Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$418.18
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.
$812.00
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.
$48.27 with Inland Empire Health Plan vs $424.88 with MultiPlan — 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $48.27 | ↓ -88% |
| Molina | Medicaid|< 21 | $48.27 | ↓ -88% |
| Molina | Medicaid|> 21 | $48.27 | ↓ -88% |
| Kaiser | Medicaid|< 21 | $48.27 | ↓ -88% |
| Kaiser | Medicaid|> 21 | $48.27 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $48.27 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $48.27 | ↓ -88% |
| Kern Health System | Medicaid|< 21 | $48.27 | ↓ -88% |
| Kern Health System | Medicaid|> 21 | $48.27 | ↓ -88% |
| California Health & Wellness | Medicaid|< 21 | $48.27 | ↓ -88% |
| California Health & Wellness | Medicaid|> 21 | $48.27 | ↓ -88% |
| Central California Alliance for Health | Medicaid|All Plans | $48.27 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|< 21 | $48.27 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|> 21 | $48.27 | ↓ -88% |
| Inland Empire Health Plan | Medicaid|< 21 | $48.27 | ↓ -88% |
| BCBS - Anthem | Medicaid|< 21 | $57.78 | ↓ -86% |
| BCBS - Anthem | Medicaid|> 21 | $57.78 | ↓ -86% |
| United | Commercial|All Other Plans | $68.66 | ↓ -84% |
| United | Commercial|Options PPO | $68.66 | ↓ -84% |
| United | Commercial|HMO | $68.66 | ↓ -84% |
| United | Commercial|Non-Options PPO | $76.15 | ↓ -82% |
| BCBS - Anthem | Commercial|Exchange | $87.65 | ↓ -79% |
| Health Net | Medicaid|All Plans | $104.26 | ↓ -75% |
| BCBS - Anthem | Commercial|All Other Plans | $115.33 | ↓ -72% |
| BCBS - Anthem | Commercial|MCS | $182.13 | ↓ -56% |
| Blue Shield CA | Commercial|All Other Plans | $186.00 | ↓ -56% |
| Blue Shield CA | Commercial|Exchange | $186.00 | ↓ -56% |
| Aetna | Commercial|HMO | $218.70 | ↓ -48% |
| Aetna | Commercial|All Other Plans | $218.70 | ↓ -48% |
| Aetna | Commercial|PPO | $218.70 | ↓ -48% |
| Health Net | Commercial|Care Product | $223.20 | ↓ -47% |
| Health Net | Commercial|FFS | $254.82 | ↓ -39% |
| Healthsmart | Commercial|All Plans | $271.20 | ↓ -35% |
| Cigna | Commercial|PPO | $293.80 | ↓ -30% |
| Cigna | Commercial|All Other Plans | $293.80 | ↓ -30% |
| Kaiser | Commercial|All Plans | $311.88 | ↓ -25% |
| First Health | Commercial|All Plans | $361.60 | ↓ -14% |
| MultiPlan | Commercial|All Plans | $424.88 | ↑ +2% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $275.51 | $68.66 – $490.62 |
| Arroyo Grande Hospital | Santa Maria | $896.66 | $48.27 – $2,053.10 |
| French Hospital | San Luis Obispo | $821.24 | $48.27 – $2,053.10 |
| Bakersfield Memorial Hospital | Bakersfield | $303.88 | $48.27 – $364.19 |
| Queen of The Valley Medical Center | Napa | $162.95 | $82.63 – $90.04 |
| Providence St Joseph Hospital Eureka | Eureka | $162.95 | $82.40 – $98.56 |
| Redwood Memorial Hospital | Fortuna | $162.95 | $82.40 – $98.80 |
| St. Joseph's Medical Center Stockton | Stockton | $198.75 | $48.27 – $308.32 |