Chemotx admn pertl cav impl at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$475.35
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.
$923.00
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.
$142.59 with Kaiser vs $1,980.00 with Blue Shield CA — 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 | $142.59 | ↓ -70% |
| Inland Empire Health Plan | Medicaid|> 21 | $142.59 | ↓ -70% |
| Inland Empire Health Plan | Medicaid|< 21 | $142.59 | ↓ -70% |
| California Health & Wellness | Medicaid|> 21 | $142.59 | ↓ -70% |
| California Health & Wellness | Medicaid|< 21 | $142.59 | ↓ -70% |
| Kern Health System | Medicaid|> 21 | $142.59 | ↓ -70% |
| Kern Health System | Medicaid|< 21 | $142.59 | ↓ -70% |
| Partnership Health Plan | Medicaid|> 21 | $142.59 | ↓ -70% |
| Partnership Health Plan | Medicaid|< 21 | $142.59 | ↓ -70% |
| Kaiser | Medicaid|> 21 | $142.59 | ↓ -70% |
| Health Plan of San Joaquin | Medicaid|> 21 | $142.59 | ↓ -70% |
| Health Plan of San Joaquin | Medicaid|< 21 | $142.59 | ↓ -70% |
| Molina | Medicaid|< 21 | $142.59 | ↓ -70% |
| Molina | Medicaid|> 21 | $142.59 | ↓ -70% |
| BCBS - Anthem | Medicaid|< 21 | $142.90 | ↓ -70% |
| BCBS - Anthem | Medicaid|> 21 | $142.90 | ↓ -70% |
| Central California Alliance for Health | Medicaid|All Plans | $157.60 | ↓ -67% |
| Aetna | Commercial|HMO | $159.55 | ↓ -66% |
| Aetna | Commercial|PPO | $159.55 | ↓ -66% |
| Aetna | Commercial|All Other Plans | $159.55 | ↓ -66% |
| Health Net | Medicaid|All Plans | $340.42 | ↓ -28% |
| Allcare | Commercial|All Plans | $406.78 | ↓ -14% |
| Kaiser | Medicare|All Plans | $421.45 | ↓ -11% |
| Humana | Medicare|All Plans | $421.45 | ↓ -11% |
| BCBS - Anthem | Medicare|All Plans | $421.45 | ↓ -11% |
| Blue Shield CA | Medicare|All Plans | $421.45 | ↓ -11% |
| Health Net | Medicare|All Plans | $421.45 | ↓ -11% |
| Scan Health Plan | Medicare|All Plans | $421.45 | ↓ -11% |
| LA Care | Medicare|All Plans | $421.45 | ↓ -11% |
| United | Medicare|All Plans | $421.45 | ↓ -11% |
| Aetna | Medicare|All Plans | $421.45 | ↓ -11% |
| Healthsmart | Commercial|All Plans | $553.80 | ↑ +17% |
| Cigna | Commercial|PPO | $599.95 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $599.95 | ↑ +26% |
| Kaiser | Commercial|All Plans | $636.87 | ↑ +34% |
| First Health | Commercial|All Plans | $738.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $867.62 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $923.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $923.00 | ↑ +94% |
| United | Commercial|All Other Plans | $923.00 | ↑ +94% |
| United | Commercial|HMO | $923.00 | ↑ +94% |
| United | Commercial|Options PPO | $923.00 | ↑ +94% |
| BCBS - Anthem | Commercial|Exchange | $1,388.00 | ↑ +192% |
| Blue Shield CA | Commercial|Exchange | $1,411.00 | ↑ +197% |
| BCBS - Anthem | Commercial|All Other Plans | $1,826.00 | ↑ +284% |
| Blue Shield CA | Commercial|All Other Plans | $1,980.00 | ↑ +317% |
Visitor-reported prices
Comments
Chemotx admn pertl cav impl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $270.25 | $35.21 – $842.90 |
| Arroyo Grande Hospital | Santa Maria | $570.10 | $129.48 – $11,311.00 |
| Mark Twain Medical Center | San Andreas | $344.99 | $119.27 – $451.78 |
| French Hospital | San Luis Obispo | $497.45 | $138.68 – $9,050.00 |
| Bakersfield Memorial Hospital | Bakersfield | $319.29 | $107.39 – $520.89 |
| St. Joseph's Medical Center Stockton | Stockton | $218.15 | $124.26 – $1,266.00 |
| Dominican Hospital | Santa Cruz | $684.00 | $142.59 – $22,978.00 |
| Northridge Hospital Medical Center | Northridge | $413.76 | $86.10 – $11,929.00 |