Ins/rpl pm gen exist sgl lead at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$14,863.42
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.
$28,861.00
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.
$338.78 with Partnership Health Plan vs $28,861.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $338.78 | ↓ -98% |
| Health Plan of San Joaquin | Medicaid|< 21 | $338.78 | ↓ -98% |
| Inland Empire Health Plan | Medicaid|< 21 | $338.78 | ↓ -98% |
| California Health & Wellness | Medicaid|> 21 | $338.78 | ↓ -98% |
| California Health & Wellness | Medicaid|< 21 | $338.78 | ↓ -98% |
| Kern Health System | Medicaid|> 21 | $338.78 | ↓ -98% |
| Kern Health System | Medicaid|< 21 | $338.78 | ↓ -98% |
| Partnership Health Plan | Medicaid|> 21 | $338.78 | ↓ -98% |
| Kaiser | Medicaid|< 21 | $338.78 | ↓ -98% |
| Kaiser | Medicaid|> 21 | $338.78 | ↓ -98% |
| Inland Empire Health Plan | Medicaid|> 21 | $338.78 | ↓ -98% |
| Health Plan of San Joaquin | Medicaid|> 21 | $338.78 | ↓ -98% |
| Molina | Medicaid|< 21 | $338.78 | ↓ -98% |
| Molina | Medicaid|> 21 | $338.78 | ↓ -98% |
| BCBS - Anthem | Medicaid|< 21 | $487.00 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $487.00 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $534.04 | ↓ -96% |
| Health Net | Medicaid|All Plans | $1,153.53 | ↓ -92% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↓ -45% |
| Aetna | Commercial|PPO | $8,124.00 | ↓ -45% |
| Aetna | Commercial|HMO | $8,124.00 | ↓ -45% |
| Humana | Medicare|All Plans | $10,515.46 | ↓ -29% |
| Aetna | Medicare|All Plans | $10,515.46 | ↓ -29% |
| United | Medicare|All Plans | $10,515.46 | ↓ -29% |
| Health Net | Medicare|All Plans | $10,515.46 | ↓ -29% |
| Kaiser | Medicare|All Plans | $10,515.46 | ↓ -29% |
| BCBS - Anthem | Medicare|All Plans | $10,515.46 | ↓ -29% |
| Blue Shield CA | Medicare|All Plans | $10,515.46 | ↓ -29% |
| Scan Health Plan | Medicare|All Plans | $10,515.46 | ↓ -29% |
| LA Care | Medicare|All Plans | $10,515.46 | ↓ -29% |
| BCBS - Anthem | Commercial|Exchange | $12,766.00 | ↓ -14% |
| BCBS - Anthem | Commercial|All Other Plans | $16,797.00 | ↑ +13% |
| Healthsmart | Commercial|All Plans | $17,316.60 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $18,759.65 | ↑ +26% |
| Cigna | Commercial|PPO | $18,759.65 | ↑ +26% |
| Kaiser | Commercial|All Plans | $19,914.09 | ↑ +34% |
| First Health | Commercial|All Plans | $23,088.80 | ↑ +55% |
| Health Net | Commercial|Care Product | $25,223.00 | ↑ +70% |
| BCBS - Anthem | Commercial|MCS | $26,539.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $27,129.34 | ↑ +83% |
| United | Commercial|HMO | $28,572.39 | ↑ +92% |
| Health Net | Commercial|FFS | $28,713.00 | ↑ +93% |
| United | Commercial|All Other Plans | $28,861.00 | ↑ +94% |
| United | Commercial|Options PPO | $28,861.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $28,861.00 | ↑ +94% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,930.34 | $416.70 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $9,845.72 | $338.78 – $22,543.92 |
| French Hospital | San Luis Obispo | $8,908.20 | $338.78 – $22,270.50 |
| Bakersfield Memorial Hospital | Bakersfield | $10,879.35 | $338.78 – $23,418.76 |
| Queen of The Valley Medical Center | Napa | $21,783.63 | $11,749.91 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,370.18 | $338.78 – $23,914.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,231.04 | $8,912.00 – $20,774.00 |
| Northridge Hospital Medical Center | Northridge | $6,818.49 | $338.78 – $24,439.00 |