Myelography via inj w/s&i lumbosacral at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,288.02
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.
$2,501.00
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.
$213.60 with BCBS - Anthem vs $11,994.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $213.60 | ↓ -83% |
| BCBS - Anthem | Medicaid|< 21 | $213.60 | ↓ -83% |
| Central California Alliance for Health | Medicaid|All Plans | $334.29 | ↓ -74% |
| Western Growers | Commercial|All Plans | $506.50 | ↓ -61% |
| Healthsmart | Commercial|All Plans | $648.32 | ↓ -50% |
| Cigna | Commercial|All Other Plans | $658.45 | ↓ -49% |
| Cigna | Commercial|PPO | $658.45 | ↓ -49% |
| Kaiser | Commercial|All Plans | $698.97 | ↓ -46% |
| First Health | Commercial|All Plans | $810.40 | ↓ -37% |
| Allcare | Commercial|All Plans | $894.53 | ↓ -31% |
| MultiPlan | Commercial|All Plans | $952.22 | ↓ -26% |
| United | Commercial|HMO | $1,002.87 | ↓ -22% |
| Humana | Medicare|All Plans | $1,003.85 | ↓ -22% |
| Aetna | Medicare|All Plans | $1,003.85 | ↓ -22% |
| United | Medicare|All Plans | $1,003.85 | ↓ -22% |
| Health Net | Medicare|All Plans | $1,003.85 | ↓ -22% |
| Kaiser | Medicare|All Plans | $1,003.85 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $1,003.85 | ↓ -22% |
| Blue Shield CA | Medicare|All Plans | $1,003.85 | ↓ -22% |
| Scan Health Plan | Medicare|All Plans | $1,003.85 | ↓ -22% |
| LA Care | Medicare|All Plans | $1,003.85 | ↓ -22% |
| United | Commercial|All Other Plans | $1,013.00 | ↓ -21% |
| United | Commercial|Options PPO | $1,013.00 | ↓ -21% |
| United | Commercial|Non-Options PPO | $1,013.00 | ↓ -21% |
| Health Net | Medicaid|All Plans | $2,266.00 | ↑ +76% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +313% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +313% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +313% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +348% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +489% |
| Health Net | Commercial|Care Product | $9,710.00 | ↑ +654% |
| Health Net | Commercial|FFS | $11,054.00 | ↑ +758% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +831% |
Visitor-reported prices
Comments
Myelography via inj w/s&i lumbosacral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $962.29 | $593.19 – $1,859.28 |
| Banner Lassen Medical Center | Susanville | $626.92 | $158.01 – $1,164.97 |
| Arroyo Grande Hospital | Santa Maria | $1,790.33 | $1,003.85 – $4,099.34 |
| French Hospital | San Luis Obispo | $1,577.02 | $696.33 – $2,527.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $857.39 | $623.97 – $1,848.80 |
| Bakersfield Memorial Hospital | Bakersfield | $848.14 | $245.18 – $1,825.69 |
| Queen of The Valley Medical Center | Napa | $2,758.08 | $1,113.06 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,836.95 | $1,008.25 – $8,018.00 |