Insert/repl sq defib w/eltrd at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$55,886.77
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.
$108,518.00
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.
$508.93 with Kaiser vs $108,518.00 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 | $508.93 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|< 21 | $508.93 | ↓ -99% |
| Central California Alliance for Health | Medicaid|All Plans | $508.93 | ↓ -99% |
| California Health & Wellness | Medicaid|> 21 | $508.93 | ↓ -99% |
| California Health & Wellness | Medicaid|< 21 | $508.93 | ↓ -99% |
| Kern Health System | Medicaid|> 21 | $508.93 | ↓ -99% |
| Kern Health System | Medicaid|< 21 | $508.93 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $508.93 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $508.93 | ↓ -99% |
| Kaiser | Medicaid|> 21 | $508.93 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|> 21 | $508.93 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|> 21 | $508.93 | ↓ -99% |
| Molina | Medicaid|< 21 | $508.93 | ↓ -99% |
| Molina | Medicaid|> 21 | $508.93 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|< 21 | $508.93 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $585.27 | ↓ -99% |
| BCBS - Anthem | Medicaid|< 21 | $585.27 | ↓ -99% |
| Health Net | Medicaid|All Plans | $1,099.29 | ↓ -98% |
| Aetna | Commercial|HMO | $8,124.00 | ↓ -85% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↓ -85% |
| Aetna | Commercial|PPO | $8,124.00 | ↓ -85% |
| BCBS - Anthem | Commercial|Exchange | $9,887.00 | ↓ -82% |
| BCBS - Anthem | Commercial|All Other Plans | $13,009.00 | ↓ -77% |
| BCBS - Anthem | Commercial|MCS | $20,554.00 | ↓ -63% |
| Kaiser | Medicare|All Plans | $40,737.44 | ↓ -27% |
| Aetna | Medicare|All Plans | $40,737.44 | ↓ -27% |
| United | Medicare|All Plans | $40,737.44 | ↓ -27% |
| Health Net | Medicare|All Plans | $40,737.44 | ↓ -27% |
| Humana | Medicare|All Plans | $40,737.44 | ↓ -27% |
| BCBS - Anthem | Medicare|All Plans | $40,737.44 | ↓ -27% |
| Blue Shield CA | Medicare|All Plans | $40,737.44 | ↓ -27% |
| Scan Health Plan | Medicare|All Plans | $40,737.44 | ↓ -27% |
| LA Care | Medicare|All Plans | $40,737.44 | ↓ -27% |
| Health Net | Commercial|Care Product | $54,126.00 | ↓ -3% |
| Health Net | Commercial|FFS | $61,618.00 | ↑ +10% |
| Healthsmart | Commercial|All Plans | $65,110.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $70,536.70 | ↑ +26% |
| Cigna | Commercial|PPO | $70,536.70 | ↑ +26% |
| Kaiser | Commercial|All Plans | $74,877.42 | ↑ +34% |
| First Health | Commercial|All Plans | $86,814.40 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $102,006.92 | ↑ +83% |
| United | Commercial|HMO | $107,432.82 | ↑ +92% |
| United | Commercial|All Other Plans | $108,518.00 | ↑ +94% |
| United | Commercial|Options PPO | $108,518.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $108,518.00 | ↑ +94% |
Visitor-reported prices
Comments
Insert/repl sq defib w/eltrd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $28,282.54 | $769.96 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $45,154.86 | $508.93 – $103,391.96 |
| French Hospital | San Luis Obispo | $40,152.17 | $508.93 – $100,380.42 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $508.93 – $90,827.09 |
| St. Joseph's Medical Center Stockton | Stockton | $19,895.87 | $508.93 – $56,845.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $48,827.91 | $2,995.00 – $43,676.48 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $26,421.12 | $6,920.00 – $74,686.95 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $8,611.40 | $1,528.00 – $74,686.95 |