Inj sulf hexa lipid microsph at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$350.20
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.
$680.00
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.
$25.05 with Allcare vs $638.26 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 |
|---|---|---|---|
| Allcare | Commercial|All Plans | $25.05 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $26.78 | ↓ -92% |
| BCBS - Anthem | Medicaid|> 21 | $26.78 | ↓ -92% |
| United | Commercial|HMO | $30.82 | ↓ -91% |
| United | Commercial|Options PPO | $30.82 | ↓ -91% |
| United | Commercial|All Other Plans | $30.82 | ↓ -91% |
| United | Commercial|Non-Options PPO | $31.30 | ↓ -91% |
| Blue Shield CA | Commercial|Exchange | $34.10 | ↓ -90% |
| Blue Shield CA | Commercial|All Other Plans | $34.10 | ↓ -90% |
| Health Net | Commercial|Care Product | $40.92 | ↓ -88% |
| BCBS - Anthem | Commercial|Exchange | $44.27 | ↓ -87% |
| Health Net | Commercial|FFS | $46.72 | ↓ -87% |
| BCBS - Anthem | Commercial|All Other Plans | $58.25 | ↓ -83% |
| BCBS - Anthem | Commercial|MCS | $91.99 | ↓ -74% |
| Aetna | Commercial|All Other Plans | $97.76 | ↓ -72% |
| Aetna | Commercial|HMO | $97.76 | ↓ -72% |
| Aetna | Commercial|PPO | $97.76 | ↓ -72% |
| Central California Alliance for Health | Medicaid|All Plans | $203.70 | ↓ -42% |
| Healthsmart | Commercial|All Plans | $407.40 | ↑ +16% |
| Cigna | Commercial|PPO | $441.35 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $441.35 | ↑ +26% |
| Kaiser | Commercial|All Plans | $468.51 | ↑ +34% |
| First Health | Commercial|All Plans | $543.20 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $638.26 | ↑ +82% |
Visitor-reported prices
Comments
Inj sulf hexa lipid microsph at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sequoia Hospital | Redwood City | $496.86 | $18.24 – $1,119.30 |
| Mercy Medical Center Redding | Redding | $398.00 | $30.82 – $767.34 |
| Methodist Hospital of Sacramento | Sacramento | $201.03 | $18.23 – $577.68 |
| St. Elizabeth Community Hospital | Red Bluff | $585.76 | $33.30 – $980.98 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $121.87 | $28.99 – $126.51 |
| Petaluma Valley Hospital | Petaluma | not published | $37.45 – $40.25 |
| Queen of The Valley Medical Center | Napa | not published | $37.45 – $41.73 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $37.18 – $49.78 |