Implant cartilage 10mm synthetic at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$42,421.07
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.
$82,371.00
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.
$11.04 with Health Net vs $48.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $11.04 | ↓ -100% |
| BCBS - Anthem | Medicaid|> 21 | $12.00 | ↓ -100% |
| BCBS - Anthem | Medicaid|< 21 | $12.00 | ↓ -100% |
| Healthsmart | Commercial|All Plans | $21.60 | ↓ -100% |
| Central California Alliance for Health | Medicaid|All Plans | $26.40 | ↓ -100% |
| Health Net | Commercial|Care Product | $27.36 | ↓ -100% |
| United | Commercial|HMO | $29.28 | ↓ -100% |
| Cigna | Commercial|PPO | $31.20 | ↓ -100% |
| Western Growers | Commercial|All Plans | $31.20 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $31.20 | ↓ -100% |
| Health Net | Commercial|FFS | $31.68 | ↓ -100% |
| Kaiser | Commercial|All Plans | $33.12 | ↓ -100% |
| United | Commercial|Non-Options PPO | $35.52 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $36.48 | ↓ -100% |
| First Health | Commercial|All Plans | $38.40 | ↓ -100% |
| United | Commercial|Options PPO | $38.40 | ↓ -100% |
| United | Commercial|All Other Plans | $39.36 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $41.76 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $42.24 | ↓ -100% |
| MultiPlan | Commercial|All Plans | $45.12 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $46.08 | ↓ -100% |
| Aetna | Commercial|HMO | $46.08 | ↓ -100% |
| Aetna | Commercial|PPO | $46.08 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $48.00 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $48.00 | ↓ -100% |
Visitor-reported prices
Comments
Implant cartilage 10mm synthetic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $78,244.76 | $906.72 – $2,946.84 |
| Banner Lassen Medical Center | Susanville | $58,492.95 | $65.19 – $154.23 |
| Petaluma Valley Hospital | Petaluma | $10,924.20 | not published |
| Arroyo Grande Hospital | Santa Maria | $83,180.09 | $869.40 – $3,704.40 |
| French Hospital | San Luis Obispo | $76,183.64 | $718.20 – $3,704.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $71,017.57 | $15.00 – $54.00 |
| Bakersfield Memorial Hospital | Bakersfield | $70,251.88 | $15.00 – $58.20 |
| Queen of The Valley Medical Center | Napa | $8,817.90 | not published |