Critical care 30-74 minutes at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$6,809.85
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.
$13,223.00
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.
$200.58 with BCBS - Anthem vs $25,609.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $200.58 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $200.58 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|< 21 | $216.64 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|> 21 | $216.64 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|< 21 | $216.64 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $216.64 | ↓ -97% |
| California Health & Wellness | Medicaid|> 21 | $216.64 | ↓ -97% |
| California Health & Wellness | Medicaid|< 21 | $216.64 | ↓ -97% |
| Molina | Medicaid|< 21 | $216.64 | ↓ -97% |
| Molina | Medicaid|> 21 | $216.64 | ↓ -97% |
| Kern Health System | Medicaid|> 21 | $216.64 | ↓ -97% |
| Kern Health System | Medicaid|< 21 | $216.64 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $216.64 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $216.64 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $216.64 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|> 21 | $216.64 | ↓ -97% |
| Kaiser | Medicaid|< 21 | $216.64 | ↓ -97% |
| Health Net | Medicaid|All Plans | $467.94 | ↓ -93% |
| Allcare | Commercial|All Plans | $875.93 | ↓ -87% |
| Blue Shield CA | Medicare|All Plans | $1,070.62 | ↓ -84% |
| Kaiser | Medicare|All Plans | $1,070.62 | ↓ -84% |
| Scan Health Plan | Medicare|All Plans | $1,070.62 | ↓ -84% |
| Health Net | Medicare|All Plans | $1,070.62 | ↓ -84% |
| Aetna | Medicare|All Plans | $1,070.62 | ↓ -84% |
| Humana | Medicare|All Plans | $1,070.62 | ↓ -84% |
| LA Care | Medicare|All Plans | $1,070.62 | ↓ -84% |
| BCBS - Anthem | Medicare|All Plans | $1,070.62 | ↓ -84% |
| United | Medicare|All Plans | $1,070.62 | ↓ -84% |
| Healthsmart | Commercial|All Plans | $7,933.80 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $7,933.80 | ↑ +17% |
| Kaiser | Commercial|All Plans | $8,462.72 | ↑ +24% |
| Cigna | Commercial|PPO | $8,594.95 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $8,594.95 | ↑ +26% |
| Aetna | Commercial|HMO | $8,727.18 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $8,727.18 | ↑ +28% |
| Aetna | Commercial|PPO | $8,727.18 | ↑ +28% |
| Western Growers | Commercial|All Plans | $9,256.10 | ↑ +36% |
| Blue Shield CA | Commercial|All Other Plans | $9,388.33 | ↑ +38% |
| BCBS - Anthem | Commercial|Exchange | $9,736.00 | ↑ +43% |
| First Health | Commercial|All Plans | $10,578.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $12,429.62 | ↑ +83% |
| BCBS - Anthem | Commercial|All Other Plans | $12,811.00 | ↑ +88% |
| United | Commercial|Non-Options PPO | $13,294.00 | ↑ +95% |
| United | Commercial|All Other Plans | $16,739.00 | ↑ +146% |
| United | Commercial|Options PPO | $17,252.00 | ↑ +153% |
| BCBS - Anthem | Commercial|MCS | $20,241.00 | ↑ +197% |
| United | Commercial|HMO | $25,609.00 | ↑ +276% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,379.17 | $295.99 – $6,326.30 |
| Banner Lassen Medical Center | Susanville | $1,663.58 | $168.52 – $3,320.31 |
| Petaluma Valley Hospital | Petaluma | $11,252.64 | $1,113.16 – $1,135.88 |
| Arroyo Grande Hospital | Santa Maria | $3,180.04 | $190.30 – $6,618.92 |
| Mark Twain Medical Center | San Andreas | $3,850.15 | $216.64 – $5,665.38 |
| French Hospital | San Luis Obispo | $3,130.12 | $190.30 – $6,736.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,037.75 | $216.64 – $6,714.16 |
| Bakersfield Memorial Hospital | Bakersfield | $3,005.00 | $216.64 – $6,714.16 |