External chromosome analysis 20-25 cells at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$129.78
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.
$252.00
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.
$108.00 with Healthsmart vs $180.00 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 |
|---|---|---|---|
| Healthsmart | Commercial|All Plans | $108.00 | ↓ -17% |
| Cigna | Commercial|All Other Plans | $117.00 | ↓ -10% |
| Cigna | Commercial|PPO | $117.00 | ↓ -10% |
| BCBS - Anthem | Commercial|Exchange | $122.40 | ↓ -6% |
| Kaiser | Commercial|All Plans | $124.20 | ↓ -4% |
| First Health | Commercial|All Plans | $144.00 | ↑ +11% |
| Blue Shield CA | Medicare|All Plans | $144.61 | ↑ +11% |
| Scan Health Plan | Medicare|All Plans | $144.61 | ↑ +11% |
| Humana | Medicare|All Plans | $144.61 | ↑ +11% |
| LA Care | Medicare|All Plans | $144.61 | ↑ +11% |
| United | Medicare|All Plans | $144.61 | ↑ +11% |
| BCBS - Anthem | Medicare|All Plans | $144.61 | ↑ +11% |
| Health Net | Medicare|All Plans | $144.61 | ↑ +11% |
| Aetna | Medicare|All Plans | $144.61 | ↑ +11% |
| Kaiser | Medicare|All Plans | $144.61 | ↑ +11% |
| BCBS - Anthem | Commercial|All Other Plans | $160.20 | ↑ +23% |
| Inland Empire Health Plan | Medicaid|> 21 | $165.93 | ↑ +28% |
| Molina | Medicaid|< 21 | $165.93 | ↑ +28% |
| Molina | Medicaid|> 21 | $165.93 | ↑ +28% |
| Kaiser | Medicaid|< 21 | $165.93 | ↑ +28% |
| Kaiser | Medicaid|> 21 | $165.93 | ↑ +28% |
| Partnership Health Plan | Medicaid|< 21 | $165.93 | ↑ +28% |
| Partnership Health Plan | Medicaid|> 21 | $165.93 | ↑ +28% |
| Kern Health System | Medicaid|< 21 | $165.93 | ↑ +28% |
| Kern Health System | Medicaid|> 21 | $165.93 | ↑ +28% |
| California Health & Wellness | Medicaid|< 21 | $165.93 | ↑ +28% |
| California Health & Wellness | Medicaid|> 21 | $165.93 | ↑ +28% |
| Central California Alliance for Health | Medicaid|All Plans | $165.93 | ↑ +28% |
| Health Plan of San Joaquin | Medicaid|< 21 | $165.93 | ↑ +28% |
| Health Plan of San Joaquin | Medicaid|> 21 | $165.93 | ↑ +28% |
| Inland Empire Health Plan | Medicaid|< 21 | $165.93 | ↑ +28% |
| MultiPlan | Commercial|All Plans | $169.20 | ↑ +30% |
| United | Commercial|Non-Options PPO | $173.53 | ↑ +34% |
| United | Commercial|Options PPO | $173.53 | ↑ +34% |
| United | Commercial|HMO | $173.53 | ↑ +34% |
| United | Commercial|All Other Plans | $173.53 | ↑ +34% |
| Aetna | Commercial|HMO | $180.00 | ↑ +39% |
| Health Net | Medicaid|All Plans | $180.00 | ↑ +39% |
| Aetna | Commercial|All Other Plans | $180.00 | ↑ +39% |
| Aetna | Commercial|PPO | $180.00 | ↑ +39% |
| BCBS - Anthem | Commercial|MCS | $180.00 | ↑ +39% |
| BCBS - Anthem | Medicaid|< 21 | $180.00 | ↑ +39% |
| BCBS - Anthem | Medicaid|> 21 | $180.00 | ↑ +39% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $76.65 | $40.50 – $383.71 |
| Arroyo Grande Hospital | Santa Maria | $77.90 | $75.00 – $372.62 |
| Mark Twain Medical Center | San Andreas | $116.55 | $94.73 – $171.50 |
| French Hospital | San Luis Obispo | $71.35 | $40.50 – $438.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $93.50 | $87.50 – $415.57 |
| Bakersfield Memorial Hospital | Bakersfield | $92.49 | $87.50 – $415.57 |
| St. Joseph's Behavioral Health Center | Stockton | $143.90 | $18.00 – $144.00 |
| St. Joseph's Medical Center Stockton | Stockton | $74.09 | $36.75 – $175.00 |