Place device/marker, non pro at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,895.20
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.
$3,680.00
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.
$127.31 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 | $127.31 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|> 21 | $127.31 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|< 21 | $127.31 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|> 21 | $127.31 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|< 21 | $127.31 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $127.31 | ↓ -93% |
| California Health & Wellness | Medicaid|> 21 | $127.31 | ↓ -93% |
| California Health & Wellness | Medicaid|< 21 | $127.31 | ↓ -93% |
| Molina | Medicaid|< 21 | $127.31 | ↓ -93% |
| Molina | Medicaid|> 21 | $127.31 | ↓ -93% |
| Kern Health System | Medicaid|> 21 | $127.31 | ↓ -93% |
| Kern Health System | Medicaid|< 21 | $127.31 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $127.31 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $127.31 | ↓ -93% |
| Kaiser | Medicaid|> 21 | $127.31 | ↓ -93% |
| BCBS - Anthem | Medicaid|> 21 | $178.55 | ↓ -91% |
| BCBS - Anthem | Medicaid|< 21 | $178.55 | ↓ -91% |
| Health Net | Medicaid|All Plans | $274.99 | ↓ -85% |
| Western Growers | Commercial|All Plans | $792.00 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $1,013.76 | ↓ -47% |
| Cigna | Commercial|PPO | $1,029.60 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $1,029.60 | ↓ -46% |
| Kaiser | Commercial|All Plans | $1,092.96 | ↓ -42% |
| First Health | Commercial|All Plans | $1,267.20 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $1,488.96 | ↓ -21% |
| United | Commercial|HMO | $1,568.16 | ↓ -17% |
| Health Net | Medicare|All Plans | $1,584.00 | ↓ -16% |
| United | Commercial|All Other Plans | $1,584.00 | ↓ -16% |
| LA Care | Medicare|All Plans | $1,584.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $1,584.00 | ↓ -16% |
| Aetna | Medicare|All Plans | $1,584.00 | ↓ -16% |
| Kaiser | Medicare|All Plans | $1,584.00 | ↓ -16% |
| Humana | Medicare|All Plans | $1,584.00 | ↓ -16% |
| United | Commercial|Options PPO | $1,584.00 | ↓ -16% |
| BCBS - Anthem | Medicare|All Plans | $1,584.00 | ↓ -16% |
| Scan Health Plan | Medicare|All Plans | $1,584.00 | ↓ -16% |
| Allcare | Commercial|All Plans | $1,636.26 | ↓ -14% |
| Blue Shield CA | Medicare|All Plans | $1,738.51 | ↓ -8% |
| United | Medicare|All Plans | $1,738.51 | ↓ -8% |
| Aetna | Commercial|HMO | $15,877.00 | ↑ +738% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↑ +738% |
| Aetna | Commercial|PPO | $15,877.00 | ↑ +738% |
Visitor-reported prices
Comments
Place device/marker, non pro at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,276.24 | $127.31 – $2,752.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,262.48 | $127.31 – $2,717.60 |
| St. Joseph's Medical Center Stockton | Stockton | $938.16 | $127.31 – $1,802.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,366.91 | $1,925.97 – $1,965.27 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,389.76 | $1,513.19 – $3,293.41 |
| Northridge Hospital Medical Center | Northridge | $3,115.60 | $127.31 – $11,167.00 |
| St. Mary Medical Center | Long Beach | $1,868.78 | $114.58 – $4,346.00 |
| Providence Saint Joseph Medical Center | Burbank | $3,682.70 | $1,780.22 – $4,751.00 |