Perq plmt bile duct stent at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$8,366.18
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.
$16,245.00
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.
$3,213.50 with Western Growers vs $19,600.00 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $3,213.50 | ↓ -62% |
| Healthsmart | Commercial|All Plans | $4,113.28 | ↓ -51% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↓ -51% |
| Cigna | Commercial|PPO | $4,177.55 | ↓ -50% |
| Cigna | Commercial|All Other Plans | $4,177.55 | ↓ -50% |
| Kaiser | Commercial|All Plans | $4,434.63 | ↓ -47% |
| Kern Health System | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| Health Plan of San Joaquin | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| Inland Empire Health Plan | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| Inland Empire Health Plan | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| Health Plan of San Joaquin | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| Central California Alliance for Health | Medicaid|All Plans | $4,570.73 | ↓ -45% |
| California Health & Wellness | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| Molina | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| California Health & Wellness | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| Kern Health System | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| Partnership Health Plan | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| Partnership Health Plan | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| Molina | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| Kaiser | Medicaid|< 21 | $4,570.73 | ↓ -45% |
| Kaiser | Medicaid|> 21 | $4,570.73 | ↓ -45% |
| First Health | Commercial|All Plans | $5,141.60 | ↓ -39% |
| BCBS - Anthem | Medicaid|> 21 | $5,256.34 | ↓ -37% |
| BCBS - Anthem | Medicaid|< 21 | $5,256.34 | ↓ -37% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↓ -35% |
| MultiPlan | Commercial|All Plans | $6,041.38 | ↓ -28% |
| United | Commercial|HMO | $6,362.73 | ↓ -24% |
| United | Commercial|All Other Plans | $6,427.00 | ↓ -23% |
| Aetna | Medicare|All Plans | $6,427.00 | ↓ -23% |
| Humana | Medicare|All Plans | $6,427.00 | ↓ -23% |
| United | Commercial|Options PPO | $6,427.00 | ↓ -23% |
| United | Commercial|Non-Options PPO | $6,427.00 | ↓ -23% |
| Health Net | Medicaid|All Plans | $6,427.00 | ↓ -23% |
| Health Net | Medicare|All Plans | $6,427.00 | ↓ -23% |
| Kaiser | Medicare|All Plans | $6,427.00 | ↓ -23% |
| BCBS - Anthem | Medicare|All Plans | $6,427.00 | ↓ -23% |
| Scan Health Plan | Medicare|All Plans | $6,427.00 | ↓ -23% |
| LA Care | Medicare|All Plans | $6,427.00 | ↓ -23% |
| Blue Shield CA | Medicare|All Plans | $7,413.14 | ↓ -11% |
| United | Medicare|All Plans | $7,413.14 | ↓ -11% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↓ -3% |
| Aetna | Commercial|HMO | $8,124.00 | ↓ -3% |
| Aetna | Commercial|PPO | $8,124.00 | ↓ -3% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +2% |
| Health Net | Commercial|Care Product | $17,217.00 | ↑ +106% |
| Health Net | Commercial|FFS | $19,600.00 | ↑ +134% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,812.95 | $4,570.73 – $20,179.18 |
| French Hospital | San Luis Obispo | $7,836.48 | $4,570.73 – $19,591.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,458.53 | $4,570.73 – $11,770.40 |
| Bakersfield Memorial Hospital | Bakersfield | $5,694.01 | $4,570.73 – $11,623.27 |
| St. Joseph's Medical Center Stockton | Stockton | $7,085.70 | $2,530.29 – $11,289.70 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,989.28 | $5,357.00 – $14,384.78 |
| Northridge Hospital Medical Center | Northridge | $3,913.82 | $3,226.44 – $20,979.65 |