Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$672.59
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.
$1,306.00
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.
$197.80 with Inland Empire Health Plan vs $8,557.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $197.80 | ↓ -71% |
| Molina | Medicaid|< 21 | $197.80 | ↓ -71% |
| Molina | Medicaid|> 21 | $197.80 | ↓ -71% |
| Kaiser | Medicaid|< 21 | $197.80 | ↓ -71% |
| Kaiser | Medicaid|> 21 | $197.80 | ↓ -71% |
| Partnership Health Plan | Medicaid|< 21 | $197.80 | ↓ -71% |
| Partnership Health Plan | Medicaid|> 21 | $197.80 | ↓ -71% |
| Kern Health System | Medicaid|< 21 | $197.80 | ↓ -71% |
| Kern Health System | Medicaid|> 21 | $197.80 | ↓ -71% |
| California Health & Wellness | Medicaid|< 21 | $197.80 | ↓ -71% |
| California Health & Wellness | Medicaid|> 21 | $197.80 | ↓ -71% |
| Health Plan of San Joaquin | Medicaid|< 21 | $197.80 | ↓ -71% |
| Health Plan of San Joaquin | Medicaid|> 21 | $197.80 | ↓ -71% |
| Inland Empire Health Plan | Medicaid|< 21 | $197.80 | ↓ -71% |
| BCBS - Anthem | Medicaid|< 21 | $284.34 | ↓ -58% |
| BCBS - Anthem | Medicaid|> 21 | $284.34 | ↓ -58% |
| Central California Alliance for Health | Medicaid|All Plans | $311.81 | ↓ -54% |
| Western Growers | Commercial|All Plans | $462.50 | ↓ -31% |
| Healthsmart | Commercial|All Plans | $555.00 | ↓ -17% |
| Cigna | Commercial|PPO | $601.25 | ↓ -11% |
| Cigna | Commercial|All Other Plans | $601.25 | ↓ -11% |
| Kaiser | Commercial|All Plans | $638.25 | ↓ -5% |
| Health Net | Medicaid|All Plans | $673.51 | ↑ +0% |
| First Health | Commercial|All Plans | $740.00 | ↑ +10% |
| MultiPlan | Commercial|All Plans | $869.50 | ↑ +29% |
| United | Commercial|HMO | $915.75 | ↑ +36% |
| United | Commercial|Options PPO | $925.00 | ↑ +38% |
| United | Commercial|Non-Options PPO | $925.00 | ↑ +38% |
| United | Commercial|All Other Plans | $925.00 | ↑ +38% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +512% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +691% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +691% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +691% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +705% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +1172% |
Visitor-reported prices
Comments
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $179.58 | $110.70 – $410.00 |
| Banner Lassen Medical Center | Susanville | $266.22 | $139.40 – $329.80 |
| Petaluma Valley Hospital | Petaluma | $497.76 | $268.25 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $638.58 | $197.80 – $677.18 |
| Mark Twain Medical Center | San Andreas | $1,057.61 | $31.05 – $197.80 |
| French Hospital | San Luis Obispo | $568.40 | $186.57 – $677.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $251.54 | $197.80 – $473.00 |
| Bakersfield Memorial Hospital | Bakersfield | $248.83 | $197.80 – $473.00 |