Pin caspar distraction 12mm at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$5,435.31
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.
$10,554.00
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.
$1,867.14 with Health Net vs $8,118.00 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 | $1,867.14 | ↓ -66% |
| BCBS - Anthem | Medicaid|> 21 | $2,029.50 | ↓ -63% |
| BCBS - Anthem | Medicaid|< 21 | $2,029.50 | ↓ -63% |
| Healthsmart | Commercial|All Plans | $3,653.10 | ↓ -33% |
| Central California Alliance for Health | Medicaid|All Plans | $4,464.90 | ↓ -18% |
| Health Net | Commercial|Care Product | $4,627.26 | ↓ -15% |
| United | Commercial|HMO | $4,951.98 | ↓ -9% |
| Cigna | Commercial|PPO | $5,276.70 | ↓ -3% |
| Western Growers | Commercial|All Plans | $5,276.70 | ↓ -3% |
| Cigna | Commercial|All Other Plans | $5,276.70 | ↓ -3% |
| Health Net | Commercial|FFS | $5,357.88 | ↓ -1% |
| Kaiser | Commercial|All Plans | $5,601.42 | ↑ +3% |
| United | Commercial|Non-Options PPO | $6,007.32 | ↑ +11% |
| BCBS - Anthem | Commercial|Exchange | $6,169.68 | ↑ +14% |
| First Health | Commercial|All Plans | $6,494.40 | ↑ +19% |
| United | Commercial|Options PPO | $6,494.40 | ↑ +19% |
| United | Commercial|All Other Plans | $6,656.76 | ↑ +22% |
| Blue Shield CA | Commercial|Exchange | $7,062.66 | ↑ +30% |
| Blue Shield CA | Commercial|All Other Plans | $7,143.84 | ↑ +31% |
| MultiPlan | Commercial|All Plans | $7,630.92 | ↑ +40% |
| Aetna | Commercial|All Other Plans | $7,793.28 | ↑ +43% |
| Aetna | Commercial|HMO | $7,793.28 | ↑ +43% |
| Aetna | Commercial|PPO | $7,793.28 | ↑ +43% |
| BCBS - Anthem | Commercial|All Other Plans | $8,118.00 | ↑ +49% |
| BCBS - Anthem | Commercial|MCS | $8,118.00 | ↑ +49% |
Visitor-reported prices
Comments
Pin caspar distraction 12mm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,399.88 | $4,383.12 – $14,245.14 |
| Banner Lassen Medical Center | Susanville | $21,271.71 | $2,002.85 – $4,738.45 |
| Petaluma Valley Hospital | Petaluma | $15,798.58 | not published |
| Arroyo Grande Hospital | Santa Maria | $13,212.36 | $4,201.18 – $17,900.68 |
| French Hospital | San Luis Obispo | $12,101.04 | $3,470.54 – $17,900.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,788.84 | $5,073.75 – $18,265.50 |
| Bakersfield Memorial Hospital | Bakersfield | $9,683.30 | $5,073.75 – $19,686.15 |
| Queen of The Valley Medical Center | Napa | $15,088.35 | not published |