Perq art m-thrombect &/nfs at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$6,742.38
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.
$13,092.00
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.
$662.32 with Partnership Health Plan vs $16,506.00 with Blue Shield CA — 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 | $662.32 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|> 21 | $662.32 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|< 21 | $662.32 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|> 21 | $662.32 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|< 21 | $662.32 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $662.32 | ↓ -90% |
| Molina | Medicaid|< 21 | $662.32 | ↓ -90% |
| Molina | Medicaid|> 21 | $662.32 | ↓ -90% |
| California Health & Wellness | Medicaid|> 21 | $662.32 | ↓ -90% |
| California Health & Wellness | Medicaid|< 21 | $662.32 | ↓ -90% |
| Kern Health System | Medicaid|> 21 | $662.32 | ↓ -90% |
| Kern Health System | Medicaid|< 21 | $662.32 | ↓ -90% |
| Kaiser | Medicaid|> 21 | $662.32 | ↓ -90% |
| Kaiser | Medicaid|< 21 | $662.32 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $662.32 | ↓ -90% |
| BCBS - Anthem | Medicaid|< 21 | $761.67 | ↓ -89% |
| BCBS - Anthem | Medicaid|> 21 | $761.67 | ↓ -89% |
| Health Net | Medicaid|All Plans | $1,430.61 | ↓ -79% |
| Western Growers | Commercial|All Plans | $6,546.00 | ↓ -3% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↑ +10% |
| Healthsmart | Commercial|All Plans | $7,855.20 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $8,509.80 | ↑ +26% |
| Cigna | Commercial|PPO | $8,509.80 | ↑ +26% |
| Kaiser | Commercial|All Plans | $9,033.48 | ↑ +34% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↑ +45% |
| First Health | Commercial|All Plans | $10,473.60 | ↑ +55% |
| Blue Shield CA | Commercial|Exchange | $11,782.00 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $12,306.48 | ↑ +83% |
| United | Commercial|HMO | $12,961.08 | ↑ +92% |
| United | Commercial|Options PPO | $13,092.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $13,092.00 | ↑ +94% |
| United | Commercial|All Other Plans | $13,092.00 | ↑ +94% |
| Aetna | Commercial|HMO | $13,163.00 | ↑ +95% |
| Aetna | Commercial|PPO | $13,163.00 | ↑ +95% |
| Aetna | Commercial|All Other Plans | $13,163.00 | ↑ +95% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↑ +128% |
| Blue Shield CA | Commercial|All Other Plans | $16,506.00 | ↑ +145% |
Visitor-reported prices
Comments
Perq art m-thrombect &/nfs at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12,246.05 | $1,002.02 – $21,808.02 |
| Bakersfield Memorial Hospital | Bakersfield | $4,700.54 | $662.32 – $12,679.92 |
| Queen of The Valley Medical Center | Napa | $6,584.61 | $7,745.00 – $15,790.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,761.15 | $662.32 – $10,746.12 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,597.60 | $4,666.00 – $14,805.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,551.34 | $478.56 – $1,994.00 |
| Northridge Hospital Medical Center | Northridge | $11,606.96 | $662.32 – $41,602.00 |
| Providence Saint Joseph Medical Center | Burbank | $16,590.35 | $1,807.00 – $6,312.00 |