Lso r post pnl sj-t9 pre cst at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$231.75
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.
$450.00
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.
$53.82 with Health Net vs $234.00 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 Net | Medicaid|All Plans | $53.82 | ↓ -77% |
| Inland Empire Health Plan | Medicaid|> 21 | $101.81 | ↓ -56% |
| Molina | Medicaid|< 21 | $101.81 | ↓ -56% |
| Molina | Medicaid|> 21 | $101.81 | ↓ -56% |
| Kaiser | Medicaid|< 21 | $101.81 | ↓ -56% |
| Kaiser | Medicaid|> 21 | $101.81 | ↓ -56% |
| Partnership Health Plan | Medicaid|< 21 | $101.81 | ↓ -56% |
| Partnership Health Plan | Medicaid|> 21 | $101.81 | ↓ -56% |
| Kern Health System | Medicaid|< 21 | $101.81 | ↓ -56% |
| Kern Health System | Medicaid|> 21 | $101.81 | ↓ -56% |
| California Health & Wellness | Medicaid|< 21 | $101.81 | ↓ -56% |
| California Health & Wellness | Medicaid|> 21 | $101.81 | ↓ -56% |
| Central California Alliance for Health | Medicaid|All Plans | $101.81 | ↓ -56% |
| Health Plan of San Joaquin | Medicaid|< 21 | $101.81 | ↓ -56% |
| Health Plan of San Joaquin | Medicaid|> 21 | $101.81 | ↓ -56% |
| Inland Empire Health Plan | Medicaid|< 21 | $101.81 | ↓ -56% |
| Healthsmart | Commercial|All Plans | $105.30 | ↓ -55% |
| BCBS - Anthem | Medicaid|> 21 | $117.08 | ↓ -49% |
| BCBS - Anthem | Medicaid|< 21 | $117.08 | ↓ -49% |
| Health Net | Commercial|Care Product | $133.38 | ↓ -42% |
| United | Commercial|HMO | $142.74 | ↓ -38% |
| Cigna | Commercial|PPO | $152.10 | ↓ -34% |
| Western Growers | Commercial|All Plans | $152.10 | ↓ -34% |
| Cigna | Commercial|All Other Plans | $152.10 | ↓ -34% |
| Health Net | Commercial|FFS | $154.44 | ↓ -33% |
| Kaiser | Commercial|All Plans | $161.46 | ↓ -30% |
| United | Commercial|Non-Options PPO | $173.16 | ↓ -25% |
| BCBS - Anthem | Commercial|Exchange | $177.84 | ↓ -23% |
| First Health | Commercial|All Plans | $187.20 | ↓ -19% |
| United | Commercial|Options PPO | $187.20 | ↓ -19% |
| United | Commercial|All Other Plans | $191.88 | ↓ -17% |
| Blue Shield CA | Commercial|Exchange | $203.58 | ↓ -12% |
| Blue Shield CA | Commercial|All Other Plans | $205.92 | ↓ -11% |
| MultiPlan | Commercial|All Plans | $219.96 | ↓ -5% |
| Aetna | Commercial|HMO | $224.64 | ↓ -3% |
| Aetna | Commercial|PPO | $224.64 | ↓ -3% |
| Aetna | Commercial|All Other Plans | $224.64 | ↓ -3% |
| BCBS - Anthem | Commercial|All Other Plans | $234.00 | ↑ +1% |
| BCBS - Anthem | Commercial|MCS | $234.00 | ↑ +1% |
Visitor-reported prices
Comments
Lso r post pnl sj-t9 pre cst at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $261.05 | $143.04 – $464.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $417.38 | $101.81 – $459.00 |
| Bakersfield Memorial Hospital | Bakersfield | $412.88 | $101.81 – $494.70 |
| St. Joseph's Medical Center Stockton | Stockton | $264.60 | $101.81 – $459.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $571.83 | $135.36 – $552.72 |
| St. Mary Medical Center | Long Beach | $419.25 | $91.63 – $575.00 |
| Community Hospital San Bernardino | San Bernardino | $381.23 | $101.81 – $575.00 |
| Glendale Memorial Hospital Health Center | Glendale | $317.85 | $40.00 – $569.25 |