Ins icd gen exist sgl lead at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$49,389.53
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.
$95,902.00
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.
$440.46 with Kaiser vs $95,902.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $440.46 | ↓ -99% |
| Molina | Medicaid|> 21 | $440.46 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|< 21 | $440.46 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|< 21 | $440.46 | ↓ -99% |
| California Health & Wellness | Medicaid|> 21 | $440.46 | ↓ -99% |
| California Health & Wellness | Medicaid|< 21 | $440.46 | ↓ -99% |
| Kern Health System | Medicaid|> 21 | $440.46 | ↓ -99% |
| Kern Health System | Medicaid|< 21 | $440.46 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $440.46 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $440.46 | ↓ -99% |
| Kaiser | Medicaid|< 21 | $440.46 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|> 21 | $440.46 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|> 21 | $440.46 | ↓ -99% |
| Molina | Medicaid|< 21 | $440.46 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $633.17 | ↓ -99% |
| BCBS - Anthem | Medicaid|< 21 | $633.17 | ↓ -99% |
| Central California Alliance for Health | Medicaid|All Plans | $694.32 | ↓ -99% |
| Health Net | Medicaid|All Plans | $1,499.73 | ↓ -97% |
| BCBS - Anthem | Commercial|Exchange | $12,766.00 | ↓ -74% |
| Aetna | Commercial|HMO | $15,877.00 | ↓ -68% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↓ -68% |
| Aetna | Commercial|PPO | $15,877.00 | ↓ -68% |
| BCBS - Anthem | Commercial|All Other Plans | $16,797.00 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $26,539.00 | ↓ -46% |
| Kaiser | Medicare|All Plans | $28,520.13 | ↓ -42% |
| Aetna | Medicare|All Plans | $28,520.13 | ↓ -42% |
| United | Medicare|All Plans | $28,520.13 | ↓ -42% |
| Health Net | Medicare|All Plans | $28,520.13 | ↓ -42% |
| Humana | Medicare|All Plans | $28,520.13 | ↓ -42% |
| BCBS - Anthem | Medicare|All Plans | $28,520.13 | ↓ -42% |
| Blue Shield CA | Medicare|All Plans | $28,520.13 | ↓ -42% |
| Scan Health Plan | Medicare|All Plans | $28,520.13 | ↓ -42% |
| LA Care | Medicare|All Plans | $28,520.13 | ↓ -42% |
| Health Net | Commercial|Care Product | $44,719.00 | ↓ -9% |
| Health Net | Commercial|FFS | $50,908.00 | ↑ +3% |
| Healthsmart | Commercial|All Plans | $57,541.20 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $62,336.30 | ↑ +26% |
| Cigna | Commercial|PPO | $62,336.30 | ↑ +26% |
| Kaiser | Commercial|All Plans | $66,172.38 | ↑ +34% |
| First Health | Commercial|All Plans | $76,721.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $90,147.88 | ↑ +83% |
| United | Commercial|HMO | $94,942.98 | ↑ +92% |
| United | Commercial|All Other Plans | $95,902.00 | ↑ +94% |
| United | Commercial|Options PPO | $95,902.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $95,902.00 | ↑ +94% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $33,490.80 | $541.77 – $59,641.14 |
| Arroyo Grande Hospital | Santa Maria | $33,496.14 | $440.46 – $76,696.76 |
| French Hospital | San Luis Obispo | $31,215.75 | $440.46 – $78,039.36 |
| Bakersfield Memorial Hospital | Bakersfield | $36,150.61 | $440.46 – $77,817.37 |
| Queen of The Valley Medical Center | Napa | $40,281.84 | $12,563.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $27,814.17 | $440.46 – $79,469.04 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,689.92 | $11,790.00 – $52,926.57 |
| Northridge Hospital Medical Center | Northridge | $24,238.41 | $440.46 – $86,876.00 |