Echo exam of fetal heart at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$492.86
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.
$957.00
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.
$48.77 with Kaiser vs $427.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $48.77 | ↓ -90% |
| Kaiser | Medicaid|> 21 | $48.77 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $48.77 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $48.77 | ↓ -90% |
| California Health & Wellness | Medicaid|> 21 | $48.77 | ↓ -90% |
| California Health & Wellness | Medicaid|< 21 | $48.77 | ↓ -90% |
| Kern Health System | Medicaid|> 21 | $48.77 | ↓ -90% |
| Kern Health System | Medicaid|< 21 | $48.77 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $48.77 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|> 21 | $48.77 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|> 21 | $48.77 | ↓ -90% |
| Molina | Medicaid|< 21 | $48.77 | ↓ -90% |
| Molina | Medicaid|> 21 | $48.77 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|< 21 | $48.77 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|< 21 | $48.77 | ↓ -90% |
| BCBS - Anthem | Medicaid|> 21 | $56.09 | ↓ -89% |
| BCBS - Anthem | Medicaid|< 21 | $56.09 | ↓ -89% |
| Health Net | Medicaid|All Plans | $105.34 | ↓ -79% |
| Aetna | Commercial|HMO | $124.72 | ↓ -75% |
| Aetna | Commercial|All Other Plans | $124.72 | ↓ -75% |
| Aetna | Commercial|PPO | $124.72 | ↓ -75% |
| Humana | Medicare|All Plans | $135.12 | ↓ -73% |
| Aetna | Medicare|All Plans | $135.12 | ↓ -73% |
| United | Medicare|All Plans | $135.12 | ↓ -73% |
| Health Net | Medicare|All Plans | $135.12 | ↓ -73% |
| Kaiser | Medicare|All Plans | $135.12 | ↓ -73% |
| BCBS - Anthem | Medicare|All Plans | $135.12 | ↓ -73% |
| Blue Shield CA | Medicare|All Plans | $135.12 | ↓ -73% |
| Scan Health Plan | Medicare|All Plans | $135.12 | ↓ -73% |
| LA Care | Medicare|All Plans | $135.12 | ↓ -73% |
| Allcare | Commercial|All Plans | $147.27 | ↓ -70% |
| United | Commercial|All Other Plans | $245.18 | ↓ -50% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -50% |
| United | Commercial|Options PPO | $245.18 | ↓ -50% |
| United | Commercial|HMO | $245.18 | ↓ -50% |
| Healthsmart | Commercial|All Plans | $256.20 | ↓ -48% |
| Cigna | Commercial|All Other Plans | $277.55 | ↓ -44% |
| Cigna | Commercial|PPO | $277.55 | ↓ -44% |
| BCBS - Anthem | Commercial|Exchange | $290.36 | ↓ -41% |
| Kaiser | Commercial|All Plans | $294.63 | ↓ -40% |
| First Health | Commercial|All Plans | $341.60 | ↓ -31% |
| BCBS - Anthem | Commercial|All Other Plans | $380.03 | ↓ -23% |
| MultiPlan | Commercial|All Plans | $401.38 | ↓ -19% |
| BCBS - Anthem | Commercial|MCS | $427.00 | ↓ -13% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $495.63 | $48.77 – $1,075.06 |
| French Hospital | San Luis Obispo | $395.53 | $48.77 – $601.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $344.29 | $48.77 – $742.40 |
| Bakersfield Memorial Hospital | Bakersfield | $340.58 | $48.77 – $733.12 |
| St. Joseph's Medical Center Stockton | Stockton | $270.19 | $48.77 – $753.58 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $351.84 | $114.29 – $248.76 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $186.72 | $57.60 – $235.20 |
| St. Mary Medical Center | Long Beach | $219.73 | $43.89 – $511.00 |