Pq dr cath chg w cont s&i at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$2,299.48
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.
$4,465.00
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.
$97.15 with Inland Empire Health Plan vs $893.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $97.15 | ↓ -96% |
| Molina | Medicaid|< 21 | $97.15 | ↓ -96% |
| Molina | Medicaid|> 21 | $97.15 | ↓ -96% |
| Kaiser | Medicaid|< 21 | $97.15 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $97.15 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $97.15 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $97.15 | ↓ -96% |
| Kern Health System | Medicaid|< 21 | $97.15 | ↓ -96% |
| Kern Health System | Medicaid|> 21 | $97.15 | ↓ -96% |
| California Health & Wellness | Medicaid|< 21 | $97.15 | ↓ -96% |
| California Health & Wellness | Medicaid|> 21 | $97.15 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $97.15 | ↓ -96% |
| Health Plan of San Joaquin | Medicaid|< 21 | $97.15 | ↓ -96% |
| Health Plan of San Joaquin | Medicaid|> 21 | $97.15 | ↓ -96% |
| Inland Empire Health Plan | Medicaid|< 21 | $97.15 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $111.72 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $111.72 | ↓ -95% |
| Health Net | Medicaid|All Plans | $209.84 | ↓ -91% |
| Aetna | Commercial|All Other Plans | $465.93 | ↓ -80% |
| Aetna | Commercial|PPO | $465.93 | ↓ -80% |
| Aetna | Commercial|HMO | $465.93 | ↓ -80% |
| Healthsmart | Commercial|All Plans | $571.52 | ↓ -75% |
| Cigna | Commercial|PPO | $580.45 | ↓ -75% |
| Cigna | Commercial|All Other Plans | $580.45 | ↓ -75% |
| BCBS - Anthem | Commercial|Exchange | $597.06 | ↓ -74% |
| Kaiser | Commercial|All Plans | $616.17 | ↓ -73% |
| First Health | Commercial|All Plans | $714.40 | ↓ -69% |
| BCBS - Anthem | Commercial|All Other Plans | $785.56 | ↓ -66% |
| MultiPlan | Commercial|All Plans | $839.42 | ↓ -63% |
| United | Commercial|HMO | $884.07 | ↓ -62% |
| United | Commercial|Non-Options PPO | $893.00 | ↓ -61% |
| United | Commercial|All Other Plans | $893.00 | ↓ -61% |
| United | Commercial|Options PPO | $893.00 | ↓ -61% |
| BCBS - Anthem | Commercial|MCS | $893.00 | ↓ -61% |
Visitor-reported prices
Comments
Pq dr cath chg w cont s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $309.23 | $146.97 – $550.68 |
| Arroyo Grande Hospital | Santa Maria | $977.98 | $97.15 – $2,239.30 |
| French Hospital | San Luis Obispo | $895.72 | $97.15 – $2,239.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,532.23 | $97.15 – $1,261.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,515.71 | $97.15 – $3,968.91 |
| Providence St Joseph Hospital Eureka | Eureka | $1,885.98 | $654.01 – $654.01 |
| St. Joseph's Medical Center Stockton | Stockton | $926.99 | $97.15 – $1,270.92 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,148.01 | $490.66 – $556.36 |