Insertion subcutaneous cardiac rhythm monitor at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$10,595.61
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.
$20,574.00
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.
$4,836.92 with Kaiser vs $28,713.00 with Health Net — 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Kaiser | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| Inland Empire Health Plan | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Central California Alliance for Health | Medicaid|All Plans | $4,836.92 | ↓ -54% |
| California Health & Wellness | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| California Health & Wellness | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Kern Health System | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| Kern Health System | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Partnership Health Plan | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| Partnership Health Plan | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Inland Empire Health Plan | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| Health Plan of San Joaquin | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| Molina | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Molina | Medicaid|> 21 | $4,836.92 | ↓ -54% |
| Health Plan of San Joaquin | Medicaid|< 21 | $4,836.92 | ↓ -54% |
| Aetna | Commercial|PPO | $5,322.00 | ↓ -50% |
| Aetna | Commercial|HMO | $5,322.00 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↓ -50% |
| BCBS - Anthem | Medicaid|> 21 | $5,562.46 | ↓ -48% |
| BCBS - Anthem | Medicaid|< 21 | $5,562.46 | ↓ -48% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↓ -30% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↓ -8% |
| Health Net | Medicaid|All Plans | $10,447.75 | ↓ -1% |
| Kaiser | Medicare|All Plans | $10,515.46 | ↓ -1% |
| Aetna | Medicare|All Plans | $10,515.46 | ↓ -1% |
| United | Medicare|All Plans | $10,515.46 | ↓ -1% |
| Health Net | Medicare|All Plans | $10,515.46 | ↓ -1% |
| Humana | Medicare|All Plans | $10,515.46 | ↓ -1% |
| BCBS - Anthem | Medicare|All Plans | $10,515.46 | ↓ -1% |
| Blue Shield CA | Medicare|All Plans | $10,515.46 | ↓ -1% |
| Scan Health Plan | Medicare|All Plans | $10,515.46 | ↓ -1% |
| LA Care | Medicare|All Plans | $10,515.46 | ↓ -1% |
| Healthsmart | Commercial|All Plans | $12,344.40 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $13,373.10 | ↑ +26% |
| Cigna | Commercial|PPO | $13,373.10 | ↑ +26% |
| Kaiser | Commercial|All Plans | $14,196.06 | ↑ +34% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↑ +45% |
| First Health | Commercial|All Plans | $16,459.20 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $19,339.56 | ↑ +83% |
| United | Commercial|HMO | $20,368.26 | ↑ +92% |
| United | Commercial|Non-Options PPO | $20,574.00 | ↑ +94% |
| United | Commercial|All Other Plans | $20,574.00 | ↑ +94% |
| United | Commercial|Options PPO | $20,574.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $25,223.00 | ↑ +138% |
| Health Net | Commercial|FFS | $28,713.00 | ↑ +171% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,199.04 | $7,317.77 – $27,066.78 |
| Arroyo Grande Hospital | Santa Maria | $8,516.78 | $4,836.92 – $18,914.98 |
| French Hospital | San Luis Obispo | $7,956.43 | $4,836.92 – $18,914.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8,648.76 | $4,836.92 – $18,649.60 |
| Bakersfield Memorial Hospital | Bakersfield | $8,555.51 | $4,836.92 – $18,416.48 |
| Queen of The Valley Medical Center | Napa | $14,083.14 | $7,745.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,209.58 | $9,008.00 – $46,622.00 |
| Redwood Memorial Hospital | Fortuna | $14,804.28 | $9,031.00 – $46,622.00 |