Ho post-op hip abduction at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$665.38
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.
$1,292.00
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.
$297.16 with Health Net vs $1,292.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $297.16 | ↓ -55% |
| Healthsmart | Commercial|All Plans | $581.40 | ↓ -13% |
| Health Net | Commercial|Care Product | $736.44 | ↑ +11% |
| United | Commercial|HMO | $788.12 | ↑ +18% |
| Cigna | Commercial|PPO | $839.80 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $839.80 | ↑ +26% |
| Western Growers | Commercial|All Plans | $839.80 | ↑ +26% |
| Health Net | Commercial|FFS | $852.72 | ↑ +28% |
| Kaiser | Commercial|All Plans | $891.48 | ↑ +34% |
| Inland Empire Health Plan | Medicaid|> 21 | $939.45 | ↑ +41% |
| Molina | Medicaid|< 21 | $939.45 | ↑ +41% |
| Molina | Medicaid|> 21 | $939.45 | ↑ +41% |
| Kaiser | Medicaid|< 21 | $939.45 | ↑ +41% |
| Kaiser | Medicaid|> 21 | $939.45 | ↑ +41% |
| Partnership Health Plan | Medicaid|< 21 | $939.45 | ↑ +41% |
| Partnership Health Plan | Medicaid|> 21 | $939.45 | ↑ +41% |
| Kern Health System | Medicaid|< 21 | $939.45 | ↑ +41% |
| Kern Health System | Medicaid|> 21 | $939.45 | ↑ +41% |
| California Health & Wellness | Medicaid|< 21 | $939.45 | ↑ +41% |
| California Health & Wellness | Medicaid|> 21 | $939.45 | ↑ +41% |
| Central California Alliance for Health | Medicaid|All Plans | $939.45 | ↑ +41% |
| Health Plan of San Joaquin | Medicaid|< 21 | $939.45 | ↑ +41% |
| Health Plan of San Joaquin | Medicaid|> 21 | $939.45 | ↑ +41% |
| Inland Empire Health Plan | Medicaid|< 21 | $939.45 | ↑ +41% |
| United | Commercial|Non-Options PPO | $956.08 | ↑ +44% |
| BCBS - Anthem | Commercial|Exchange | $981.92 | ↑ +48% |
| First Health | Commercial|All Plans | $1,033.60 | ↑ +55% |
| United | Commercial|Options PPO | $1,033.60 | ↑ +55% |
| United | Commercial|All Other Plans | $1,059.44 | ↑ +59% |
| BCBS - Anthem | Medicaid|> 21 | $1,080.37 | ↑ +62% |
| BCBS - Anthem | Medicaid|< 21 | $1,080.37 | ↑ +62% |
| Blue Shield CA | Commercial|Exchange | $1,124.04 | ↑ +69% |
| Blue Shield CA | Commercial|All Other Plans | $1,136.96 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $1,214.48 | ↑ +83% |
| Aetna | Commercial|HMO | $1,240.32 | ↑ +86% |
| Aetna | Commercial|PPO | $1,240.32 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $1,240.32 | ↑ +86% |
| BCBS - Anthem | Commercial|MCS | $1,292.00 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $1,292.00 | ↑ +94% |
Visitor-reported prices
Comments
Ho post-op hip abduction at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,151.46 | $906.72 – $2,946.84 |
| Arroyo Grande Hospital | Santa Maria | $2,103.20 | $939.45 – $4,815.72 |
| French Hospital | San Luis Obispo | $1,926.29 | $933.66 – $4,815.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,198.33 | $807.50 – $2,907.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,185.41 | $807.50 – $3,133.10 |
| St. Joseph's Medical Center Stockton | Stockton | $664.74 | $587.86 – $2,261.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,617.70 | $507.12 – $2,070.74 |
| St. Mary Medical Center | Long Beach | $2,653.10 | $730.00 – $4,697.25 |