Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$427.45
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.
?
What you pay up front if you don't use insurance.
$830.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$48.32 with Kaiser vs $7,546.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $48.32 | ↓ -89% |
| Inland Empire Health Plan | Medicaid|> 21 | $48.32 | ↓ -89% |
| Inland Empire Health Plan | Medicaid|< 21 | $48.32 | ↓ -89% |
| Health Plan of San Joaquin | Medicaid|> 21 | $48.32 | ↓ -89% |
| Health Plan of San Joaquin | Medicaid|< 21 | $48.32 | ↓ -89% |
| California Health & Wellness | Medicaid|> 21 | $48.32 | ↓ -89% |
| California Health & Wellness | Medicaid|< 21 | $48.32 | ↓ -89% |
| Kern Health System | Medicaid|> 21 | $48.32 | ↓ -89% |
| Molina | Medicaid|< 21 | $48.32 | ↓ -89% |
| Molina | Medicaid|> 21 | $48.32 | ↓ -89% |
| Kern Health System | Medicaid|< 21 | $48.32 | ↓ -89% |
| Partnership Health Plan | Medicaid|> 21 | $48.32 | ↓ -89% |
| Partnership Health Plan | Medicaid|< 21 | $48.32 | ↓ -89% |
| Kaiser | Medicaid|> 21 | $48.32 | ↓ -89% |
| BCBS - Anthem | Medicaid|< 21 | $48.43 | ↓ -89% |
| BCBS - Anthem | Medicaid|> 21 | $48.43 | ↓ -89% |
| Central California Alliance for Health | Medicaid|All Plans | $53.40 | ↓ -88% |
| Healthsmart | Commercial|All Plans | $63.60 | ↓ -85% |
| Cigna | Commercial|PPO | $68.90 | ↓ -84% |
| Cigna | Commercial|All Other Plans | $68.90 | ↓ -84% |
| Kaiser | Commercial|All Plans | $73.14 | ↓ -83% |
| First Health | Commercial|All Plans | $84.80 | ↓ -80% |
| MultiPlan | Commercial|All Plans | $99.64 | ↓ -77% |
| United | Commercial|HMO | $104.94 | ↓ -75% |
| Health Net | Medicare|All Plans | $106.00 | ↓ -75% |
| Kaiser | Medicare|All Plans | $106.00 | ↓ -75% |
| United | Commercial|Non-Options PPO | $106.00 | ↓ -75% |
| United | Commercial|Options PPO | $106.00 | ↓ -75% |
| BCBS - Anthem | Medicare|All Plans | $106.00 | ↓ -75% |
| Humana | Medicare|All Plans | $106.00 | ↓ -75% |
| Scan Health Plan | Medicare|All Plans | $106.00 | ↓ -75% |
| United | Commercial|All Other Plans | $106.00 | ↓ -75% |
| LA Care | Medicare|All Plans | $106.00 | ↓ -75% |
| Aetna | Medicare|All Plans | $106.00 | ↓ -75% |
| Health Net | Medicaid|All Plans | $106.00 | ↓ -75% |
| Allcare | Commercial|All Plans | $116.60 | ↓ -73% |
| United | Medicare|All Plans | $252.47 | ↓ -41% |
| Blue Shield CA | Medicare|All Plans | $252.47 | ↓ -41% |
| BCBS - Anthem | Commercial|Exchange | $414.00 | ↓ -3% |
| Blue Shield CA | Commercial|Exchange | $498.00 | ↑ +17% |
| BCBS - Anthem | Commercial|All Other Plans | $546.25 | ↑ +28% |
| BCBS - Anthem | Commercial|MCS | $575.00 | ↑ +35% |
| Western Growers | Commercial|All Plans | $581.00 | ↑ +36% |
| Blue Shield CA | Commercial|All Other Plans | $589.30 | ↑ +38% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +1145% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +1145% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +1145% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +1451% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +1665% |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $239.15 | $32.27 – $453.26 |
| Banner Lassen Medical Center | Susanville | $180.08 | $39.74 – $250.26 |
| Petaluma Valley Hospital | Petaluma | $1,052.64 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $215.72 | $48.32 – $447.86 |
| Mark Twain Medical Center | San Andreas | $368.97 | $48.32 – $377.30 |
| French Hospital | San Luis Obispo | $197.57 | $48.32 – $447.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $187.36 | $48.32 – $401.80 |
| Bakersfield Memorial Hospital | Bakersfield | $185.34 | $48.32 – $401.80 |