Interrog evl pm/ldls pm ip at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$57.17
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.
$111.00
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.
$38.02 with Partnership Health Plan vs $14,950.00 with United — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $38.02 | ↓ -33% |
| Kern Health System | Medicaid|< 21 | $38.02 | ↓ -33% |
| Partnership Health Plan | Medicaid|> 21 | $38.02 | ↓ -33% |
| Health Plan of San Joaquin | Medicaid|> 21 | $38.02 | ↓ -33% |
| Kaiser | Medicaid|< 21 | $38.02 | ↓ -33% |
| Kaiser | Medicaid|> 21 | $38.02 | ↓ -33% |
| Molina | Medicaid|< 21 | $38.02 | ↓ -33% |
| Molina | Medicaid|> 21 | $38.02 | ↓ -33% |
| Health Plan of San Joaquin | Medicaid|< 21 | $38.02 | ↓ -33% |
| Inland Empire Health Plan | Medicaid|< 21 | $38.02 | ↓ -33% |
| Central California Alliance for Health | Medicaid|All Plans | $38.02 | ↓ -33% |
| California Health & Wellness | Medicaid|> 21 | $38.02 | ↓ -33% |
| California Health & Wellness | Medicaid|< 21 | $38.02 | ↓ -33% |
| Kern Health System | Medicaid|> 21 | $38.02 | ↓ -33% |
| Inland Empire Health Plan | Medicaid|> 21 | $38.02 | ↓ -33% |
| BCBS - Anthem | Medicaid|< 21 | $43.72 | ↓ -24% |
| BCBS - Anthem | Medicaid|> 21 | $43.72 | ↓ -24% |
| Humana | Medicare|All Plans | $47.38 | ↓ -17% |
| Aetna | Medicare|All Plans | $47.38 | ↓ -17% |
| United | Medicare|All Plans | $47.38 | ↓ -17% |
| Health Net | Medicare|All Plans | $47.38 | ↓ -17% |
| Kaiser | Medicare|All Plans | $47.38 | ↓ -17% |
| BCBS - Anthem | Medicare|All Plans | $47.38 | ↓ -17% |
| Blue Shield CA | Medicare|All Plans | $47.38 | ↓ -17% |
| Scan Health Plan | Medicare|All Plans | $47.38 | ↓ -17% |
| LA Care | Medicare|All Plans | $47.38 | ↓ -17% |
| Allcare | Commercial|All Plans | $47.63 | ↓ -17% |
| Healthsmart | Commercial|All Plans | $66.60 | ↑ +16% |
| Cigna | Commercial|PPO | $72.15 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $72.15 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $75.48 | ↑ +32% |
| Kaiser | Commercial|All Plans | $76.59 | ↑ +34% |
| Health Net | Medicaid|All Plans | $82.12 | ↑ +44% |
| First Health | Commercial|All Plans | $88.80 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $98.79 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $104.34 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $111.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $111.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +11495% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +13099% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +16276% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +16905% |
| United | Commercial|HMO | $14,950.00 | ↑ +26050% |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $49.94 | $30.78 – $88.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $49.72 | $38.02 – $109.88 |
| Bakersfield Memorial Hospital | Bakersfield | $36.70 | $38.02 – $91.63 |
| Providence St Joseph Hospital Eureka | Eureka | $175.95 | $48.00 – $1,333.00 |
| Healdsburg Hospital | Healdsburg | $121.38 | $42.18 – $71.48 |
| St. Joseph's Medical Center Stockton | Stockton | $32.64 | $23.31 – $93.91 |
| Santa Rosa Memorial Hospital | Santa Rosa | $86.19 | $51.93 – $134.42 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $56.64 | $40.80 – $88.80 |