Cutter lead at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,328.06
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.
$8,404.00
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.
$61.18 with Health Net vs $266.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $61.18 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $66.50 | ↓ -98% |
| BCBS - Anthem | Medicaid|< 21 | $66.50 | ↓ -98% |
| Healthsmart | Commercial|All Plans | $119.70 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $146.30 | ↓ -97% |
| Health Net | Commercial|Care Product | $151.62 | ↓ -96% |
| United | Commercial|HMO | $162.26 | ↓ -96% |
| Cigna | Commercial|PPO | $172.90 | ↓ -96% |
| Western Growers | Commercial|All Plans | $172.90 | ↓ -96% |
| Cigna | Commercial|All Other Plans | $172.90 | ↓ -96% |
| Health Net | Commercial|FFS | $175.56 | ↓ -96% |
| Kaiser | Commercial|All Plans | $183.54 | ↓ -96% |
| United | Commercial|Non-Options PPO | $196.84 | ↓ -95% |
| BCBS - Anthem | Commercial|Exchange | $202.16 | ↓ -95% |
| First Health | Commercial|All Plans | $212.80 | ↓ -95% |
| United | Commercial|Options PPO | $212.80 | ↓ -95% |
| United | Commercial|All Other Plans | $218.12 | ↓ -95% |
| Blue Shield CA | Commercial|Exchange | $231.42 | ↓ -95% |
| Blue Shield CA | Commercial|All Other Plans | $234.08 | ↓ -95% |
| MultiPlan | Commercial|All Plans | $250.04 | ↓ -94% |
| Aetna | Commercial|All Other Plans | $255.36 | ↓ -94% |
| Aetna | Commercial|HMO | $255.36 | ↓ -94% |
| Aetna | Commercial|PPO | $255.36 | ↓ -94% |
| BCBS - Anthem | Commercial|All Other Plans | $266.00 | ↓ -94% |
| BCBS - Anthem | Commercial|MCS | $266.00 | ↓ -94% |
Visitor-reported prices
Comments
Cutter lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,152.59 | $209.52 – $605.28 |
| Banner Lassen Medical Center | Susanville | $2,049.00 | $464.12 – $1,098.04 |
| Petaluma Valley Hospital | Petaluma | $28,974.38 | not published |
| Arroyo Grande Hospital | Santa Maria | $6,012.98 | $179.17 – $763.42 |
| French Hospital | San Luis Obispo | $5,507.21 | $148.01 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,453.86 | $166.25 – $598.50 |
| Bakersfield Memorial Hospital | Bakersfield | $4,405.84 | $166.25 – $645.05 |
| Queen of The Valley Medical Center | Napa | $28,974.38 | not published |