Cath combo lt&rt heart w/inj/s at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,027.43
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.
$1,995.00
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.
$1,145.73 with Kaiser vs $28,252.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| California Health & Wellness | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| Molina | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| Kern Health System | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| Kern Health System | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| Partnership Health Plan | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| Partnership Health Plan | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| Molina | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| Health Plan of San Joaquin | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| Inland Empire Health Plan | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| Inland Empire Health Plan | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| Health Plan of San Joaquin | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| California Health & Wellness | Medicaid|> 21 | $1,145.73 | ↑ +12% |
| Kaiser | Medicaid|< 21 | $1,145.73 | ↑ +12% |
| BCBS - Anthem | Medicaid|< 21 | $1,148.21 | ↑ +12% |
| BCBS - Anthem | Medicaid|> 21 | $1,148.21 | ↑ +12% |
| Healthsmart | Commercial|All Plans | $1,197.00 | ↑ +17% |
| Central California Alliance for Health | Medicaid|All Plans | $1,266.31 | ↑ +23% |
| Cigna | Commercial|All Other Plans | $1,296.75 | ↑ +26% |
| Cigna | Commercial|PPO | $1,296.75 | ↑ +26% |
| Kaiser | Commercial|All Plans | $1,376.55 | ↑ +34% |
| First Health | Commercial|All Plans | $1,596.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $1,875.30 | ↑ +83% |
| United | Commercial|HMO | $1,975.05 | ↑ +92% |
| United | Commercial|All Other Plans | $1,995.00 | ↑ +94% |
| Aetna | Medicare|All Plans | $1,995.00 | ↑ +94% |
| Humana | Medicare|All Plans | $1,995.00 | ↑ +94% |
| United | Commercial|Options PPO | $1,995.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $1,995.00 | ↑ +94% |
| Health Net | Medicaid|All Plans | $1,995.00 | ↑ +94% |
| Health Net | Medicare|All Plans | $1,995.00 | ↑ +94% |
| Kaiser | Medicare|All Plans | $1,995.00 | ↑ +94% |
| BCBS - Anthem | Medicare|All Plans | $1,995.00 | ↑ +94% |
| Scan Health Plan | Medicare|All Plans | $1,995.00 | ↑ +94% |
| LA Care | Medicare|All Plans | $1,995.00 | ↑ +94% |
| Blue Shield CA | Medicare|All Plans | $4,086.77 | ↑ +298% |
| United | Medicare|All Plans | $4,086.77 | ↑ +298% |
| BCBS - Anthem | Commercial|Exchange | $13,590.00 | ↑ +1223% |
| Health Net | Commercial|Care Product | $14,225.00 | ↑ +1285% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↑ +1445% |
| Aetna | Commercial|HMO | $15,877.00 | ↑ +1445% |
| Aetna | Commercial|PPO | $15,877.00 | ↑ +1445% |
| Health Net | Commercial|FFS | $16,193.00 | ↑ +1476% |
| BCBS - Anthem | Commercial|All Other Plans | $17,881.00 | ↑ +1640% |
| Blue Shield CA | Commercial|Exchange | $18,005.00 | ↑ +1652% |
| Blue Shield CA | Commercial|All Other Plans | $25,258.00 | ↑ +2358% |
| BCBS - Anthem | Commercial|MCS | $28,252.00 | ↑ +2650% |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,481.97 | $1,409.25 – $11,543.22 |
| Petaluma Valley Hospital | Petaluma | $22,596.06 | $4,368.86 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $6,800.50 | $1,145.73 – $15,571.22 |
| French Hospital | San Luis Obispo | $6,047.00 | $1,145.73 – $15,117.48 |
| Bakersfield Memorial Hospital | Bakersfield | $7,380.37 | $1,145.73 – $15,886.90 |
| Queen of The Valley Medical Center | Napa | $18,719.04 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,758.23 | $4,169.67 – $17,611.00 |
| Redwood Memorial Hospital | Fortuna | $11,734.08 | $13,544.00 – $51,997.00 |