Endoluminal bx biliary tree at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$801.86
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.
?
What you pay up front if you don't use insurance.
$1,557.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$335.50 with Western Growers vs $8,557.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $335.50 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $429.44 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $436.15 | ↓ -46% |
| Cigna | Commercial|PPO | $436.15 | ↓ -46% |
| Kaiser | Commercial|All Plans | $462.99 | ↓ -42% |
| First Health | Commercial|All Plans | $536.80 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $630.74 | ↓ -21% |
| United | Commercial|HMO | $664.29 | ↓ -17% |
| Inland Empire Health Plan | Medicaid|> 21 | $671.00 | ↓ -16% |
| Molina | Medicaid|< 21 | $671.00 | ↓ -16% |
| Molina | Medicaid|> 21 | $671.00 | ↓ -16% |
| United | Commercial|All Other Plans | $671.00 | ↓ -16% |
| United | Commercial|Options PPO | $671.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $671.00 | ↓ -16% |
| Health Net | Medicaid|All Plans | $671.00 | ↓ -16% |
| California Health & Wellness | Medicaid|< 21 | $671.00 | ↓ -16% |
| California Health & Wellness | Medicaid|> 21 | $671.00 | ↓ -16% |
| Central California Alliance for Health | Medicaid|All Plans | $671.00 | ↓ -16% |
| Health Plan of San Joaquin | Medicaid|< 21 | $671.00 | ↓ -16% |
| Health Plan of San Joaquin | Medicaid|> 21 | $671.00 | ↓ -16% |
| Inland Empire Health Plan | Medicaid|< 21 | $671.00 | ↓ -16% |
| Kaiser | Medicaid|< 21 | $671.00 | ↓ -16% |
| Kaiser | Medicaid|> 21 | $671.00 | ↓ -16% |
| BCBS - Anthem | Medicaid|< 21 | $671.00 | ↓ -16% |
| BCBS - Anthem | Medicaid|> 21 | $671.00 | ↓ -16% |
| Partnership Health Plan | Medicaid|< 21 | $671.00 | ↓ -16% |
| Partnership Health Plan | Medicaid|> 21 | $671.00 | ↓ -16% |
| Kern Health System | Medicaid|< 21 | $671.00 | ↓ -16% |
| Kern Health System | Medicaid|> 21 | $671.00 | ↓ -16% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +413% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +564% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +564% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +564% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +575% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +967% |
Visitor-reported prices
Comments
Endoluminal bx biliary tree at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $291.71 | $179.82 – $2,129.33 |
| Arroyo Grande Hospital | Santa Maria | $1,001.10 | $1,223.75 – $2,292.22 |
| French Hospital | San Luis Obispo | $916.89 | $631.53 – $2,292.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $573.20 | $849.75 – $1,545.00 |
| Bakersfield Memorial Hospital | Bakersfield | $567.02 | $815.10 – $1,482.00 |
| St. Joseph's Medical Center Stockton | Stockton | $417.48 | $144.90 – $690.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,864.32 | $1,200.00 – $7,908.00 |
| Dominican Hospital | Santa Cruz | $637.65 | $921.05 – $1,742.91 |