Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$231.24
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.
$449.00
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.
$141.69 with BCBS - Anthem vs $14,950.00 with United — 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 | $141.69 | ↓ -39% |
| BCBS - Anthem | Medicaid|< 21 | $141.69 | ↓ -39% |
| Molina | Medicaid|< 21 | $153.04 | ↓ -34% |
| Health Plan of San Joaquin | Medicaid|> 21 | $153.04 | ↓ -34% |
| Kaiser | Medicaid|> 21 | $153.04 | ↓ -34% |
| Kaiser | Medicaid|< 21 | $153.04 | ↓ -34% |
| Molina | Medicaid|> 21 | $153.04 | ↓ -34% |
| Health Plan of San Joaquin | Medicaid|< 21 | $153.04 | ↓ -34% |
| Inland Empire Health Plan | Medicaid|< 21 | $153.04 | ↓ -34% |
| Central California Alliance for Health | Medicaid|All Plans | $153.04 | ↓ -34% |
| California Health & Wellness | Medicaid|> 21 | $153.04 | ↓ -34% |
| California Health & Wellness | Medicaid|< 21 | $153.04 | ↓ -34% |
| Kern Health System | Medicaid|> 21 | $153.04 | ↓ -34% |
| Inland Empire Health Plan | Medicaid|> 21 | $153.04 | ↓ -34% |
| Kern Health System | Medicaid|< 21 | $153.04 | ↓ -34% |
| Partnership Health Plan | Medicaid|> 21 | $153.04 | ↓ -34% |
| Partnership Health Plan | Medicaid|< 21 | $153.04 | ↓ -34% |
| Allcare | Commercial|All Plans | $241.70 | ↑ +5% |
| Humana | Medicare|All Plans | $258.43 | ↑ +12% |
| Aetna | Medicare|All Plans | $258.43 | ↑ +12% |
| United | Medicare|All Plans | $258.43 | ↑ +12% |
| Health Net | Medicare|All Plans | $258.43 | ↑ +12% |
| Kaiser | Medicare|All Plans | $258.43 | ↑ +12% |
| BCBS - Anthem | Medicare|All Plans | $258.43 | ↑ +12% |
| Blue Shield CA | Medicare|All Plans | $258.43 | ↑ +12% |
| Scan Health Plan | Medicare|All Plans | $258.43 | ↑ +12% |
| LA Care | Medicare|All Plans | $258.43 | ↑ +12% |
| Healthsmart | Commercial|All Plans | $269.40 | ↑ +17% |
| Cigna | Commercial|PPO | $291.85 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $291.85 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $305.32 | ↑ +32% |
| Kaiser | Commercial|All Plans | $309.81 | ↑ +34% |
| Health Net | Medicaid|All Plans | $330.57 | ↑ +43% |
| First Health | Commercial|All Plans | $359.20 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $399.61 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $422.06 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $449.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $449.00 | ↑ +94% |
| Blue Shield CA | Commercial|Exchange | $745.00 | ↑ +222% |
| Blue Shield CA | Commercial|All Other Plans | $1,048.00 | ↑ +353% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +3949% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +4104% |
| United | Commercial|HMO | $14,950.00 | ↑ +6365% |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $176.34 | $134.43 – $746.00 |
| Mark Twain Medical Center | San Andreas | $147.19 | $57.18 – $216.58 |
| French Hospital | San Luis Obispo | $161.51 | $111.24 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $88.67 | $119.50 – $239.00 |
| Bakersfield Memorial Hospital | Bakersfield | $87.72 | $119.50 – $12,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $503.88 | $281.64 – $449.32 |
| St. Joseph's Behavioral Health Center | Stockton | $121.06 | $21.20 – $169.60 |
| Healdsburg Hospital | Healdsburg | $249.90 | $179.24 – $295.04 |