Manipulation chest wall initial demonstration/evaluation at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$127.72
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.
$248.00
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.
$32.82 with BCBS - Anthem vs $14,950.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $32.82 | ↓ -74% |
| BCBS - Anthem | Medicaid|< 21 | $32.82 | ↓ -74% |
| Partnership Health Plan | Medicaid|> 21 | $35.46 | ↓ -72% |
| Partnership Health Plan | Medicaid|< 21 | $35.46 | ↓ -72% |
| Molina | Medicaid|> 21 | $35.46 | ↓ -72% |
| Health Plan of San Joaquin | Medicaid|> 21 | $35.46 | ↓ -72% |
| Inland Empire Health Plan | Medicaid|> 21 | $35.46 | ↓ -72% |
| Health Plan of San Joaquin | Medicaid|< 21 | $35.46 | ↓ -72% |
| Central California Alliance for Health | Medicaid|All Plans | $35.46 | ↓ -72% |
| California Health & Wellness | Medicaid|> 21 | $35.46 | ↓ -72% |
| Kern Health System | Medicaid|> 21 | $35.46 | ↓ -72% |
| Kern Health System | Medicaid|< 21 | $35.46 | ↓ -72% |
| California Health & Wellness | Medicaid|< 21 | $35.46 | ↓ -72% |
| Inland Empire Health Plan | Medicaid|< 21 | $35.46 | ↓ -72% |
| Kaiser | Medicaid|< 21 | $35.46 | ↓ -72% |
| Kaiser | Medicaid|> 21 | $35.46 | ↓ -72% |
| Molina | Medicaid|< 21 | $35.46 | ↓ -72% |
| Health Net | Medicaid|All Plans | $76.59 | ↓ -40% |
| Allcare | Commercial|All Plans | $143.25 | ↑ +12% |
| Healthsmart | Commercial|All Plans | $148.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $161.20 | ↑ +26% |
| Cigna | Commercial|PPO | $161.20 | ↑ +26% |
| Humana | Medicare|All Plans | $163.78 | ↑ +28% |
| Aetna | Medicare|All Plans | $163.78 | ↑ +28% |
| United | Medicare|All Plans | $163.78 | ↑ +28% |
| Health Net | Medicare|All Plans | $163.78 | ↑ +28% |
| Kaiser | Medicare|All Plans | $163.78 | ↑ +28% |
| BCBS - Anthem | Medicare|All Plans | $163.78 | ↑ +28% |
| Blue Shield CA | Medicare|All Plans | $163.78 | ↑ +28% |
| Scan Health Plan | Medicare|All Plans | $163.78 | ↑ +28% |
| LA Care | Medicare|All Plans | $163.78 | ↑ +28% |
| BCBS - Anthem | Commercial|Exchange | $168.64 | ↑ +32% |
| Kaiser | Commercial|All Plans | $171.12 | ↑ +34% |
| First Health | Commercial|All Plans | $198.40 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $220.72 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $233.12 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $248.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $248.00 | ↑ +94% |
| Blue Shield CA | Commercial|Exchange | $745.00 | ↑ +483% |
| Blue Shield CA | Commercial|All Other Plans | $1,048.00 | ↑ +721% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +7230% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +7512% |
| United | Commercial|HMO | $14,950.00 | ↑ +11605% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $260.18 | $40.03 – $594.00 |
| Banner Lassen Medical Center | Susanville | $53.84 | $25.78 – $107.67 |
| Petaluma Valley Hospital | Petaluma | $534.48 | $164.65 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $42.80 | $26.80 – $746.00 |
| Mark Twain Medical Center | San Andreas | $185.82 | $35.46 – $273.42 |
| French Hospital | San Luis Obispo | $64.29 | $26.80 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.82 | $35.46 – $727.76 |
| Bakersfield Memorial Hospital | Bakersfield | $303.51 | $35.46 – $12,607.00 |