Insert sq defib electrode at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$12,772.00
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.
$24,800.00
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.
$428.89 with Kern Health System vs $28,713.00 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 | $428.89 | ↓ -97% |
| Kern Health System | Medicaid|> 21 | $428.89 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $428.89 | ↓ -97% |
| Kaiser | Medicaid|< 21 | $428.89 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|> 21 | $428.89 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $428.89 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $428.89 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|> 21 | $428.89 | ↓ -97% |
| Molina | Medicaid|< 21 | $428.89 | ↓ -97% |
| Molina | Medicaid|> 21 | $428.89 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|< 21 | $428.89 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|< 21 | $428.89 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $428.89 | ↓ -97% |
| California Health & Wellness | Medicaid|> 21 | $428.89 | ↓ -97% |
| California Health & Wellness | Medicaid|< 21 | $428.89 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $493.22 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $493.22 | ↓ -96% |
| Health Net | Medicaid|All Plans | $926.40 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↓ -36% |
| Aetna | Commercial|HMO | $8,124.00 | ↓ -36% |
| Aetna | Commercial|PPO | $8,124.00 | ↓ -36% |
| BCBS - Anthem | Commercial|Exchange | $9,887.00 | ↓ -23% |
| Kaiser | Medicare|All Plans | $10,515.46 | ↓ -18% |
| Aetna | Medicare|All Plans | $10,515.46 | ↓ -18% |
| United | Medicare|All Plans | $10,515.46 | ↓ -18% |
| Health Net | Medicare|All Plans | $10,515.46 | ↓ -18% |
| Humana | Medicare|All Plans | $10,515.46 | ↓ -18% |
| BCBS - Anthem | Medicare|All Plans | $10,515.46 | ↓ -18% |
| Blue Shield CA | Medicare|All Plans | $10,515.46 | ↓ -18% |
| Scan Health Plan | Medicare|All Plans | $10,515.46 | ↓ -18% |
| LA Care | Medicare|All Plans | $10,515.46 | ↓ -18% |
| BCBS - Anthem | Commercial|All Other Plans | $13,009.00 | ↑ +2% |
| Healthsmart | Commercial|All Plans | $14,880.00 | ↑ +17% |
| Cigna | Commercial|PPO | $16,120.00 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $16,120.00 | ↑ +26% |
| Kaiser | Commercial|All Plans | $17,112.00 | ↑ +34% |
| First Health | Commercial|All Plans | $19,840.00 | ↑ +55% |
| BCBS - Anthem | Commercial|MCS | $20,554.00 | ↑ +61% |
| MultiPlan | Commercial|All Plans | $23,312.00 | ↑ +83% |
| United | Commercial|HMO | $24,552.00 | ↑ +92% |
| United | Commercial|All Other Plans | $24,800.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $24,800.00 | ↑ +94% |
| United | Commercial|Options PPO | $24,800.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $25,223.00 | ↑ +97% |
| Health Net | Commercial|FFS | $28,713.00 | ↑ +125% |
Visitor-reported prices
Comments
Insert sq defib electrode at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,502.11 | $648.86 – $20,488.56 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $428.89 – $6,470.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,926.96 | $428.89 – $11,741.96 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,462.25 | $4,589.00 – $19,690.54 |
| California Hospital Medical Center | Los Angeles | $13,318.59 | $386.00 – $21,694.19 |
| Providence Saint Joseph Medical Center | Burbank | $3,593.45 | $4,589.00 – $19,690.54 |
| Mercy San Juan Medical Center | Carmichael | $2,391.75 | $428.89 – $10,911.25 |
| Mercy General Hospital | Sacramento | $1,902.93 | $428.89 – $9,601.90 |