Cath hawkone s directional at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,180.77
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.
$8,118.00
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.
$849.16 with Health Net vs $3,692.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $849.16 | ↓ -80% |
| BCBS - Anthem | Medicaid|> 21 | $923.00 | ↓ -78% |
| BCBS - Anthem | Medicaid|< 21 | $923.00 | ↓ -78% |
| Healthsmart | Commercial|All Plans | $1,661.40 | ↓ -60% |
| Central California Alliance for Health | Medicaid|All Plans | $2,030.60 | ↓ -51% |
| Health Net | Commercial|Care Product | $2,104.44 | ↓ -50% |
| United | Commercial|HMO | $2,252.12 | ↓ -46% |
| Cigna | Commercial|PPO | $2,399.80 | ↓ -43% |
| Western Growers | Commercial|All Plans | $2,399.80 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $2,399.80 | ↓ -43% |
| Health Net | Commercial|FFS | $2,436.72 | ↓ -42% |
| Kaiser | Commercial|All Plans | $2,547.48 | ↓ -39% |
| United | Commercial|Non-Options PPO | $2,732.08 | ↓ -35% |
| BCBS - Anthem | Commercial|Exchange | $2,805.92 | ↓ -33% |
| First Health | Commercial|All Plans | $2,953.60 | ↓ -29% |
| United | Commercial|Options PPO | $2,953.60 | ↓ -29% |
| United | Commercial|All Other Plans | $3,027.44 | ↓ -28% |
| Blue Shield CA | Commercial|Exchange | $3,212.04 | ↓ -23% |
| Blue Shield CA | Commercial|All Other Plans | $3,248.96 | ↓ -22% |
| MultiPlan | Commercial|All Plans | $3,470.48 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $3,544.32 | ↓ -15% |
| Aetna | Commercial|HMO | $3,544.32 | ↓ -15% |
| Aetna | Commercial|PPO | $3,544.32 | ↓ -15% |
| BCBS - Anthem | Commercial|All Other Plans | $3,692.00 | ↓ -12% |
| BCBS - Anthem | Commercial|MCS | $3,692.00 | ↓ -12% |
Visitor-reported prices
Comments
Cath hawkone s directional at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,999.20 | $1,724.76 – $4,982.64 |
| Petaluma Valley Hospital | Petaluma | $15,119.46 | not published |
| Arroyo Grande Hospital | Santa Maria | $7,817.85 | $1,910.61 – $8,140.86 |
| French Hospital | San Luis Obispo | $7,160.28 | $1,578.33 – $8,140.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,791.31 | $2,307.50 – $8,307.00 |
| Bakersfield Memorial Hospital | Bakersfield | $7,448.27 | $2,307.50 – $8,953.10 |
| Queen of The Valley Medical Center | Napa | $15,119.46 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $6,469.15 | not published |