Luspatercept-aamt 25 mg subcutaneous solution at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$12,760.16
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.
$24,777.00
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.
$45.70 with Central California Alliance for Health vs $7,763.46 with MultiPlan — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $45.70 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $48.39 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $48.39 | ↓ -100% |
| BCBS - Anthem | Medicaid|< 21 | $50.22 | ↓ -100% |
| BCBS - Anthem | Medicaid|> 21 | $50.22 | ↓ -100% |
| Humana | Medicare|All Plans | $53.32 | ↓ -100% |
| Aetna | Medicare|All Plans | $53.32 | ↓ -100% |
| United | Medicare|All Plans | $53.32 | ↓ -100% |
| Health Net | Medicare|All Plans | $53.32 | ↓ -100% |
| Kaiser | Medicare|All Plans | $53.32 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $53.32 | ↓ -100% |
| Blue Shield CA | Medicare|All Plans | $53.32 | ↓ -100% |
| Scan Health Plan | Medicare|All Plans | $53.32 | ↓ -100% |
| LA Care | Medicare|All Plans | $53.32 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $53.37 | ↓ -100% |
| Health Net | Commercial|Care Product | $58.07 | ↓ -100% |
| United | Commercial|Non-Options PPO | $61.71 | ↓ -100% |
| Health Net | Commercial|FFS | $66.30 | ↓ -99% |
| United | Commercial|Options PPO | $68.11 | ↓ -99% |
| United | Commercial|HMO | $68.11 | ↓ -99% |
| United | Commercial|All Other Plans | $68.11 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $70.22 | ↓ -99% |
| Health Net | Medicaid|All Plans | $98.71 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $110.90 | ↓ -99% |
| Aetna | Commercial|HMO | $215.36 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $215.36 | ↓ -98% |
| Aetna | Commercial|PPO | $215.36 | ↓ -98% |
| Healthsmart | Commercial|All Plans | $4,955.40 | ↓ -61% |
| Cigna | Commercial|PPO | $5,368.35 | ↓ -58% |
| Cigna | Commercial|All Other Plans | $5,368.35 | ↓ -58% |
| Kaiser | Commercial|All Plans | $5,698.71 | ↓ -55% |
| First Health | Commercial|All Plans | $6,607.20 | ↓ -48% |
| MultiPlan | Commercial|All Plans | $7,763.46 | ↓ -39% |
Visitor-reported prices
Comments
Luspatercept-aamt 25 mg subcutaneous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $39,478.73 | $5,111.71 – $19,364.02 |
| Bakersfield Memorial Hospital | Bakersfield | $18,095.31 | $53.32 – $12,983.65 |
| Queen of The Valley Medical Center | Napa | $26,131.86 | $42.75 – $88.67 |
| Providence St Joseph Hospital Eureka | Eureka | $26,131.86 | $42.75 – $88.67 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $23,110.91 | $36.34 – $88.67 |
| Sierra Nevada Memorial Hospital | Grass Valley | $23,630.66 | $44.48 – $14,163.94 |
| Sequoia Hospital | Redwood City | $6,764.22 | $36.31 – $5,330.00 |
| Providence Saint Joseph Medical Center | Burbank | $15,728.33 | $41.13 – $88.67 |