Electrophysiology evaluation at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,444.71
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.
$4,747.00
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.
$623.17 with Inland Empire Health Plan vs $22,232.00 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 | $623.17 | ↓ -75% |
| Molina | Medicaid|< 21 | $623.17 | ↓ -75% |
| Molina | Medicaid|> 21 | $623.17 | ↓ -75% |
| Kaiser | Medicaid|< 21 | $623.17 | ↓ -75% |
| Kaiser | Medicaid|> 21 | $623.17 | ↓ -75% |
| Partnership Health Plan | Medicaid|< 21 | $623.17 | ↓ -75% |
| Partnership Health Plan | Medicaid|> 21 | $623.17 | ↓ -75% |
| Kern Health System | Medicaid|< 21 | $623.17 | ↓ -75% |
| Kern Health System | Medicaid|> 21 | $623.17 | ↓ -75% |
| California Health & Wellness | Medicaid|< 21 | $623.17 | ↓ -75% |
| California Health & Wellness | Medicaid|> 21 | $623.17 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|< 21 | $623.17 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|> 21 | $623.17 | ↓ -75% |
| Inland Empire Health Plan | Medicaid|< 21 | $623.17 | ↓ -75% |
| BCBS - Anthem | Medicaid|< 21 | $895.82 | ↓ -63% |
| BCBS - Anthem | Medicaid|> 21 | $895.82 | ↓ -63% |
| Central California Alliance for Health | Medicaid|All Plans | $987.96 | ↓ -60% |
| Health Net | Medicaid|All Plans | $2,133.99 | ↓ -13% |
| Healthsmart | Commercial|All Plans | $2,848.20 | ↑ +17% |
| Cigna | Commercial|PPO | $3,085.55 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $3,085.55 | ↑ +26% |
| Kaiser | Commercial|All Plans | $3,275.43 | ↑ +34% |
| First Health | Commercial|All Plans | $3,797.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $4,462.18 | ↑ +83% |
| United | Commercial|Non-Options PPO | $4,747.00 | ↑ +94% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +283% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +298% |
| BCBS - Anthem | Commercial|Exchange | $10,694.00 | ↑ +337% |
| BCBS - Anthem | Commercial|All Other Plans | $14,071.00 | ↑ +476% |
| United | Commercial|HMO | $14,950.00 | ↑ +512% |
| Aetna | Commercial|HMO | $15,877.00 | ↑ +549% |
| Aetna | Commercial|PPO | $15,877.00 | ↑ +549% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↑ +549% |
| BCBS - Anthem | Commercial|MCS | $22,232.00 | ↑ +809% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,109.90 | $684.18 – $1,976.52 |
| Arroyo Grande Hospital | Santa Maria | $1,456.92 | $623.17 – $3,335.92 |
| French Hospital | San Luis Obispo | $1,361.42 | $623.17 – $3,403.54 |
| Bakersfield Memorial Hospital | Bakersfield | $1,742.15 | $623.17 – $4,747.00 |
| Queen of The Valley Medical Center | Napa | $9,251.91 | $2,747.00 – $19,158.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,813.67 | $2,699.00 – $53,297.00 |
| Redwood Memorial Hospital | Fortuna | $2,385.27 | $11,059.00 – $51,997.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,738.48 | $623.17 – $18,794.40 |