Exchange nephrostomy cath at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,914.65
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.
$9,543.00
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.
$95.50 with Western Growers vs $13,379.00 with Health Net — 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 | $95.50 | ↓ -98% |
| Healthsmart | Commercial|All Plans | $122.24 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $124.15 | ↓ -97% |
| Cigna | Commercial|PPO | $124.15 | ↓ -97% |
| Kaiser | Commercial|All Plans | $131.79 | ↓ -97% |
| First Health | Commercial|All Plans | $152.80 | ↓ -97% |
| MultiPlan | Commercial|All Plans | $179.54 | ↓ -96% |
| United | Commercial|HMO | $189.09 | ↓ -96% |
| Health Net | Medicare|All Plans | $191.00 | ↓ -96% |
| United | Commercial|All Other Plans | $191.00 | ↓ -96% |
| Aetna | Medicare|All Plans | $191.00 | ↓ -96% |
| Molina | Medicaid|< 21 | $191.00 | ↓ -96% |
| Molina | Medicaid|> 21 | $191.00 | ↓ -96% |
| Humana | Medicare|All Plans | $191.00 | ↓ -96% |
| United | Commercial|Options PPO | $191.00 | ↓ -96% |
| United | Commercial|Non-Options PPO | $191.00 | ↓ -96% |
| Health Net | Medicaid|All Plans | $191.00 | ↓ -96% |
| Kern Health System | Medicaid|< 21 | $191.00 | ↓ -96% |
| Kern Health System | Medicaid|> 21 | $191.00 | ↓ -96% |
| LA Care | Medicare|All Plans | $191.00 | ↓ -96% |
| California Health & Wellness | Medicaid|< 21 | $191.00 | ↓ -96% |
| California Health & Wellness | Medicaid|> 21 | $191.00 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $191.00 | ↓ -96% |
| Health Plan of San Joaquin | Medicaid|< 21 | $191.00 | ↓ -96% |
| Health Plan of San Joaquin | Medicaid|> 21 | $191.00 | ↓ -96% |
| Inland Empire Health Plan | Medicaid|< 21 | $191.00 | ↓ -96% |
| Inland Empire Health Plan | Medicaid|> 21 | $191.00 | ↓ -96% |
| Kaiser | Medicare|All Plans | $191.00 | ↓ -96% |
| Kaiser | Medicaid|< 21 | $191.00 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $191.00 | ↓ -96% |
| BCBS - Anthem | Medicare|All Plans | $191.00 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $191.00 | ↓ -96% |
| BCBS - Anthem | Medicaid|> 21 | $191.00 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $191.00 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $191.00 | ↓ -96% |
| Scan Health Plan | Medicare|All Plans | $191.00 | ↓ -96% |
| Blue Shield CA | Medicare|All Plans | $2,602.84 | ↓ -47% |
| United | Medicare|All Plans | $2,602.84 | ↓ -47% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↓ -16% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +8% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +8% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +8% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +10% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +74% |
| Health Net | Commercial|Care Product | $11,751.00 | ↑ +139% |
| Health Net | Commercial|FFS | $13,379.00 | ↑ +172% |
Visitor-reported prices
Comments
Exchange nephrostomy cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,049.45 | $646.92 – $4,655.74 |
| Arroyo Grande Hospital | Santa Maria | $3,299.46 | $434.37 – $6,497.40 |
| French Hospital | San Luis Obispo | $2,931.38 | $434.37 – $6,497.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,505.00 | $434.47 – $3,600.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,850.05 | $434.47 – $3,555.79 |
| Queen of The Valley Medical Center | Napa | $3,882.12 | $2,968.05 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,978.73 | $2,688.58 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,270.97 | $283.71 – $1,351.00 |