Factor ix complex at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$3.09
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.
$6.00
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.
$0.01 with BCBS - Anthem vs $4.00 with Aetna — 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 | $0.01 | ↓ -100% |
| BCBS - Anthem | Medicaid|< 21 | $0.01 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $0.59 | ↓ -81% |
| BCBS - Anthem | Commercial|All Other Plans | $0.78 | ↓ -75% |
| Central California Alliance for Health | Medicaid|All Plans | $1.20 | ↓ -61% |
| BCBS - Anthem | Commercial|MCS | $1.23 | ↓ -60% |
| United | Medicare|All Plans | $1.70 | ↓ -45% |
| Blue Shield CA | Medicare|All Plans | $1.70 | ↓ -45% |
| Blue Shield CA | Commercial|Exchange | $1.82 | ↓ -41% |
| Blue Shield CA | Commercial|All Other Plans | $1.82 | ↓ -41% |
| Allcare | Commercial|All Plans | $1.98 | ↓ -36% |
| Humana | Medicare|All Plans | $2.17 | ↓ -30% |
| Aetna | Medicare|All Plans | $2.17 | ↓ -30% |
| Health Net | Medicare|All Plans | $2.17 | ↓ -30% |
| Kaiser | Medicare|All Plans | $2.17 | ↓ -30% |
| BCBS - Anthem | Medicare|All Plans | $2.17 | ↓ -30% |
| Scan Health Plan | Medicare|All Plans | $2.17 | ↓ -30% |
| LA Care | Medicare|All Plans | $2.17 | ↓ -30% |
| Health Net | Commercial|Care Product | $2.18 | ↓ -29% |
| Healthsmart | Commercial|All Plans | $2.40 | ↓ -22% |
| Health Net | Commercial|FFS | $2.49 | ↓ -19% |
| United | Commercial|Non-Options PPO | $2.52 | ↓ -18% |
| Cigna | Commercial|PPO | $2.60 | ↓ -16% |
| Cigna | Commercial|All Other Plans | $2.60 | ↓ -16% |
| United | Commercial|HMO | $2.74 | ↓ -11% |
| United | Commercial|Options PPO | $2.74 | ↓ -11% |
| United | Commercial|All Other Plans | $2.74 | ↓ -11% |
| Kaiser | Commercial|All Plans | $2.76 | ↓ -11% |
| First Health | Commercial|All Plans | $3.20 | ↑ +4% |
| MultiPlan | Commercial|All Plans | $3.76 | ↑ +22% |
| Aetna | Commercial|All Other Plans | $4.00 | ↑ +29% |
| Aetna | Commercial|PPO | $4.00 | ↑ +29% |
| Aetna | Commercial|HMO | $4.00 | ↑ +29% |
Visitor-reported prices
Comments
Factor ix complex at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $6.42 | $0.92 – $8.82 |
| French Hospital | San Luis Obispo | $3.53 | $1.70 – $8.82 |
| St. Joseph's Medical Center Stockton | Stockton | $1.47 | $0.78 – $2.46 |
| Northridge Hospital Medical Center | Northridge | $1.12 | $0.01 – $4.00 |
| Sequoia Hospital | Redwood City | $4.37 | $1.11 – $5.74 |
| California Hospital Medical Center | Los Angeles | $2.43 | $0.01 – $3.95 |
| Mercy Medical Center Redding | Redding | $3.55 | $0.02 – $4.90 |
| St. Bernardine Medical Center | San Bernardino | $1.67 | $0.02 – $4.10 |