Pacemaker leadless 19.5f 32.2mm ra at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$38,564.75
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.
$74,883.00
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.
$11,482.06 with Health Net vs $49,922.00 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $11,482.06 | ↓ -70% |
| BCBS - Anthem | Medicaid|> 21 | $12,480.50 | ↓ -68% |
| BCBS - Anthem | Medicaid|< 21 | $12,480.50 | ↓ -68% |
| Healthsmart | Commercial|All Plans | $22,464.90 | ↓ -42% |
| Central California Alliance for Health | Medicaid|All Plans | $27,457.10 | ↓ -29% |
| Health Net | Commercial|Care Product | $28,455.54 | ↓ -26% |
| United | Commercial|HMO | $30,452.42 | ↓ -21% |
| Cigna | Commercial|All Other Plans | $32,449.30 | ↓ -16% |
| Western Growers | Commercial|All Plans | $32,449.30 | ↓ -16% |
| Cigna | Commercial|PPO | $32,449.30 | ↓ -16% |
| Health Net | Commercial|FFS | $32,948.52 | ↓ -15% |
| Kaiser | Commercial|All Plans | $34,446.18 | ↓ -11% |
| United | Commercial|Non-Options PPO | $36,942.28 | ↓ -4% |
| BCBS - Anthem | Commercial|Exchange | $37,940.72 | ↓ -2% |
| United | Commercial|Options PPO | $39,937.60 | ↑ +4% |
| First Health | Commercial|All Plans | $39,937.60 | ↑ +4% |
| United | Commercial|All Other Plans | $40,936.04 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $46,926.68 | ↑ +22% |
| BCBS - Anthem | Commercial|All Other Plans | $49,922.00 | ↑ +29% |
| BCBS - Anthem | Commercial|MCS | $49,922.00 | ↑ +29% |
Visitor-reported prices
Comments
Pacemaker leadless 19.5f 32.2mm ra at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $49,197.04 | $7,408.80 – $24,078.60 |
| Petaluma Valley Hospital | Petaluma | $73,929.60 | not published |
| Arroyo Grande Hospital | Santa Maria | $48,075.10 | $7,100.10 – $30,252.60 |
| French Hospital | San Luis Obispo | $44,031.40 | $5,865.30 – $30,252.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $46,302.66 | $31,201.25 – $99,844.00 |
| Bakersfield Memorial Hospital | Bakersfield | $45,803.44 | $31,201.25 – $98,595.95 |
| Queen of The Valley Medical Center | Napa | $73,929.60 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $28,029.60 | not published |