Insert abdomen-venous drain at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$5,079.96
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.
$9,864.00
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.
$677.58 with Inland Empire Health Plan vs $11,994.00 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 | $677.58 | ↓ -87% |
| Molina | Medicaid|< 21 | $677.58 | ↓ -87% |
| Molina | Medicaid|> 21 | $677.58 | ↓ -87% |
| Kaiser | Medicaid|< 21 | $677.58 | ↓ -87% |
| Kaiser | Medicaid|> 21 | $677.58 | ↓ -87% |
| Partnership Health Plan | Medicaid|< 21 | $677.58 | ↓ -87% |
| Partnership Health Plan | Medicaid|> 21 | $677.58 | ↓ -87% |
| Kern Health System | Medicaid|< 21 | $677.58 | ↓ -87% |
| Kern Health System | Medicaid|> 21 | $677.58 | ↓ -87% |
| California Health & Wellness | Medicaid|< 21 | $677.58 | ↓ -87% |
| California Health & Wellness | Medicaid|> 21 | $677.58 | ↓ -87% |
| Health Plan of San Joaquin | Medicaid|< 21 | $677.58 | ↓ -87% |
| Health Plan of San Joaquin | Medicaid|> 21 | $677.58 | ↓ -87% |
| Inland Empire Health Plan | Medicaid|< 21 | $677.58 | ↓ -87% |
| BCBS - Anthem | Medicaid|> 21 | $974.02 | ↓ -81% |
| BCBS - Anthem | Medicaid|< 21 | $974.02 | ↓ -81% |
| Central California Alliance for Health | Medicaid|All Plans | $1,068.10 | ↓ -79% |
| Health Net | Medicaid|All Plans | $2,307.10 | ↓ -55% |
| Western Growers | Commercial|All Plans | $4,932.00 | ↓ -3% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +14% |
| Healthsmart | Commercial|All Plans | $5,918.40 | ↑ +17% |
| Cigna | Commercial|PPO | $6,411.60 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $6,411.60 | ↑ +26% |
| Kaiser | Commercial|All Plans | $6,806.16 | ↑ +34% |
| Aetna | Commercial|PPO | $7,112.00 | ↑ +40% |
| Aetna | Commercial|HMO | $7,112.00 | ↑ +40% |
| Aetna | Commercial|All Other Plans | $7,112.00 | ↑ +40% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +49% |
| First Health | Commercial|All Plans | $7,891.20 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $9,272.16 | ↑ +83% |
| United | Commercial|HMO | $9,765.36 | ↑ +92% |
| United | Commercial|Options PPO | $9,864.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $9,864.00 | ↑ +94% |
| United | Commercial|All Other Plans | $9,864.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +136% |
Visitor-reported prices
Comments
Insert abdomen-venous drain at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $4,039.47 | $677.58 – $9,249.24 |
| French Hospital | San Luis Obispo | $3,699.70 | $677.58 – $9,249.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,758.23 | $677.58 – $9,015.70 |
| Bakersfield Memorial Hospital | Bakersfield | $3,717.71 | $677.58 – $10,028.70 |
| St. Joseph's Medical Center Stockton | Stockton | $2,718.92 | $677.58 – $7,768.32 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $24,799.68 | $3,281.00 – $5,357.00 |
| St Jude Medical Center | Fullerton | $34,919.04 | $3,465.00 – $13,012.00 |
| Providence St Joseph Hospital Orange | Orange | $20,546.88 | $3,845.00 – $11,456.00 |