Phlebotomy therapeutic at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$156.05
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.
$303.00
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.
$18.82 with Kaiser vs $15,877.00 with Aetna — 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 |
|---|---|---|---|
| Kaiser | Medicaid|> 21 | $18.82 | ↓ -88% |
| Kaiser | Medicaid|< 21 | $18.82 | ↓ -88% |
| Inland Empire Health Plan | Medicaid|> 21 | $18.82 | ↓ -88% |
| Inland Empire Health Plan | Medicaid|< 21 | $18.82 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|> 21 | $18.82 | ↓ -88% |
| Health Plan of San Joaquin | Medicaid|< 21 | $18.82 | ↓ -88% |
| California Health & Wellness | Medicaid|< 21 | $18.82 | ↓ -88% |
| Kern Health System | Medicaid|> 21 | $18.82 | ↓ -88% |
| Kern Health System | Medicaid|< 21 | $18.82 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $18.82 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $18.82 | ↓ -88% |
| California Health & Wellness | Medicaid|> 21 | $18.82 | ↓ -88% |
| Molina | Medicaid|< 21 | $18.82 | ↓ -88% |
| Molina | Medicaid|> 21 | $18.82 | ↓ -88% |
| BCBS - Anthem | Medicaid|> 21 | $27.05 | ↓ -83% |
| BCBS - Anthem | Medicaid|< 21 | $27.05 | ↓ -83% |
| Central California Alliance for Health | Medicaid|All Plans | $29.84 | ↓ -81% |
| Health Net | Medicaid|All Plans | $64.45 | ↓ -59% |
| Healthsmart | Commercial|All Plans | $114.60 | ↓ -27% |
| Cigna | Commercial|PPO | $124.15 | ↓ -20% |
| Cigna | Commercial|All Other Plans | $124.15 | ↓ -20% |
| Kaiser | Commercial|All Plans | $131.79 | ↓ -16% |
| Allcare | Commercial|All Plans | $143.25 | ↓ -8% |
| First Health | Commercial|All Plans | $152.80 | ↓ -2% |
| Aetna | Medicare|All Plans | $163.78 | ↑ +5% |
| Humana | Medicare|All Plans | $163.78 | ↑ +5% |
| Health Net | Medicare|All Plans | $163.78 | ↑ +5% |
| LA Care | Medicare|All Plans | $163.78 | ↑ +5% |
| Blue Shield CA | Medicare|All Plans | $163.78 | ↑ +5% |
| Scan Health Plan | Medicare|All Plans | $163.78 | ↑ +5% |
| United | Medicare|All Plans | $163.78 | ↑ +5% |
| Kaiser | Medicare|All Plans | $163.78 | ↑ +5% |
| BCBS - Anthem | Medicare|All Plans | $163.78 | ↑ +5% |
| MultiPlan | Commercial|All Plans | $179.54 | ↑ +15% |
| United | Commercial|Non-Options PPO | $191.00 | ↑ +22% |
| Blue Shield CA | Commercial|Exchange | $1,411.00 | ↑ +804% |
| Blue Shield CA | Commercial|All Other Plans | $1,980.00 | ↑ +1169% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +2538% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +3371% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +5383% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +5899% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +6130% |
| United | Commercial|HMO | $14,950.00 | ↑ +9480% |
| Aetna | Commercial|HMO | $15,877.00 | ↑ +10074% |
| Aetna | Commercial|PPO | $15,877.00 | ↑ +10074% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↑ +10074% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $155.93 | $23.15 – $291.44 |
| Banner Lassen Medical Center | Susanville | $157.14 | $25.78 – $236.68 |
| Petaluma Valley Hospital | Petaluma | $235.11 | $179.30 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $154.94 | $18.82 – $999.00 |
| Mark Twain Medical Center | San Andreas | $305.70 | $18.82 – $449.82 |
| French Hospital | San Luis Obispo | $141.91 | $18.82 – $354.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $96.84 | $18.82 – $253.17 |
| Bakersfield Memorial Hospital | Bakersfield | $95.79 | $18.82 – $229.89 |