Dup scan/ue art/graft/bilat/comp 93930 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,264.46
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.
$4,397.00
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.
$106.73 with Kaiser vs $13,394.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $106.73 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|> 21 | $106.73 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|< 21 | $106.73 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|> 21 | $106.73 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|< 21 | $106.73 | ↓ -95% |
| Molina | Medicaid|< 21 | $106.73 | ↓ -95% |
| Molina | Medicaid|> 21 | $106.73 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $106.73 | ↓ -95% |
| Partnership Health Plan | Medicaid|< 21 | $106.73 | ↓ -95% |
| Kaiser | Medicaid|< 21 | $106.73 | ↓ -95% |
| California Health & Wellness | Medicaid|> 21 | $106.73 | ↓ -95% |
| California Health & Wellness | Medicaid|< 21 | $106.73 | ↓ -95% |
| Kern Health System | Medicaid|> 21 | $106.73 | ↓ -95% |
| Kern Health System | Medicaid|< 21 | $106.73 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $153.42 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $153.42 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $169.22 | ↓ -93% |
| Allcare | Commercial|All Plans | $306.20 | ↓ -86% |
| Blue Shield CA | Medicare|All Plans | $307.13 | ↓ -86% |
| Aetna | Medicare|All Plans | $307.13 | ↓ -86% |
| Humana | Medicare|All Plans | $307.13 | ↓ -86% |
| United | Medicare|All Plans | $307.13 | ↓ -86% |
| BCBS - Anthem | Medicare|All Plans | $307.13 | ↓ -86% |
| LA Care | Medicare|All Plans | $307.13 | ↓ -86% |
| Scan Health Plan | Medicare|All Plans | $307.13 | ↓ -86% |
| Kaiser | Medicare|All Plans | $307.13 | ↓ -86% |
| Health Net | Medicare|All Plans | $307.13 | ↓ -86% |
| Health Net | Medicaid|All Plans | $365.52 | ↓ -84% |
| Healthsmart | Commercial|All Plans | $629.12 | ↓ -72% |
| Cigna | Commercial|PPO | $638.95 | ↓ -72% |
| Cigna | Commercial|All Other Plans | $638.95 | ↓ -72% |
| BCBS - Anthem | Commercial|Exchange | $668.44 | ↓ -70% |
| Kaiser | Commercial|All Plans | $678.27 | ↓ -70% |
| First Health | Commercial|All Plans | $786.40 | ↓ -65% |
| BCBS - Anthem | Commercial|All Other Plans | $874.87 | ↓ -61% |
| MultiPlan | Commercial|All Plans | $924.02 | ↓ -59% |
| United | Commercial|Non-Options PPO | $983.00 | ↓ -57% |
| BCBS - Anthem | Commercial|MCS | $983.00 | ↓ -57% |
| United | Commercial|All Other Plans | $8,925.00 | ↑ +294% |
| United | Commercial|Options PPO | $9,267.00 | ↑ +309% |
| United | Commercial|HMO | $13,394.00 | ↑ +491% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,200.56 | $131.28 – $1,113.94 |
| Banner Lassen Medical Center | Susanville | $765.38 | $48.34 – $1,225.11 |
| Petaluma Valley Hospital | Petaluma | $1,512.66 | $321.54 – $1,163.33 |
| Arroyo Grande Hospital | Santa Maria | $916.78 | $106.73 – $2,099.16 |
| Mark Twain Medical Center | San Andreas | $4,237.10 | $106.73 – $1,721.86 |
| French Hospital | San Luis Obispo | $873.38 | $106.73 – $2,183.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $655.19 | $106.73 – $1,412.80 |
| Bakersfield Memorial Hospital | Bakersfield | $648.13 | $106.73 – $1,395.14 |