Electrophysiology evaluation at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,945.55
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.
$9,603.00
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.
$684.45 with Kern Health System vs $23,723.00 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 | $684.45 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|> 21 | $684.45 | ↓ -86% |
| Molina | Medicaid|< 21 | $684.45 | ↓ -86% |
| Molina | Medicaid|> 21 | $684.45 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|< 21 | $684.45 | ↓ -86% |
| California Health & Wellness | Medicaid|> 21 | $684.45 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|> 21 | $684.45 | ↓ -86% |
| California Health & Wellness | Medicaid|< 21 | $684.45 | ↓ -86% |
| Kern Health System | Medicaid|> 21 | $684.45 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|< 21 | $684.45 | ↓ -86% |
| Kaiser | Medicaid|< 21 | $684.45 | ↓ -86% |
| Kaiser | Medicaid|> 21 | $684.45 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $684.45 | ↓ -86% |
| Partnership Health Plan | Medicaid|< 21 | $684.45 | ↓ -86% |
| BCBS - Anthem | Medicaid|< 21 | $983.89 | ↓ -80% |
| BCBS - Anthem | Medicaid|> 21 | $983.89 | ↓ -80% |
| Central California Alliance for Health | Medicaid|All Plans | $1,085.11 | ↓ -78% |
| Health Net | Medicaid|All Plans | $2,343.84 | ↓ -53% |
| Healthsmart | Commercial|All Plans | $5,761.80 | ↑ +17% |
| Cigna | Commercial|PPO | $6,241.95 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $6,241.95 | ↑ +26% |
| Kaiser | Commercial|All Plans | $6,626.07 | ↑ +34% |
| First Health | Commercial|All Plans | $7,682.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $9,026.82 | ↑ +83% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +89% |
| Aetna | Medicare|All Plans | $9,603.00 | ↑ +94% |
| Humana | Medicare|All Plans | $9,603.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $9,603.00 | ↑ +94% |
| Health Net | Medicare|All Plans | $9,603.00 | ↑ +94% |
| Kaiser | Medicare|All Plans | $9,603.00 | ↑ +94% |
| BCBS - Anthem | Medicare|All Plans | $9,603.00 | ↑ +94% |
| Scan Health Plan | Medicare|All Plans | $9,603.00 | ↑ +94% |
| LA Care | Medicare|All Plans | $9,603.00 | ↑ +94% |
| Blue Shield CA | Medicare|All Plans | $9,641.44 | ↑ +95% |
| United | Medicare|All Plans | $9,641.44 | ↑ +95% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +97% |
| BCBS - Anthem | Commercial|Exchange | $10,694.00 | ↑ +116% |
| BCBS - Anthem | Commercial|All Other Plans | $14,071.00 | ↑ +185% |
| United | Commercial|HMO | $14,950.00 | ↑ +202% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↑ +221% |
| Aetna | Commercial|HMO | $15,877.00 | ↑ +221% |
| Aetna | Commercial|PPO | $15,877.00 | ↑ +221% |
| Health Net | Commercial|Care Product | $20,839.00 | ↑ +321% |
| BCBS - Anthem | Commercial|MCS | $22,232.00 | ↑ +350% |
| Health Net | Commercial|FFS | $23,723.00 | ↑ +380% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,427.91 | $841.87 – $23,808.00 |
| Arroyo Grande Hospital | Santa Maria | $7,137.33 | $684.45 – $16,676.00 |
| French Hospital | San Luis Obispo | $6,235.16 | $684.45 – $15,587.88 |
| Bakersfield Memorial Hospital | Bakersfield | $4,165.82 | $684.45 – $11,010.47 |
| Queen of The Valley Medical Center | Napa | $11,164.92 | $9,256.00 – $35,965.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,548.77 | $684.45 – $12,687.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $16,984.53 | $9,773.00 – $15,575.00 |
| Northridge Hospital Medical Center | Northridge | $3,152.15 | $684.45 – $11,298.00 |