Collection blood specimen from completely implantable venous access device at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$142.14
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.
$276.00
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.
$143.25 with Allcare vs $7,546.00 with Health Net — 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 |
|---|---|---|---|
| Allcare | Commercial|All Plans | $143.25 | ↑ +1% |
| Humana | Medicare|All Plans | $163.78 | ↑ +15% |
| Aetna | Medicare|All Plans | $163.78 | ↑ +15% |
| United | Medicare|All Plans | $163.78 | ↑ +15% |
| Health Net | Medicare|All Plans | $163.78 | ↑ +15% |
| Kaiser | Medicare|All Plans | $163.78 | ↑ +15% |
| BCBS - Anthem | Medicare|All Plans | $163.78 | ↑ +15% |
| Blue Shield CA | Medicare|All Plans | $163.78 | ↑ +15% |
| Scan Health Plan | Medicare|All Plans | $163.78 | ↑ +15% |
| LA Care | Medicare|All Plans | $163.78 | ↑ +15% |
| Healthsmart | Commercial|All Plans | $165.60 | ↑ +17% |
| Cigna | Commercial|PPO | $179.40 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $179.40 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $187.68 | ↑ +32% |
| Kaiser | Commercial|All Plans | $190.44 | ↑ +34% |
| First Health | Commercial|All Plans | $220.80 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $245.64 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $259.44 | ↑ +83% |
| United | Commercial|HMO | $273.24 | ↑ +92% |
| United | Commercial|Non-Options PPO | $276.00 | ↑ +94% |
| United | Commercial|All Other Plans | $276.00 | ↑ +94% |
| United | Commercial|Options PPO | $276.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $276.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +4564% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +5209% |
Visitor-reported prices
Comments
Collection blood specimen from completely implantable venous access device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $91.98 | $56.70 – $291.44 |
| Banner Lassen Medical Center | Susanville | $213.59 | $25.78 – $296.82 |
| Petaluma Valley Hospital | Petaluma | $235.11 | $167.07 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $113.42 | $132.50 – $246.96 |
| Mark Twain Medical Center | San Andreas | $250.42 | $62.09 – $235.20 |
| French Hospital | San Luis Obispo | $103.88 | $41.31 – $153.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $82.37 | $59.94 – $177.60 |
| Bakersfield Memorial Hospital | Bakersfield | $85.52 | $59.94 – $175.38 |