Chg pr pul rehab for copd patients at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$112.27
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.
$218.00
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.
$130.80 with Healthsmart vs $384.00 with United — 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 |
|---|---|---|---|
| Healthsmart | Commercial|All Plans | $130.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $141.70 | ↑ +26% |
| Cigna | Commercial|PPO | $141.70 | ↑ +26% |
| Kaiser | Commercial|All Plans | $150.42 | ↑ +34% |
| First Health | Commercial|All Plans | $174.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $204.92 | ↑ +83% |
| United | Commercial|HMO | $218.00 | ↑ +94% |
| United | Commercial|Options PPO | $218.00 | ↑ +94% |
| United | Commercial|All Other Plans | $218.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $384.00 | ↑ +242% |
Visitor-reported prices
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Chg pr pul rehab for copd patients at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $104.44 | $122.00 – $244.00 |
| Mark Twain Medical Center | San Andreas | $266.40 | $103.48 – $392.00 |
| French Hospital | San Luis Obispo | $95.65 | $65.88 – $239.12 |
| Bakersfield Memorial Hospital | Bakersfield | $79.28 | $108.00 – $216.00 |
| St. Joseph's Medical Center Stockton | Stockton | $142.89 | $102.06 – $398.52 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $118.26 | $36.48 – $148.96 |
| Dominican Hospital | Santa Cruz | $181.80 | $262.60 – $343.40 |
| Sierra Nevada Memorial Hospital | Grass Valley | $172.77 | $172.00 – $310.66 |