144.40 – $7,881.68 |
| Mercy General Hospital | Sacramento | $2,070.13 | $144.40 – $7,596.80 |
| Mercy Hospital of Folsom | Folsom | $3,693.95 | $144.40 – $7,786.72 |