Dlyd plmt xtn prosth ea addl at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,461.70
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.
$4,780.00
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.
$247.21 with Inland Empire Health Plan vs $15,399.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $247.21 | ↓ -90% |
| Molina | Medicaid|< 21 | $247.21 | ↓ -90% |
| Molina | Medicaid|> 21 | $247.21 | ↓ -90% |
| Kaiser | Medicaid|< 21 | $247.21 | ↓ -90% |
| Kaiser | Medicaid|> 21 | $247.21 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $247.21 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $247.21 | ↓ -90% |
| Kern Health System | Medicaid|< 21 | $247.21 | ↓ -90% |
| Kern Health System | Medicaid|> 21 | $247.21 | ↓ -90% |
| California Health & Wellness | Medicaid|< 21 | $247.21 | ↓ -90% |
| California Health & Wellness | Medicaid|> 21 | $247.21 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $247.21 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|< 21 | $247.21 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|> 21 | $247.21 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|< 21 | $247.21 | ↓ -90% |
| BCBS - Anthem | Medicaid|> 21 | $284.56 | ↓ -88% |
| BCBS - Anthem | Medicaid|< 21 | $284.56 | ↓ -88% |
| Health Net | Medicaid|All Plans | $533.97 | ↓ -78% |
| Western Growers | Commercial|All Plans | $1,029.00 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $1,317.12 | ↓ -46% |
| Cigna | Commercial|PPO | $1,337.70 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $1,337.70 | ↓ -46% |
| Kaiser | Commercial|All Plans | $1,420.02 | ↓ -42% |
| First Health | Commercial|All Plans | $1,646.40 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $1,934.52 | ↓ -21% |
| United | Commercial|HMO | $2,037.42 | ↓ -17% |
| United | Commercial|Options PPO | $2,058.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $2,058.00 | ↓ -16% |
| United | Commercial|All Other Plans | $2,058.00 | ↓ -16% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +116% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +116% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +116% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↑ +201% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↑ +296% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↑ +526% |
Visitor-reported prices
Comments
Dlyd plmt xtn prosth ea addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,189.65 | $247.21 – $5,013.68 |
| French Hospital | San Luis Obispo | $2,040.76 | $247.21 – $4,904.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,748.16 | $247.21 – $4,193.68 |
| Bakersfield Memorial Hospital | Bakersfield | $1,729.31 | $247.21 – $4,664.88 |
| St. Joseph's Medical Center Stockton | Stockton | $1,330.65 | $0.80 – $1,757.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,417.28 | $3,429.00 – $9,718.00 |
| Dominican Hospital | Santa Cruz | $1,864.35 | $247.21 – $3,728.70 |
| Northridge Hospital Medical Center | Northridge | $2,001.55 | $247.21 – $7,174.00 |