Closure paravalvlr leak pq at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$20,223.54
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.
$39,269.00
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.
$785.56 with Humana vs $34,311.00 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $785.56 | ↓ -96% |
| Aetna | Medicare|All Plans | $785.56 | ↓ -96% |
| United | Medicare|All Plans | $785.56 | ↓ -96% |
| Health Net | Medicare|All Plans | $785.56 | ↓ -96% |
| Kaiser | Medicare|All Plans | $785.56 | ↓ -96% |
| BCBS - Anthem | Medicare|All Plans | $785.56 | ↓ -96% |
| Blue Shield CA | Medicare|All Plans | $785.56 | ↓ -96% |
| Scan Health Plan | Medicare|All Plans | $785.56 | ↓ -96% |
| LA Care | Medicare|All Plans | $785.56 | ↓ -96% |
| Allcare | Commercial|All Plans | $828.43 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $1,932.00 | ↓ -90% |
| Health Net | Medicaid|All Plans | $2,266.00 | ↓ -89% |
| Health Net | Commercial|Care Product | $8,022.00 | ↓ -60% |
| Health Net | Commercial|FFS | $9,131.00 | ↓ -55% |
| Aetna | Commercial|HMO | $15,877.00 | ↓ -21% |
| Aetna | Commercial|PPO | $15,877.00 | ↓ -21% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↓ -21% |
| Western Growers | Commercial|All Plans | $19,634.50 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $20,586.60 | ↑ +2% |
| Cigna | Commercial|PPO | $22,302.15 | ↑ +10% |
| Cigna | Commercial|All Other Plans | $22,302.15 | ↑ +10% |
| Kaiser | Commercial|All Plans | $23,674.59 | ↑ +17% |
| First Health | Commercial|All Plans | $27,448.80 | ↑ +36% |
| MultiPlan | Commercial|All Plans | $32,252.34 | ↑ +59% |
| United | Commercial|HMO | $33,967.89 | ↑ +68% |
| United | Commercial|Options PPO | $34,311.00 | ↑ +70% |
| United | Commercial|Non-Options PPO | $34,311.00 | ↑ +70% |
| United | Commercial|All Other Plans | $34,311.00 | ↑ +70% |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,812.31 | $785.56 – $2,754.96 |
| Arroyo Grande Hospital | Santa Maria | $1,511.70 | $785.56 – $2,142.28 |
| French Hospital | San Luis Obispo | $856.92 | $584.01 – $2,119.74 |
| Bakersfield Memorial Hospital | Bakersfield | $50,658.85 | $785.56 – $37,269.45 |
| St. Joseph's Medical Center Stockton | Stockton | $11,588.01 | $745.61 – $31,414.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $24,176.55 | $872.87 – $2,741.00 |
| Dominican Hospital | Santa Cruz | $22,815.00 | $849.40 – $43,095.00 |
| Providence Saint Joseph Medical Center | Burbank | $16,786.00 | $806.82 – $4,751.00 |