Insertion picc without port or pump with imaging guidance=>5y at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,010.05
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.
?
What you pay up front if you don't use insurance.
$3,903.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$362.99 with California Health & Wellness vs $11,994.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| California Health & Wellness | Medicaid|< 21 | $362.99 | ↓ -82% |
| Kern Health System | Medicaid|> 21 | $362.99 | ↓ -82% |
| Kern Health System | Medicaid|< 21 | $362.99 | ↓ -82% |
| Partnership Health Plan | Medicaid|> 21 | $362.99 | ↓ -82% |
| Molina | Medicaid|< 21 | $362.99 | ↓ -82% |
| Molina | Medicaid|> 21 | $362.99 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|< 21 | $362.99 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|> 21 | $362.99 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|< 21 | $362.99 | ↓ -82% |
| Central California Alliance for Health | Medicaid|All Plans | $362.99 | ↓ -82% |
| California Health & Wellness | Medicaid|> 21 | $362.99 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|> 21 | $362.99 | ↓ -82% |
| Kaiser | Medicaid|< 21 | $362.99 | ↓ -82% |
| Kaiser | Medicaid|> 21 | $362.99 | ↓ -82% |
| Partnership Health Plan | Medicaid|< 21 | $362.99 | ↓ -82% |
| BCBS - Anthem | Medicaid|> 21 | $417.44 | ↓ -79% |
| BCBS - Anthem | Medicaid|< 21 | $417.44 | ↓ -79% |
| Health Net | Medicaid|All Plans | $784.06 | ↓ -61% |
| Western Growers | Commercial|All Plans | $839.00 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $1,073.92 | ↓ -47% |
| Cigna | Commercial|PPO | $1,090.70 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $1,090.70 | ↓ -46% |
| Kaiser | Commercial|All Plans | $1,157.82 | ↓ -42% |
| First Health | Commercial|All Plans | $1,342.40 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $1,577.32 | ↓ -22% |
| United | Commercial|HMO | $1,661.22 | ↓ -17% |
| United | Commercial|All Other Plans | $1,678.00 | ↓ -17% |
| Aetna | Medicare|All Plans | $1,678.00 | ↓ -17% |
| Humana | Medicare|All Plans | $1,678.00 | ↓ -17% |
| United | Commercial|Options PPO | $1,678.00 | ↓ -17% |
| United | Commercial|Non-Options PPO | $1,678.00 | ↓ -17% |
| Health Net | Medicare|All Plans | $1,678.00 | ↓ -17% |
| Kaiser | Medicare|All Plans | $1,678.00 | ↓ -17% |
| BCBS - Anthem | Medicare|All Plans | $1,678.00 | ↓ -17% |
| Scan Health Plan | Medicare|All Plans | $1,678.00 | ↓ -17% |
| LA Care | Medicare|All Plans | $1,678.00 | ↓ -17% |
| United | Medicare|All Plans | $1,973.80 | ↓ -2% |
| Blue Shield CA | Medicare|All Plans | $1,973.80 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +165% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +165% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +165% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +187% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +278% |
| Health Net | Commercial|Care Product | $9,710.00 | ↑ +383% |
| Health Net | Commercial|FFS | $11,054.00 | ↑ +450% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +497% |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,831.72 | $549.17 – $3,734.50 |
| Banner Lassen Medical Center | Susanville | $829.98 | $310.69 – $1,542.30 |
| Petaluma Valley Hospital | Petaluma | $4,013.19 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,158.41 | $362.99 – $4,794.16 |
| French Hospital | San Luis Obispo | $1,976.86 | $362.99 – $4,349.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,435.40 | $362.99 – $3,095.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,419.93 | $362.99 – $3,056.51 |
| Queen of The Valley Medical Center | Napa | $5,483.01 | $2,235.08 – $7,455.00 |