Kidney imag w/bld flow multi at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$5,168.03
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.
$10,035.00
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.
$261.96 with Health Plan of San Joaquin vs $2,096.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Health Plan of San Joaquin | Medicaid|> 21 | $261.96 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|< 21 | $261.96 | ↓ -95% |
| Kaiser | Medicaid|< 21 | $261.96 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $261.96 | ↓ -95% |
| Partnership Health Plan | Medicaid|< 21 | $261.96 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|> 21 | $261.96 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $261.96 | ↓ -95% |
| California Health & Wellness | Medicaid|> 21 | $261.96 | ↓ -95% |
| Molina | Medicaid|< 21 | $261.96 | ↓ -95% |
| Molina | Medicaid|> 21 | $261.96 | ↓ -95% |
| California Health & Wellness | Medicaid|< 21 | $261.96 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|< 21 | $261.96 | ↓ -95% |
| Kern Health System | Medicaid|> 21 | $261.96 | ↓ -95% |
| Kern Health System | Medicaid|< 21 | $261.96 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $261.96 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $301.25 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $301.25 | ↓ -94% |
| Health Net | Medicaid|All Plans | $565.83 | ↓ -89% |
| Allcare | Commercial|All Plans | $620.14 | ↓ -88% |
| Humana | Medicare|All Plans | $683.93 | ↓ -87% |
| Aetna | Medicare|All Plans | $683.93 | ↓ -87% |
| United | Medicare|All Plans | $683.93 | ↓ -87% |
| Health Net | Medicare|All Plans | $683.93 | ↓ -87% |
| Kaiser | Medicare|All Plans | $683.93 | ↓ -87% |
| BCBS - Anthem | Medicare|All Plans | $683.93 | ↓ -87% |
| Blue Shield CA | Medicare|All Plans | $683.93 | ↓ -87% |
| Scan Health Plan | Medicare|All Plans | $683.93 | ↓ -87% |
| LA Care | Medicare|All Plans | $683.93 | ↓ -87% |
| United | Commercial|HMO | $1,101.15 | ↓ -79% |
| United | Commercial|Non-Options PPO | $1,101.15 | ↓ -79% |
| United | Commercial|All Other Plans | $1,101.15 | ↓ -79% |
| United | Commercial|Options PPO | $1,101.15 | ↓ -79% |
| Healthsmart | Commercial|All Plans | $1,341.44 | ↓ -74% |
| Cigna | Commercial|PPO | $1,362.40 | ↓ -74% |
| Cigna | Commercial|All Other Plans | $1,362.40 | ↓ -74% |
| BCBS - Anthem | Commercial|Exchange | $1,366.46 | ↓ -74% |
| Kaiser | Commercial|All Plans | $1,446.24 | ↓ -72% |
| First Health | Commercial|All Plans | $1,676.80 | ↓ -68% |
| Aetna | Commercial|PPO | $1,742.93 | ↓ -66% |
| Aetna | Commercial|HMO | $1,742.93 | ↓ -66% |
| Aetna | Commercial|All Other Plans | $1,742.93 | ↓ -66% |
| BCBS - Anthem | Commercial|All Other Plans | $1,797.87 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $1,970.24 | ↓ -62% |
| BCBS - Anthem | Commercial|MCS | $2,096.00 | ↓ -59% |
Visitor-reported prices
Comments
Kidney imag w/bld flow multi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,047.22 | $396.32 – $3,645.72 |
| Banner Lassen Medical Center | Susanville | $1,328.58 | $107.65 – $1,920.60 |
| Arroyo Grande Hospital | Santa Maria | $2,906.98 | $261.96 – $5,747.70 |
| Mark Twain Medical Center | San Andreas | $5,696.97 | $261.96 – $3,948.42 |
| French Hospital | San Luis Obispo | $2,323.39 | $261.96 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,251.76 | $261.96 – $2,699.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,238.26 | $261.96 – $2,665.46 |
| Queen of The Valley Medical Center | Napa | $3,581.22 | $755.17 – $1,319.94 |