Lso flex no ri stays pre ots at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$178.19
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.
$346.00
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.
$52.74 with Inland Empire Health Plan vs $346.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $52.74 | ↓ -70% |
| Molina | Medicaid|< 21 | $52.74 | ↓ -70% |
| Molina | Medicaid|> 21 | $52.74 | ↓ -70% |
| Kaiser | Medicaid|< 21 | $52.74 | ↓ -70% |
| Kaiser | Medicaid|> 21 | $52.74 | ↓ -70% |
| Partnership Health Plan | Medicaid|< 21 | $52.74 | ↓ -70% |
| Partnership Health Plan | Medicaid|> 21 | $52.74 | ↓ -70% |
| Kern Health System | Medicaid|< 21 | $52.74 | ↓ -70% |
| Kern Health System | Medicaid|> 21 | $52.74 | ↓ -70% |
| California Health & Wellness | Medicaid|< 21 | $52.74 | ↓ -70% |
| California Health & Wellness | Medicaid|> 21 | $52.74 | ↓ -70% |
| Central California Alliance for Health | Medicaid|All Plans | $52.74 | ↓ -70% |
| Health Plan of San Joaquin | Medicaid|< 21 | $52.74 | ↓ -70% |
| Health Plan of San Joaquin | Medicaid|> 21 | $52.74 | ↓ -70% |
| Inland Empire Health Plan | Medicaid|< 21 | $52.74 | ↓ -70% |
| BCBS - Anthem | Medicaid|> 21 | $60.65 | ↓ -66% |
| BCBS - Anthem | Medicaid|< 21 | $60.65 | ↓ -66% |
| Health Net | Medicaid|All Plans | $79.58 | ↓ -55% |
| Healthsmart | Commercial|All Plans | $155.70 | ↓ -13% |
| Health Net | Commercial|Care Product | $197.22 | ↑ +11% |
| United | Commercial|HMO | $211.06 | ↑ +18% |
| Cigna | Commercial|All Other Plans | $224.90 | ↑ +26% |
| Western Growers | Commercial|All Plans | $224.90 | ↑ +26% |
| Cigna | Commercial|PPO | $224.90 | ↑ +26% |
| Health Net | Commercial|FFS | $228.36 | ↑ +28% |
| Kaiser | Commercial|All Plans | $238.74 | ↑ +34% |
| United | Commercial|Non-Options PPO | $256.04 | ↑ +44% |
| BCBS - Anthem | Commercial|Exchange | $262.96 | ↑ +48% |
| United | Commercial|Options PPO | $276.80 | ↑ +55% |
| First Health | Commercial|All Plans | $276.80 | ↑ +55% |
| United | Commercial|All Other Plans | $283.72 | ↑ +59% |
| Blue Shield CA | Commercial|Exchange | $301.02 | ↑ +69% |
| Blue Shield CA | Commercial|All Other Plans | $304.48 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $325.24 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $332.16 | ↑ +86% |
| Aetna | Commercial|HMO | $332.16 | ↑ +86% |
| Aetna | Commercial|PPO | $332.16 | ↑ +86% |
| BCBS - Anthem | Commercial|All Other Plans | $346.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $346.00 | ↑ +94% |
Visitor-reported prices
Comments
Lso flex no ri stays pre ots at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $320.92 | $52.74 – $778.50 |
| Bakersfield Memorial Hospital | Bakersfield | $317.46 | $52.74 – $839.05 |
| St. Joseph's Medical Center Stockton | Stockton | $203.45 | $52.74 – $692.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $256.74 | $71.73 – $323.40 |
| Sequoia Hospital | Redwood City | $149.61 | $27.50 – $374.01 |
| St. Mary Medical Center | Long Beach | $546.10 | $47.47 – $335.00 |
| Community Hospital San Bernardino | San Bernardino | $496.57 | $52.74 – $335.00 |
| Providence St Joseph Hospital Orange | Orange | $551.23 | $24.40 – $53.10 |