Ins picad w subq port 5yr> at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$6,613.12
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.
$12,841.00
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.
$348.50 with Kaiser vs $16,193.00 with Health Net — 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 | $348.50 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $348.50 | ↓ -95% |
| Molina | Medicaid|< 21 | $348.50 | ↓ -95% |
| Molina | Medicaid|> 21 | $348.50 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|> 21 | $348.50 | ↓ -95% |
| California Health & Wellness | Medicaid|> 21 | $348.50 | ↓ -95% |
| California Health & Wellness | Medicaid|< 21 | $348.50 | ↓ -95% |
| Kern Health System | Medicaid|> 21 | $348.50 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|< 21 | $348.50 | ↓ -95% |
| Kern Health System | Medicaid|< 21 | $348.50 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|> 21 | $348.50 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $348.50 | ↓ -95% |
| Partnership Health Plan | Medicaid|< 21 | $348.50 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|< 21 | $348.50 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $349.26 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $349.26 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $383.11 | ↓ -94% |
| Health Net | Medicaid|All Plans | $827.52 | ↓ -87% |
| Western Growers | Commercial|All Plans | $2,478.50 | ↓ -63% |
| Healthsmart | Commercial|All Plans | $3,172.48 | ↓ -52% |
| Cigna | Commercial|PPO | $3,222.05 | ↓ -51% |
| Cigna | Commercial|All Other Plans | $3,222.05 | ↓ -51% |
| Kaiser | Commercial|All Plans | $3,420.33 | ↓ -48% |
| First Health | Commercial|All Plans | $3,965.60 | ↓ -40% |
| Humana | Medicare|All Plans | $3,999.21 | ↓ -40% |
| Aetna | Medicare|All Plans | $3,999.21 | ↓ -40% |
| United | Medicare|All Plans | $3,999.21 | ↓ -40% |
| Health Net | Medicare|All Plans | $3,999.21 | ↓ -40% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↓ -40% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↓ -40% |
| Blue Shield CA | Medicare|All Plans | $3,999.21 | ↓ -40% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↓ -40% |
| LA Care | Medicare|All Plans | $3,999.21 | ↓ -40% |
| MultiPlan | Commercial|All Plans | $4,659.58 | ↓ -30% |
| United | Commercial|HMO | $4,907.43 | ↓ -26% |
| United | Commercial|All Other Plans | $4,957.00 | ↓ -25% |
| United | Commercial|Options PPO | $4,957.00 | ↓ -25% |
| United | Commercial|Non-Options PPO | $4,957.00 | ↓ -25% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↑ +12% |
| Aetna | Commercial|HMO | $8,124.00 | ↑ +23% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↑ +23% |
| Aetna | Commercial|PPO | $8,124.00 | ↑ +23% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↑ +47% |
| Health Net | Commercial|Care Product | $14,225.00 | ↑ +115% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↑ +133% |
| Health Net | Commercial|FFS | $16,193.00 | ↑ +145% |
Visitor-reported prices
Comments
Ins picad w subq port 5yr> at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,289.87 | $428.65 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $4,467.90 | $348.50 – $10,230.22 |
| Mark Twain Medical Center | San Andreas | $574.76 | $223.26 – $845.74 |
| French Hospital | San Luis Obispo | $4,092.09 | $348.50 – $10,230.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,891.64 | $348.50 – $10,548.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,838.90 | $348.50 – $10,416.15 |
| Queen of The Valley Medical Center | Napa | $6,205.68 | $4,483.19 – $17,909.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,499.86 | $303.70 – $15,713.88 |