Njx aa&/strd lmbr plex nfs at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,364.75
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.
$2,650.00
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.
$105.14 with Partnership Health Plan vs $11,054.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $105.14 | ↓ -92% |
| Partnership Health Plan | Medicaid|< 21 | $105.14 | ↓ -92% |
| Kaiser | Medicaid|> 21 | $105.14 | ↓ -92% |
| Health Plan of San Joaquin | Medicaid|< 21 | $105.14 | ↓ -92% |
| Kaiser | Medicaid|< 21 | $105.14 | ↓ -92% |
| Inland Empire Health Plan | Medicaid|> 21 | $105.14 | ↓ -92% |
| Health Plan of San Joaquin | Medicaid|> 21 | $105.14 | ↓ -92% |
| California Health & Wellness | Medicaid|> 21 | $105.14 | ↓ -92% |
| Molina | Medicaid|< 21 | $105.14 | ↓ -92% |
| Molina | Medicaid|> 21 | $105.14 | ↓ -92% |
| California Health & Wellness | Medicaid|< 21 | $105.14 | ↓ -92% |
| Inland Empire Health Plan | Medicaid|< 21 | $105.14 | ↓ -92% |
| Kern Health System | Medicaid|> 21 | $105.14 | ↓ -92% |
| Kern Health System | Medicaid|< 21 | $105.14 | ↓ -92% |
| BCBS - Anthem | Medicaid|> 21 | $105.36 | ↓ -92% |
| BCBS - Anthem | Medicaid|< 21 | $105.36 | ↓ -92% |
| Central California Alliance for Health | Medicaid|All Plans | $115.50 | ↓ -92% |
| Health Net | Medicaid|All Plans | $249.48 | ↓ -82% |
| Allcare | Commercial|All Plans | $1,066.96 | ↓ -22% |
| Humana | Medicare|All Plans | $1,131.20 | ↓ -17% |
| Aetna | Medicare|All Plans | $1,131.20 | ↓ -17% |
| United | Medicare|All Plans | $1,131.20 | ↓ -17% |
| Health Net | Medicare|All Plans | $1,131.20 | ↓ -17% |
| Kaiser | Medicare|All Plans | $1,131.20 | ↓ -17% |
| BCBS - Anthem | Medicare|All Plans | $1,131.20 | ↓ -17% |
| Blue Shield CA | Medicare|All Plans | $1,131.20 | ↓ -17% |
| Scan Health Plan | Medicare|All Plans | $1,131.20 | ↓ -17% |
| LA Care | Medicare|All Plans | $1,131.20 | ↓ -17% |
| Western Growers | Commercial|All Plans | $1,325.00 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $1,590.00 | ↑ +17% |
| Cigna | Commercial|PPO | $1,722.50 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $1,722.50 | ↑ +26% |
| Kaiser | Commercial|All Plans | $1,828.50 | ↑ +34% |
| First Health | Commercial|All Plans | $2,120.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $2,491.00 | ↑ +83% |
| United | Commercial|HMO | $2,623.50 | ↑ +92% |
| United | Commercial|Non-Options PPO | $2,650.00 | ↑ +94% |
| United | Commercial|Options PPO | $2,650.00 | ↑ +94% |
| United | Commercial|All Other Plans | $2,650.00 | ↑ +94% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +202% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +290% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +290% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +290% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +297% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +527% |
| Health Net | Commercial|Care Product | $9,710.00 | ↑ +611% |
| Health Net | Commercial|FFS | $11,054.00 | ↑ +710% |
Visitor-reported prices
Comments
Njx aa&/strd lmbr plex nfs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $237.11 | $116.85 – $276.45 |
| Mercy Hospitals – Bakersfield | Bakersfield | $960.89 | $105.14 – $2,072.00 |
| Bakersfield Memorial Hospital | Bakersfield | $950.53 | $105.14 – $2,046.10 |
| St. Joseph's Medical Center Stockton | Stockton | $942.86 | $91.62 – $2,693.88 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,043.81 | $124.60 – $2,574.46 |
| Mercy Medical Center Redding | Redding | $1,362.82 | $145.68 – $2,634.24 |
| St. Elizabeth Community Hospital | Red Bluff | $1,723.97 | $131.02 – $2,892.96 |
| St. John's Camarillo Hospital | Camarillo | not published | $129.32 – $2,138.98 |