Graft apligraf 3in 44sqcm-q4101-cost per sq cm at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,462.60
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.
$2,840.00
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.
$30.36 with Inland Empire Health Plan vs $2,726.40 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $30.36 | ↓ -98% |
| Molina | Medicaid|< 21 | $30.36 | ↓ -98% |
| Molina | Medicaid|> 21 | $30.36 | ↓ -98% |
| Kaiser | Medicaid|< 21 | $30.36 | ↓ -98% |
| Kaiser | Medicaid|> 21 | $30.36 | ↓ -98% |
| Partnership Health Plan | Medicaid|< 21 | $30.36 | ↓ -98% |
| Partnership Health Plan | Medicaid|> 21 | $30.36 | ↓ -98% |
| Kern Health System | Medicaid|< 21 | $30.36 | ↓ -98% |
| Kern Health System | Medicaid|> 21 | $30.36 | ↓ -98% |
| California Health & Wellness | Medicaid|< 21 | $30.36 | ↓ -98% |
| California Health & Wellness | Medicaid|> 21 | $30.36 | ↓ -98% |
| Central California Alliance for Health | Medicaid|All Plans | $30.36 | ↓ -98% |
| Health Plan of San Joaquin | Medicaid|< 21 | $30.36 | ↓ -98% |
| Health Plan of San Joaquin | Medicaid|> 21 | $30.36 | ↓ -98% |
| Inland Empire Health Plan | Medicaid|< 21 | $30.36 | ↓ -98% |
| BCBS - Anthem | Medicaid|< 21 | $34.91 | ↓ -98% |
| BCBS - Anthem | Medicaid|> 21 | $34.91 | ↓ -98% |
| United | Commercial|Non-Options PPO | $50.23 | ↓ -97% |
| United | Commercial|All Other Plans | $50.29 | ↓ -97% |
| United | Commercial|Options PPO | $50.29 | ↓ -97% |
| United | Commercial|HMO | $50.29 | ↓ -97% |
| BCBS - Anthem | Commercial|Exchange | $52.49 | ↓ -96% |
| Health Net | Medicaid|All Plans | $65.58 | ↓ -96% |
| BCBS - Anthem | Commercial|All Other Plans | $69.07 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $109.07 | ↓ -93% |
| Healthsmart | Commercial|All Plans | $1,278.00 | ↓ -13% |
| Health Net | Commercial|Care Product | $1,618.80 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $1,846.00 | ↑ +26% |
| Western Growers | Commercial|All Plans | $1,846.00 | ↑ +26% |
| Cigna | Commercial|PPO | $1,846.00 | ↑ +26% |
| Health Net | Commercial|FFS | $1,874.40 | ↑ +28% |
| Kaiser | Commercial|All Plans | $1,959.60 | ↑ +34% |
| First Health | Commercial|All Plans | $2,272.00 | ↑ +55% |
| Blue Shield CA | Commercial|Exchange | $2,470.80 | ↑ +69% |
| Blue Shield CA | Commercial|All Other Plans | $2,499.20 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $2,669.60 | ↑ +83% |
| Aetna | Commercial|HMO | $2,726.40 | ↑ +86% |
| Aetna | Commercial|PPO | $2,726.40 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $2,726.40 | ↑ +86% |
Visitor-reported prices
Comments
Graft apligraf 3in 44sqcm-q4101-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,651.02 | $45.93 – $5,940.84 |
| Petaluma Valley Hospital | Petaluma | $4,070.57 | $45.71 – $171.13 |
| Arroyo Grande Hospital | Santa Maria | $3,555.40 | $30.36 – $6,262.20 |
| French Hospital | San Luis Obispo | $3,256.35 | $30.36 – $6,262.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,634.10 | $30.36 – $6,390.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,605.70 | $30.36 – $6,887.00 |
| Queen of The Valley Medical Center | Napa | $3,745.44 | $49.48 – $176.69 |
| Providence St Joseph Hospital Eureka | Eureka | $2,913.12 | $59.03 – $65.27 |