Inj., guselkumab, 1 mg at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$14,080.10
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.
$27,340.00
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.
$74.89 with Central California Alliance for Health vs $25,699.60 with MultiPlan — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $74.89 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $87.40 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $87.40 | ↓ -99% |
| Humana | Medicare|All Plans | $95.12 | ↓ -99% |
| Aetna | Medicare|All Plans | $95.12 | ↓ -99% |
| United | Medicare|All Plans | $95.12 | ↓ -99% |
| Health Net | Medicare|All Plans | $95.12 | ↓ -99% |
| Kaiser | Medicare|All Plans | $95.12 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $95.12 | ↓ -99% |
| Blue Shield CA | Medicare|All Plans | $95.12 | ↓ -99% |
| Scan Health Plan | Medicare|All Plans | $95.12 | ↓ -99% |
| LA Care | Medicare|All Plans | $95.12 | ↓ -99% |
| Health Net | Commercial|Care Product | $104.88 | ↓ -99% |
| Health Net | Commercial|FFS | $119.74 | ↓ -99% |
| United | Commercial|Options PPO | $121.31 | ↓ -99% |
| United | Commercial|HMO | $121.31 | ↓ -99% |
| United | Commercial|All Other Plans | $121.31 | ↓ -99% |
| Allcare | Commercial|All Plans | $123.19 | ↓ -99% |
| United | Commercial|Non-Options PPO | $131.14 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $155.00 | ↓ -99% |
| BCBS - Anthem | Medicaid|< 21 | $155.00 | ↓ -99% |
| BCBS - Anthem | Commercial|Exchange | $155.19 | ↓ -99% |
| Health Net | Medicaid|All Plans | $161.76 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $204.20 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $322.49 | ↓ -98% |
| Aetna | Commercial|PPO | $367.79 | ↓ -97% |
| Aetna | Commercial|HMO | $367.79 | ↓ -97% |
| Aetna | Commercial|All Other Plans | $367.79 | ↓ -97% |
| Healthsmart | Commercial|All Plans | $16,404.00 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $17,771.00 | ↑ +26% |
| Cigna | Commercial|PPO | $17,771.00 | ↑ +26% |
| Kaiser | Commercial|All Plans | $18,864.60 | ↑ +34% |
| First Health | Commercial|All Plans | $21,872.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $25,699.60 | ↑ +83% |
Visitor-reported prices
Comments
Inj., guselkumab, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $66.46 – $151.42 |
| Queen of The Valley Medical Center | Napa | not published | $67.81 – $151.42 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $67.81 – $174.52 |
| Healdsburg Hospital | Healdsburg | not published | $67.81 – $344.62 |
| Redwood Memorial Hospital | Fortuna | not published | $149.73 – $174.94 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $66.46 – $151.42 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $57.64 – $151.42 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $67.81 – $151.42 |