Membrane collgn porcine maci w/autologous cult chondrocytes at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$39,334.16
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.
$76,377.00
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.
$19,094.25 with BCBS - Anthem vs $76,377.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|< 21 | $19,094.25 | ↓ -51% |
| BCBS - Anthem | Medicaid|> 21 | $19,094.25 | ↓ -51% |
| Central California Alliance for Health | Medicaid|All Plans | $22,913.10 | ↓ -42% |
| Healthsmart | Commercial|All Plans | $45,826.20 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $49,645.05 | ↑ +26% |
| Cigna | Commercial|PPO | $49,645.05 | ↑ +26% |
| Kaiser | Commercial|All Plans | $52,700.13 | ↑ +34% |
| BCBS - Anthem | Commercial|Exchange | $54,991.44 | ↑ +40% |
| First Health | Commercial|All Plans | $61,101.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $71,794.38 | ↑ +83% |
| BCBS - Anthem | Commercial|All Other Plans | $71,794.38 | ↑ +83% |
| Health Net | Commercial|FFS | $76,377.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $76,377.00 | ↑ +94% |
| United | Commercial|Options PPO | $76,377.00 | ↑ +94% |
| United | Commercial|HMO | $76,377.00 | ↑ +94% |
| Aetna | Commercial|HMO | $76,377.00 | ↑ +94% |
| United | Commercial|All Other Plans | $76,377.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $76,377.00 | ↑ +94% |
| Aetna | Commercial|PPO | $76,377.00 | ↑ +94% |
| Aetna | Commercial|All Other Plans | $76,377.00 | ↑ +94% |
| Blue Shield CA | Commercial|All Other Plans | $76,377.00 | ↑ +94% |
| Blue Shield CA | Commercial|Exchange | $76,377.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $76,377.00 | ↑ +94% |
Visitor-reported prices
Comments
Membrane collgn porcine maci w/autologous cult chondrocytes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $74,569.15 | $38,582.94 – $160,796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $73,765.17 | $50,248.75 – $200,995.00 |
| St. Joseph's Medical Center Stockton | Stockton | $35,455.52 | $31,355.22 – $221,691.13 |
| Dominican Hospital | Santa Cruz | $131,891.85 | $79,081.20 – $293,093.00 |
| Sequoia Hospital | Redwood City | $85,304.50 | $51,557.66 – $234,353.00 |
| Mercy San Juan Medical Center | Carmichael | $84,468.72 | $33,910.80 – $255,872.40 |
| Mercy General Hospital | Sacramento | $67,205.04 | $51,975.00 – $246,624.00 |
| Mercy Hospital of Folsom | Folsom | $119,920.92 | $33,910.80 – $252,789.60 |