Lacer molded to patient mode at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$865.20
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.
$1,680.00
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.
$103.50 with Health Net vs $450.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $103.50 | ↓ -88% |
| Healthsmart | Commercial|All Plans | $202.50 | ↓ -77% |
| Health Net | Commercial|Care Product | $256.50 | ↓ -70% |
| United | Commercial|HMO | $274.50 | ↓ -68% |
| Cigna | Commercial|PPO | $292.50 | ↓ -66% |
| Western Growers | Commercial|All Plans | $292.50 | ↓ -66% |
| Cigna | Commercial|All Other Plans | $292.50 | ↓ -66% |
| Inland Empire Health Plan | Medicaid|> 21 | $296.25 | ↓ -66% |
| Molina | Medicaid|< 21 | $296.25 | ↓ -66% |
| Molina | Medicaid|> 21 | $296.25 | ↓ -66% |
| Kaiser | Medicaid|< 21 | $296.25 | ↓ -66% |
| Kaiser | Medicaid|> 21 | $296.25 | ↓ -66% |
| Partnership Health Plan | Medicaid|< 21 | $296.25 | ↓ -66% |
| Partnership Health Plan | Medicaid|> 21 | $296.25 | ↓ -66% |
| Kern Health System | Medicaid|< 21 | $296.25 | ↓ -66% |
| Kern Health System | Medicaid|> 21 | $296.25 | ↓ -66% |
| California Health & Wellness | Medicaid|< 21 | $296.25 | ↓ -66% |
| California Health & Wellness | Medicaid|> 21 | $296.25 | ↓ -66% |
| Central California Alliance for Health | Medicaid|All Plans | $296.25 | ↓ -66% |
| Health Plan of San Joaquin | Medicaid|< 21 | $296.25 | ↓ -66% |
| Health Plan of San Joaquin | Medicaid|> 21 | $296.25 | ↓ -66% |
| Inland Empire Health Plan | Medicaid|< 21 | $296.25 | ↓ -66% |
| Health Net | Commercial|FFS | $297.00 | ↓ -66% |
| Kaiser | Commercial|All Plans | $310.50 | ↓ -64% |
| United | Commercial|Non-Options PPO | $333.00 | ↓ -62% |
| BCBS - Anthem | Medicaid|> 21 | $340.69 | ↓ -61% |
| BCBS - Anthem | Medicaid|< 21 | $340.69 | ↓ -61% |
| BCBS - Anthem | Commercial|Exchange | $342.00 | ↓ -60% |
| First Health | Commercial|All Plans | $360.00 | ↓ -58% |
| United | Commercial|Options PPO | $360.00 | ↓ -58% |
| United | Commercial|All Other Plans | $369.00 | ↓ -57% |
| Blue Shield CA | Commercial|Exchange | $391.50 | ↓ -55% |
| Blue Shield CA | Commercial|All Other Plans | $396.00 | ↓ -54% |
| MultiPlan | Commercial|All Plans | $423.00 | ↓ -51% |
| Aetna | Commercial|PPO | $432.00 | ↓ -50% |
| Aetna | Commercial|HMO | $432.00 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $432.00 | ↓ -50% |
| BCBS - Anthem | Commercial|All Other Plans | $450.00 | ↓ -48% |
| BCBS - Anthem | Commercial|MCS | $450.00 | ↓ -48% |
Visitor-reported prices
Comments
Lacer molded to patient mode at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,558.20 | $281.25 – $1,012.50 |
| Bakersfield Memorial Hospital | Bakersfield | $1,541.40 | $281.25 – $1,091.25 |
| St. Joseph's Medical Center Stockton | Stockton | $864.36 | $234.00 – $900.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $601.62 – $1,113.00 |
| Providence Saint Joseph Medical Center | Burbank | not published | $601.62 – $1,113.00 |
| Providence St Joseph Hospital Orange | Orange | not published | $511.38 – $1,113.00 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $601.62 – $1,113.00 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | not published | $601.62 – $1,113.00 |