Galac-1-phosphate uridyltran - sendout at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$92.12
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.
$178.87
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.
$21.07 with LA Care vs $178.87 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 |
|---|---|---|---|
| LA Care | Medicare|All Plans | $21.07 | ↓ -77% |
| Health Net | Medicare|All Plans | $21.07 | ↓ -77% |
| United | Medicare|All Plans | $21.07 | ↓ -77% |
| Scan Health Plan | Medicare|All Plans | $21.07 | ↓ -77% |
| Blue Shield CA | Medicare|All Plans | $21.07 | ↓ -77% |
| Aetna | Medicare|All Plans | $21.07 | ↓ -77% |
| BCBS - Anthem | Medicare|All Plans | $21.07 | ↓ -77% |
| Kaiser | Medicare|All Plans | $21.07 | ↓ -77% |
| Humana | Medicare|All Plans | $21.07 | ↓ -77% |
| United | Commercial|HMO | $25.28 | ↓ -73% |
| United | Commercial|Non-Options PPO | $25.28 | ↓ -73% |
| United | Commercial|All Other Plans | $25.28 | ↓ -73% |
| United | Commercial|Options PPO | $25.28 | ↓ -73% |
| Inland Empire Health Plan | Medicaid|> 21 | $26.87 | ↓ -71% |
| Molina | Medicaid|< 21 | $26.87 | ↓ -71% |
| Molina | Medicaid|> 21 | $26.87 | ↓ -71% |
| Kaiser | Medicaid|< 21 | $26.87 | ↓ -71% |
| Kaiser | Medicaid|> 21 | $26.87 | ↓ -71% |
| Partnership Health Plan | Medicaid|< 21 | $26.87 | ↓ -71% |
| Partnership Health Plan | Medicaid|> 21 | $26.87 | ↓ -71% |
| Kern Health System | Medicaid|< 21 | $26.87 | ↓ -71% |
| Kern Health System | Medicaid|> 21 | $26.87 | ↓ -71% |
| California Health & Wellness | Medicaid|< 21 | $26.87 | ↓ -71% |
| California Health & Wellness | Medicaid|> 21 | $26.87 | ↓ -71% |
| Central California Alliance for Health | Medicaid|All Plans | $26.87 | ↓ -71% |
| Health Plan of San Joaquin | Medicaid|< 21 | $26.87 | ↓ -71% |
| Health Plan of San Joaquin | Medicaid|> 21 | $26.87 | ↓ -71% |
| Inland Empire Health Plan | Medicaid|< 21 | $26.87 | ↓ -71% |
| BCBS - Anthem | Medicaid|> 21 | $32.75 | ↓ -64% |
| BCBS - Anthem | Medicaid|< 21 | $32.75 | ↓ -64% |
| Blue Shield CA | Commercial|Exchange | $51.88 | ↓ -44% |
| Health Net | Medicaid|All Plans | $58.04 | ↓ -37% |
| Blue Shield CA | Commercial|All Other Plans | $69.76 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $107.33 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $116.27 | ↑ +26% |
| Cigna | Commercial|PPO | $116.27 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $121.64 | ↑ +32% |
| Kaiser | Commercial|All Plans | $123.43 | ↑ +34% |
| Aetna | Commercial|PPO | $128.93 | ↑ +40% |
| Aetna | Commercial|All Other Plans | $128.93 | ↑ +40% |
| Aetna | Commercial|HMO | $128.93 | ↑ +40% |
| First Health | Commercial|All Plans | $143.10 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $159.20 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $168.14 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $178.87 | ↑ +94% |
Visitor-reported prices
Comments
Galac-1-phosphate uridyltran - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $77.00 | $4.21 – $119.31 |
| Arroyo Grande Hospital | Santa Maria | $76.56 | $21.07 – $175.30 |
| French Hospital | San Luis Obispo | $70.12 | $21.07 – $175.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $66.37 | $21.07 – $143.10 |
| Bakersfield Memorial Hospital | Bakersfield | $65.65 | $21.07 – $141.31 |
| St. Joseph's Behavioral Health Center | Stockton | $102.14 | $17.89 – $143.10 |
| St. Joseph's Medical Center Stockton | Stockton | $52.59 | $17.91 – $146.68 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $84.07 | $18.73 – $105.89 |