ER Visit (level 5, high severity) at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$5,189.66
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.
$10,077.00
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.
$155.03 with Kaiser vs $25,609.00 with United — 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 | $155.03 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|> 21 | $155.03 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|< 21 | $155.03 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|> 21 | $155.03 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|< 21 | $155.03 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $155.03 | ↓ -97% |
| California Health & Wellness | Medicaid|> 21 | $155.03 | ↓ -97% |
| California Health & Wellness | Medicaid|< 21 | $155.03 | ↓ -97% |
| Molina | Medicaid|< 21 | $155.03 | ↓ -97% |
| Molina | Medicaid|> 21 | $155.03 | ↓ -97% |
| Kern Health System | Medicaid|> 21 | $155.03 | ↓ -97% |
| Kern Health System | Medicaid|< 21 | $155.03 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $155.03 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $155.03 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $155.03 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $178.28 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $178.28 | ↓ -97% |
| Health Net | Medicaid|All Plans | $334.86 | ↓ -94% |
| Allcare | Commercial|All Plans | $662.88 | ↓ -87% |
| Health Net | Medicare|All Plans | $779.00 | ↓ -85% |
| Kaiser | Medicare|All Plans | $779.00 | ↓ -85% |
| BCBS - Anthem | Medicare|All Plans | $779.00 | ↓ -85% |
| Humana | Medicare|All Plans | $779.00 | ↓ -85% |
| Blue Shield CA | Medicare|All Plans | $779.00 | ↓ -85% |
| Scan Health Plan | Medicare|All Plans | $779.00 | ↓ -85% |
| United | Medicare|All Plans | $779.00 | ↓ -85% |
| LA Care | Medicare|All Plans | $779.00 | ↓ -85% |
| Aetna | Medicare|All Plans | $779.00 | ↓ -85% |
| Blue Shield CA | Commercial|Exchange | $6,046.20 | ↑ +17% |
| Healthsmart | Commercial|All Plans | $6,046.20 | ↑ +17% |
| Kaiser | Commercial|All Plans | $6,449.28 | ↑ +24% |
| Cigna | Commercial|All Other Plans | $6,550.05 | ↑ +26% |
| Cigna | Commercial|PPO | $6,550.05 | ↑ +26% |
| Aetna | Commercial|PPO | $6,650.82 | ↑ +28% |
| Aetna | Commercial|HMO | $6,650.82 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $6,650.82 | ↑ +28% |
| Western Growers | Commercial|All Plans | $7,053.90 | ↑ +36% |
| Blue Shield CA | Commercial|All Other Plans | $7,154.67 | ↑ +38% |
| First Health | Commercial|All Plans | $8,061.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $9,472.38 | ↑ +83% |
| BCBS - Anthem | Commercial|Exchange | $9,736.00 | ↑ +88% |
| Health Net | Commercial|Care Product | $12,151.00 | ↑ +134% |
| BCBS - Anthem | Commercial|All Other Plans | $12,811.00 | ↑ +147% |
| United | Commercial|Non-Options PPO | $13,294.00 | ↑ +156% |
| Health Net | Commercial|FFS | $13,833.00 | ↑ +167% |
| United | Commercial|All Other Plans | $16,739.00 | ↑ +223% |
| United | Commercial|Options PPO | $17,252.00 | ↑ +232% |
| BCBS - Anthem | Commercial|MCS | $20,241.00 | ↑ +290% |
| United | Commercial|HMO | $25,609.00 | ↑ +393% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |