Inj gemcitabine hcl (accord) at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$106.09
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.
$206.00
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.
$15.75 with BCBS - Anthem vs $63.00 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 | $15.75 | ↓ -85% |
| BCBS - Anthem | Medicaid|> 21 | $15.75 | ↓ -85% |
| Central California Alliance for Health | Medicaid|All Plans | $18.90 | ↓ -82% |
| Healthsmart | Commercial|All Plans | $37.80 | ↓ -64% |
| Cigna | Commercial|All Other Plans | $40.95 | ↓ -61% |
| Cigna | Commercial|PPO | $40.95 | ↓ -61% |
| Kaiser | Commercial|All Plans | $43.47 | ↓ -59% |
| BCBS - Anthem | Commercial|Exchange | $45.36 | ↓ -57% |
| First Health | Commercial|All Plans | $50.40 | ↓ -52% |
| MultiPlan | Commercial|All Plans | $59.22 | ↓ -44% |
| BCBS - Anthem | Commercial|All Other Plans | $59.22 | ↓ -44% |
| United | Commercial|HMO | $62.37 | ↓ -41% |
| United | Commercial|Non-Options PPO | $63.00 | ↓ -41% |
| BCBS - Anthem | Commercial|MCS | $63.00 | ↓ -41% |
| United | Commercial|All Other Plans | $63.00 | ↓ -41% |
| United | Commercial|Options PPO | $63.00 | ↓ -41% |
Visitor-reported prices
Comments
Inj gemcitabine hcl (accord) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Saint Joseph Medical Center | Burbank | $269.76 | $11.31 – $41.19 |
| Providence Holy Cross Medical Center | Mission Hills | $374.65 | $11.31 – $47.42 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $123.90 | $11.31 – $48.40 |
| Petaluma Valley Hospital | Petaluma | not published | $14.75 – $18.60 |
| Queen of The Valley Medical Center | Napa | not published | $15.97 – $18.60 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $10.58 – $19.04 |
| Healdsburg Hospital | Healdsburg | not published | $11.31 – $37.61 |
| Redwood Memorial Hospital | Fortuna | not published | $10.58 – $19.09 |