Ins/rpl pm w/tv ld atrl at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$17,837.03
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.
$34,635.00
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.
$854.44 with Kern Health System vs $34,751.00 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 |
|---|---|---|---|
| Kern Health System | Medicaid|< 21 | $854.44 | ↓ -95% |
| California Health & Wellness | Medicaid|> 21 | $854.44 | ↓ -95% |
| California Health & Wellness | Medicaid|< 21 | $854.44 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|> 21 | $854.44 | ↓ -95% |
| Kern Health System | Medicaid|> 21 | $854.44 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|< 21 | $854.44 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $854.44 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|> 21 | $854.44 | ↓ -95% |
| Partnership Health Plan | Medicaid|< 21 | $854.44 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $854.44 | ↓ -95% |
| Molina | Medicaid|< 21 | $854.44 | ↓ -95% |
| Molina | Medicaid|> 21 | $854.44 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|< 21 | $854.44 | ↓ -95% |
| Kaiser | Medicaid|< 21 | $854.44 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $1,228.26 | ↓ -93% |
| BCBS - Anthem | Medicaid|> 21 | $1,228.26 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $1,346.90 | ↓ -92% |
| Health Net | Medicaid|All Plans | $2,909.30 | ↓ -84% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $8,917.76 | ↓ -50% |
| Cigna | Commercial|PPO | $9,057.10 | ↓ -49% |
| Cigna | Commercial|All Other Plans | $9,057.10 | ↓ -49% |
| Kaiser | Commercial|All Plans | $9,614.46 | ↓ -46% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↓ -45% |
| First Health | Commercial|All Plans | $11,147.20 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $13,097.96 | ↓ -27% |
| Kaiser | Medicare|All Plans | $13,297.25 | ↓ -25% |
| Aetna | Medicare|All Plans | $13,297.25 | ↓ -25% |
| United | Medicare|All Plans | $13,297.25 | ↓ -25% |
| Health Net | Medicare|All Plans | $13,297.25 | ↓ -25% |
| Humana | Medicare|All Plans | $13,297.25 | ↓ -25% |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | ↓ -25% |
| Blue Shield CA | Medicare|All Plans | $13,297.25 | ↓ -25% |
| Scan Health Plan | Medicare|All Plans | $13,297.25 | ↓ -25% |
| LA Care | Medicare|All Plans | $13,297.25 | ↓ -25% |
| United | Commercial|HMO | $13,794.66 | ↓ -23% |
| United | Commercial|All Other Plans | $13,934.00 | ↓ -22% |
| United | Commercial|Non-Options PPO | $13,934.00 | ↓ -22% |
| United | Commercial|Options PPO | $13,934.00 | ↓ -22% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↓ -14% |
| Aetna | Commercial|PPO | $15,877.00 | ↓ -11% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↓ -11% |
| Aetna | Commercial|HMO | $15,877.00 | ↓ -11% |
| Health Net | Commercial|Care Product | $30,527.00 | ↑ +71% |
| Health Net | Commercial|FFS | $34,751.00 | ↑ +95% |
Visitor-reported prices
Comments
Ins/rpl pm w/tv ld atrl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14,400.13 | $1,050.96 – $25,925.22 |
| Arroyo Grande Hospital | Santa Maria | $38,626.58 | $854.44 – $88,444.02 |
| French Hospital | San Luis Obispo | $36,127.12 | $854.44 – $90,317.78 |
| Bakersfield Memorial Hospital | Bakersfield | $13,055.66 | $854.44 – $28,103.46 |
| Queen of The Valley Medical Center | Napa | $19,382.04 | $7,745.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $9,008.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $9,031.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,655.55 | $854.44 – $27,587.28 |