Endo, single, pulmonary at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,021.76
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.
$1,984.00
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.
$175.26 with Health Net vs $762.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $175.26 | ↓ -83% |
| BCBS - Anthem | Medicaid|> 21 | $190.50 | ↓ -81% |
| BCBS - Anthem | Medicaid|< 21 | $190.50 | ↓ -81% |
| Healthsmart | Commercial|All Plans | $342.90 | ↓ -66% |
| Central California Alliance for Health | Medicaid|All Plans | $419.10 | ↓ -59% |
| Health Net | Commercial|Care Product | $434.34 | ↓ -57% |
| United | Commercial|HMO | $464.82 | ↓ -55% |
| Cigna | Commercial|PPO | $495.30 | ↓ -52% |
| Western Growers | Commercial|All Plans | $495.30 | ↓ -52% |
| Cigna | Commercial|All Other Plans | $495.30 | ↓ -52% |
| Health Net | Commercial|FFS | $502.92 | ↓ -51% |
| Kaiser | Commercial|All Plans | $525.78 | ↓ -49% |
| United | Commercial|Non-Options PPO | $563.88 | ↓ -45% |
| BCBS - Anthem | Commercial|Exchange | $579.12 | ↓ -43% |
| First Health | Commercial|All Plans | $609.60 | ↓ -40% |
| United | Commercial|Options PPO | $609.60 | ↓ -40% |
| United | Commercial|All Other Plans | $624.84 | ↓ -39% |
| Blue Shield CA | Commercial|Exchange | $662.94 | ↓ -35% |
| Blue Shield CA | Commercial|All Other Plans | $670.56 | ↓ -34% |
| MultiPlan | Commercial|All Plans | $716.28 | ↓ -30% |
| Aetna | Commercial|All Other Plans | $731.52 | ↓ -28% |
| Aetna | Commercial|HMO | $731.52 | ↓ -28% |
| Aetna | Commercial|PPO | $731.52 | ↓ -28% |
| BCBS - Anthem | Commercial|All Other Plans | $762.00 | ↓ -25% |
| BCBS - Anthem | Commercial|MCS | $762.00 | ↓ -25% |
Visitor-reported prices
Comments
Endo, single, pulmonary at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,178.10 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $920.08 | $476.25 – $1,714.50 |
| Bakersfield Memorial Hospital | Bakersfield | $910.16 | $476.25 – $1,847.85 |
| Queen of The Valley Medical Center | Napa | $1,124.55 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $1,262.25 | not published |
| Healdsburg Hospital | Healdsburg | $774.18 | not published |
| Redwood Memorial Hospital | Fortuna | $1,262.25 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $583.30 | $396.24 – $1,524.00 |