Inj fluphenazine hcl 1.25 mg at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$23.18
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.
$45.00
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.
$11.25 with BCBS - Anthem vs $45.00 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 | $11.25 | ↓ -51% |
| BCBS - Anthem | Medicaid|> 21 | $11.25 | ↓ -51% |
| Central California Alliance for Health | Medicaid|All Plans | $13.50 | ↓ -42% |
| Healthsmart | Commercial|All Plans | $27.00 | ↑ +16% |
| Cigna | Commercial|All Other Plans | $29.25 | ↑ +26% |
| Cigna | Commercial|PPO | $29.25 | ↑ +26% |
| Kaiser | Commercial|All Plans | $31.05 | ↑ +34% |
| BCBS - Anthem | Commercial|Exchange | $32.40 | ↑ +40% |
| First Health | Commercial|All Plans | $36.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $42.30 | ↑ +82% |
| BCBS - Anthem | Commercial|All Other Plans | $42.30 | ↑ +82% |
| United | Commercial|HMO | $44.55 | ↑ +92% |
| United | Commercial|Non-Options PPO | $45.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $45.00 | ↑ +94% |
| United | Commercial|All Other Plans | $45.00 | ↑ +94% |
| United | Commercial|Options PPO | $45.00 | ↑ +94% |
Visitor-reported prices
Comments
Inj fluphenazine hcl 1.25 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $19.11 | $16.90 – $65.00 |
| Dominican Hospital | Santa Cruz | $41.49 | $26.74 – $83.90 |
| Northridge Hospital Medical Center | Northridge | $12.56 | $9.00 – $45.00 |
| Sequoia Hospital | Redwood City | $33.86 | $20.46 – $80.91 |
| Community Hospital San Bernardino | San Bernardino | $39.89 | $21.42 – $102.00 |
| Providence St Joseph Hospital Orange | Orange | $44.76 | $10.18 – $15.37 |
| Glendale Memorial Hospital Health Center | Glendale | $39.12 | $19.20 – $96.00 |
| Mercy San Juan Medical Center | Carmichael | $13.70 | $5.50 – $50.00 |