Cellesta or duo per sq cm at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$865.20
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.
$1,680.00
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.
$386.40 with Health Net vs $1,680.00 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 | $386.40 | ↓ -55% |
| BCBS - Anthem | Medicaid|> 21 | $420.00 | ↓ -51% |
| BCBS - Anthem | Medicaid|< 21 | $420.00 | ↓ -51% |
| Inland Empire Health Plan | Medicaid|> 21 | $624.34 | ↓ -28% |
| Molina | Medicaid|< 21 | $624.34 | ↓ -28% |
| Molina | Medicaid|> 21 | $624.34 | ↓ -28% |
| Kaiser | Medicaid|< 21 | $624.34 | ↓ -28% |
| Kaiser | Medicaid|> 21 | $624.34 | ↓ -28% |
| Partnership Health Plan | Medicaid|< 21 | $624.34 | ↓ -28% |
| Partnership Health Plan | Medicaid|> 21 | $624.34 | ↓ -28% |
| Kern Health System | Medicaid|< 21 | $624.34 | ↓ -28% |
| Kern Health System | Medicaid|> 21 | $624.34 | ↓ -28% |
| California Health & Wellness | Medicaid|< 21 | $624.34 | ↓ -28% |
| California Health & Wellness | Medicaid|> 21 | $624.34 | ↓ -28% |
| Central California Alliance for Health | Medicaid|All Plans | $624.34 | ↓ -28% |
| Health Plan of San Joaquin | Medicaid|< 21 | $624.34 | ↓ -28% |
| Health Plan of San Joaquin | Medicaid|> 21 | $624.34 | ↓ -28% |
| Inland Empire Health Plan | Medicaid|< 21 | $624.34 | ↓ -28% |
| Healthsmart | Commercial|All Plans | $756.00 | ↓ -13% |
| Health Net | Commercial|Care Product | $957.60 | ↑ +11% |
| United | Commercial|Non-Options PPO | $972.18 | ↑ +12% |
| United | Commercial|All Other Plans | $1,030.16 | ↑ +19% |
| United | Commercial|Options PPO | $1,030.16 | ↑ +19% |
| United | Commercial|HMO | $1,030.16 | ↑ +19% |
| Cigna | Commercial|PPO | $1,092.00 | ↑ +26% |
| Western Growers | Commercial|All Plans | $1,092.00 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $1,092.00 | ↑ +26% |
| Health Net | Commercial|FFS | $1,108.80 | ↑ +28% |
| Kaiser | Commercial|All Plans | $1,159.20 | ↑ +34% |
| BCBS - Anthem | Commercial|Exchange | $1,276.80 | ↑ +48% |
| First Health | Commercial|All Plans | $1,344.00 | ↑ +55% |
| Blue Shield CA | Commercial|Exchange | $1,461.60 | ↑ +69% |
| Blue Shield CA | Commercial|All Other Plans | $1,478.40 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $1,579.20 | ↑ +83% |
| Aetna | Commercial|PPO | $1,612.80 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $1,612.80 | ↑ +86% |
| Aetna | Commercial|HMO | $1,612.80 | ↑ +86% |
| BCBS - Anthem | Commercial|MCS | $1,680.00 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $1,680.00 | ↑ +94% |
Visitor-reported prices
Comments
Cellesta or duo per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,558.20 | $624.34 – $3,780.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,541.40 | $132.07 – $4,074.00 |
| St. Joseph's Medical Center Stockton | Stockton | $617.40 | $264.29 – $2,100.00 |
| Petaluma Valley Hospital | Petaluma | not published | $167.70 – $593.00 |
| Queen of The Valley Medical Center | Napa | not published | $172.09 – $1,727.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $160.06 – $1,802.00 |
| Healdsburg Hospital | Healdsburg | not published | $167.67 – $721.00 |
| Redwood Memorial Hospital | Fortuna | not published | $160.08 – $1,847.00 |