External cannula declotting at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,313.25
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.
$2,550.00
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.
$177.27 with BCBS - Anthem vs $11,994.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $177.27 | ↓ -87% |
| BCBS - Anthem | Medicaid|< 21 | $177.27 | ↓ -87% |
| Allcare | Commercial|All Plans | $828.43 | ↓ -37% |
| Central California Alliance for Health | Medicaid|All Plans | $841.50 | ↓ -36% |
| Western Growers | Commercial|All Plans | $1,275.00 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $1,530.00 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $1,657.50 | ↑ +26% |
| Cigna | Commercial|PPO | $1,657.50 | ↑ +26% |
| Kaiser | Commercial|All Plans | $1,759.50 | ↑ +34% |
| Humana | Medicare|All Plans | $1,973.80 | ↑ +50% |
| Aetna | Medicare|All Plans | $1,973.80 | ↑ +50% |
| United | Medicare|All Plans | $1,973.80 | ↑ +50% |
| Health Net | Medicare|All Plans | $1,973.80 | ↑ +50% |
| Kaiser | Medicare|All Plans | $1,973.80 | ↑ +50% |
| BCBS - Anthem | Medicare|All Plans | $1,973.80 | ↑ +50% |
| Blue Shield CA | Medicare|All Plans | $1,973.80 | ↑ +50% |
| Scan Health Plan | Medicare|All Plans | $1,973.80 | ↑ +50% |
| LA Care | Medicare|All Plans | $1,973.80 | ↑ +50% |
| First Health | Commercial|All Plans | $2,040.00 | ↑ +55% |
| Health Net | Medicaid|All Plans | $2,266.00 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $2,397.00 | ↑ +83% |
| United | Commercial|HMO | $2,524.50 | ↑ +92% |
| United | Commercial|Options PPO | $2,550.00 | ↑ +94% |
| United | Commercial|All Other Plans | $2,550.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $2,550.00 | ↑ +94% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +339% |
| Aetna | Commercial|HMO | $7,112.00 | ↑ +442% |
| Aetna | Commercial|All Other Plans | $7,112.00 | ↑ +442% |
| Aetna | Commercial|PPO | $7,112.00 | ↑ +442% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +478% |
| Health Net | Commercial|Care Product | $8,022.00 | ↑ +511% |
| Health Net | Commercial|FFS | $9,131.00 | ↑ +595% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +813% |
Visitor-reported prices
Comments
External cannula declotting at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,350.80 | $832.68 – $3,734.50 |
| Petaluma Valley Hospital | Petaluma | $3,012.06 | $2,121.35 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $3,040.52 | $1,973.80 – $6,961.92 |
| French Hospital | San Luis Obispo | $2,784.77 | $1,918.08 – $6,961.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $873.71 | $635.85 – $1,973.80 |
| Bakersfield Memorial Hospital | Bakersfield | $961.54 | $203.48 – $2,069.80 |
| Queen of The Valley Medical Center | Napa | $2,887.62 | $2,235.08 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,270.01 | $2,024.63 – $8,018.00 |