New Patient Office Visit (level 2) at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$247.20
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.
$480.00
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.
$56.58 with BCBS - Anthem vs $192.00 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 | $56.58 | ↓ -77% |
| BCBS - Anthem | Medicaid|> 21 | $56.58 | ↓ -77% |
| Inland Empire Health Plan | Medicaid|< 21 | $61.11 | ↓ -75% |
| Molina | Medicaid|< 21 | $61.11 | ↓ -75% |
| Molina | Medicaid|> 21 | $61.11 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|> 21 | $61.11 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|< 21 | $61.11 | ↓ -75% |
| Central California Alliance for Health | Medicaid|All Plans | $61.11 | ↓ -75% |
| California Health & Wellness | Medicaid|> 21 | $61.11 | ↓ -75% |
| California Health & Wellness | Medicaid|< 21 | $61.11 | ↓ -75% |
| Kern Health System | Medicaid|> 21 | $61.11 | ↓ -75% |
| Kern Health System | Medicaid|< 21 | $61.11 | ↓ -75% |
| Partnership Health Plan | Medicaid|> 21 | $61.11 | ↓ -75% |
| Kaiser | Medicaid|< 21 | $61.11 | ↓ -75% |
| Kaiser | Medicaid|> 21 | $61.11 | ↓ -75% |
| Partnership Health Plan | Medicaid|< 21 | $61.11 | ↓ -75% |
| Inland Empire Health Plan | Medicaid|> 21 | $61.11 | ↓ -75% |
| Healthsmart | Commercial|All Plans | $115.20 | ↓ -53% |
| Cigna | Commercial|All Other Plans | $124.80 | ↓ -50% |
| Cigna | Commercial|PPO | $124.80 | ↓ -50% |
| Health Net | Medicaid|All Plans | $132.00 | ↓ -47% |
| Kaiser | Commercial|All Plans | $132.48 | ↓ -46% |
| Blue Shield CA | Commercial|Exchange | $134.00 | ↓ -46% |
| First Health | Commercial|All Plans | $153.60 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $180.48 | ↓ -27% |
| BCBS - Anthem | Commercial|All Other Plans | $182.40 | ↓ -26% |
| United | Commercial|HMO | $190.08 | ↓ -23% |
| Blue Shield CA | Commercial|All Other Plans | $191.00 | ↓ -23% |
| United | Commercial|Options PPO | $192.00 | ↓ -22% |
| United | Commercial|Non-Options PPO | $192.00 | ↓ -22% |
| United | Commercial|All Other Plans | $192.00 | ↓ -22% |
| BCBS - Anthem | Commercial|MCS | $192.00 | ↓ -22% |
Visitor-reported prices
Comments
New Patient Office Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.01 | $50.22 – $204.18 |
| Banner Lassen Medical Center | Susanville | $1,479.42 | $69.70 – $164.90 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $49.20 – $305.00 |
| Mark Twain Medical Center | San Andreas | $115.89 | $23.03 – $87.22 |
| French Hospital | San Luis Obispo | $148.96 | $49.20 – $298.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $154.71 | $61.11 – $333.60 |
| Bakersfield Memorial Hospital | Bakersfield | $161.12 | $61.11 – $232.00 |
| Healdsburg Hospital | Healdsburg | $309.57 | not published |