Dilation of salivary duct at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$811.13
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.
$1,575.00
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.
$44.86 with Kern Health System vs $9,131.00 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 |
|---|---|---|---|
| Kern Health System | Medicaid|> 21 | $44.86 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $44.86 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $44.86 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $44.86 | ↓ -94% |
| California Health & Wellness | Medicaid|> 21 | $44.86 | ↓ -94% |
| California Health & Wellness | Medicaid|< 21 | $44.86 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|> 21 | $44.86 | ↓ -94% |
| Kern Health System | Medicaid|< 21 | $44.86 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|> 21 | $44.86 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $44.86 | ↓ -94% |
| Molina | Medicaid|< 21 | $44.86 | ↓ -94% |
| Molina | Medicaid|> 21 | $44.86 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|< 21 | $44.86 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|< 21 | $44.86 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $64.48 | ↓ -92% |
| BCBS - Anthem | Medicaid|> 21 | $64.48 | ↓ -92% |
| Central California Alliance for Health | Medicaid|All Plans | $70.72 | ↓ -91% |
| Health Net | Medicaid|All Plans | $152.76 | ↓ -81% |
| Western Growers | Commercial|All Plans | $338.50 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $433.28 | ↓ -47% |
| Cigna | Commercial|PPO | $440.05 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $440.05 | ↓ -46% |
| Kaiser | Commercial|All Plans | $467.13 | ↓ -42% |
| First Health | Commercial|All Plans | $541.60 | ↓ -33% |
| Allcare | Commercial|All Plans | $580.38 | ↓ -28% |
| MultiPlan | Commercial|All Plans | $636.38 | ↓ -22% |
| Humana | Medicare|All Plans | $647.05 | ↓ -20% |
| Aetna | Medicare|All Plans | $647.05 | ↓ -20% |
| United | Medicare|All Plans | $647.05 | ↓ -20% |
| Health Net | Medicare|All Plans | $647.05 | ↓ -20% |
| Kaiser | Medicare|All Plans | $647.05 | ↓ -20% |
| BCBS - Anthem | Medicare|All Plans | $647.05 | ↓ -20% |
| Blue Shield CA | Medicare|All Plans | $647.05 | ↓ -20% |
| Scan Health Plan | Medicare|All Plans | $647.05 | ↓ -20% |
| LA Care | Medicare|All Plans | $647.05 | ↓ -20% |
| United | Commercial|HMO | $670.23 | ↓ -17% |
| United | Commercial|Non-Options PPO | $677.00 | ↓ -17% |
| United | Commercial|All Other Plans | $677.00 | ↓ -17% |
| United | Commercial|Options PPO | $677.00 | ↓ -17% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +407% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +556% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +556% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +556% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +568% |
| Health Net | Commercial|Care Product | $8,022.00 | ↑ +889% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +955% |
| Health Net | Commercial|FFS | $9,131.00 | ↑ +1026% |
Visitor-reported prices
Comments
Dilation of salivary duct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,916.75 | $44.86 – $1,233.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $575.05 | $44.86 – $1,240.00 |
| Bakersfield Memorial Hospital | Bakersfield | $568.85 | $44.86 – $1,224.50 |
| St. Joseph's Medical Center Stockton | Stockton | $837.61 | $44.86 – $1,162.56 |
| St. John's Camarillo Hospital | Camarillo | not published | $55.18 – $1,146.62 |
| Petaluma Valley Hospital | Petaluma | not published | $726.80 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $44.86 – $647.05 |
| French Hospital | San Luis Obispo | not published | $44.86 – $647.05 |