Lig/band angioaccess av fistula at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$5,127.34
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.
$9,956.00
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.
$312.72 with Partnership Health Plan vs $16,193.00 with Health Net — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $312.72 | ↓ -94% |
| Kern Health System | Medicaid|> 21 | $312.72 | ↓ -94% |
| Kern Health System | Medicaid|< 21 | $312.72 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $312.72 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|> 21 | $312.72 | ↓ -94% |
| Kaiser | Medicaid|> 21 | $312.72 | ↓ -94% |
| Kaiser | Medicaid|< 21 | $312.72 | ↓ -94% |
| Health Plan of San Joaquin | Medicaid|< 21 | $312.72 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|> 21 | $312.72 | ↓ -94% |
| California Health & Wellness | Medicaid|> 21 | $312.72 | ↓ -94% |
| Molina | Medicaid|< 21 | $312.72 | ↓ -94% |
| Molina | Medicaid|> 21 | $312.72 | ↓ -94% |
| California Health & Wellness | Medicaid|< 21 | $312.72 | ↓ -94% |
| Inland Empire Health Plan | Medicaid|< 21 | $312.72 | ↓ -94% |
| BCBS - Anthem | Medicaid|< 21 | $449.54 | ↓ -91% |
| BCBS - Anthem | Medicaid|> 21 | $449.54 | ↓ -91% |
| Central California Alliance for Health | Medicaid|All Plans | $492.96 | ↓ -90% |
| Health Net | Medicaid|All Plans | $1,064.79 | ↓ -79% |
| Humana | Medicare|All Plans | $3,999.21 | ↓ -22% |
| Aetna | Medicare|All Plans | $3,999.21 | ↓ -22% |
| United | Medicare|All Plans | $3,999.21 | ↓ -22% |
| Health Net | Medicare|All Plans | $3,999.21 | ↓ -22% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↓ -22% |
| Blue Shield CA | Medicare|All Plans | $3,999.21 | ↓ -22% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↓ -22% |
| LA Care | Medicare|All Plans | $3,999.21 | ↓ -22% |
| Western Growers | Commercial|All Plans | $4,978.00 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $5,973.60 | ↑ +17% |
| Cigna | Commercial|PPO | $6,471.40 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $6,471.40 | ↑ +26% |
| Kaiser | Commercial|All Plans | $6,869.64 | ↑ +34% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↑ +44% |
| First Health | Commercial|All Plans | $7,964.80 | ↑ +55% |
| Aetna | Commercial|PPO | $8,124.00 | ↑ +58% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↑ +58% |
| Aetna | Commercial|HMO | $8,124.00 | ↑ +58% |
| MultiPlan | Commercial|All Plans | $9,358.64 | ↑ +83% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↑ +90% |
| United | Commercial|HMO | $9,856.44 | ↑ +92% |
| United | Commercial|Options PPO | $9,956.00 | ↑ +94% |
| United | Commercial|All Other Plans | $9,956.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $9,956.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $14,225.00 | ↑ +177% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↑ +200% |
| Health Net | Commercial|FFS | $16,193.00 | ↑ +216% |
Visitor-reported prices
Comments
Lig/band angioaccess av fistula at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital Eureka | Eureka | $4,488.00 | $4,061.05 – $17,611.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,006.88 | $3,451.89 – $7,908.00 |
| St Jude Medical Center | Fullerton | $2,718.72 | $3,451.89 – $8,335.00 |
| Providence St Joseph Hospital Orange | Orange | $2,976.96 | $3,451.89 – $9,230.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $384.65 – $7,477.22 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $312.72 – $3,999.21 |
| Mark Twain Medical Center | San Andreas | not published | $312.72 – $312.72 |