Pr removal drug delivery implant at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$629.33
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.
$1,222.00
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.
$89.94 with California Health & Wellness vs $9,131.00 with Health Net — 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 |
|---|---|---|---|
| California Health & Wellness | Medicaid|< 21 | $89.94 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $89.94 | ↓ -86% |
| Kern Health System | Medicaid|< 21 | $89.94 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|< 21 | $89.94 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|> 21 | $89.94 | ↓ -86% |
| Inland Empire Health Plan | Medicaid|< 21 | $89.94 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|> 21 | $89.94 | ↓ -86% |
| Central California Alliance for Health | Medicaid|All Plans | $89.94 | ↓ -86% |
| California Health & Wellness | Medicaid|> 21 | $89.94 | ↓ -86% |
| Kaiser | Medicaid|< 21 | $89.94 | ↓ -86% |
| Kaiser | Medicaid|> 21 | $89.94 | ↓ -86% |
| Molina | Medicaid|< 21 | $89.94 | ↓ -86% |
| Molina | Medicaid|> 21 | $89.94 | ↓ -86% |
| Kern Health System | Medicaid|> 21 | $89.94 | ↓ -86% |
| Partnership Health Plan | Medicaid|< 21 | $89.94 | ↓ -86% |
| Healthsmart | Commercial|All Plans | $111.60 | ↓ -82% |
| Cigna | Commercial|All Other Plans | $120.90 | ↓ -81% |
| Cigna | Commercial|PPO | $120.90 | ↓ -81% |
| Kaiser | Commercial|All Plans | $128.34 | ↓ -80% |
| BCBS - Anthem | Medicaid|< 21 | $129.29 | ↓ -79% |
| BCBS - Anthem | Medicaid|> 21 | $129.29 | ↓ -79% |
| First Health | Commercial|All Plans | $148.80 | ↓ -76% |
| MultiPlan | Commercial|All Plans | $174.84 | ↓ -72% |
| BCBS - Anthem | Commercial|All Other Plans | $176.70 | ↓ -72% |
| United | Commercial|HMO | $184.14 | ↓ -71% |
| BCBS - Anthem | Commercial|MCS | $186.00 | ↓ -70% |
| Aetna | Medicare|All Plans | $186.00 | ↓ -70% |
| United | Commercial|All Other Plans | $186.00 | ↓ -70% |
| United | Commercial|Options PPO | $186.00 | ↓ -70% |
| United | Commercial|Non-Options PPO | $186.00 | ↓ -70% |
| Health Net | Medicaid|All Plans | $186.00 | ↓ -70% |
| Health Net | Medicare|All Plans | $186.00 | ↓ -70% |
| Kaiser | Medicare|All Plans | $186.00 | ↓ -70% |
| BCBS - Anthem | Medicare|All Plans | $186.00 | ↓ -70% |
| Humana | Medicare|All Plans | $186.00 | ↓ -70% |
| Scan Health Plan | Medicare|All Plans | $186.00 | ↓ -70% |
| LA Care | Medicare|All Plans | $186.00 | ↓ -70% |
| Allcare | Commercial|All Plans | $204.60 | ↓ -67% |
| Western Growers | Commercial|All Plans | $262.50 | ↓ -58% |
| Blue Shield CA | Medicare|All Plans | $507.02 | ↓ -19% |
| United | Medicare|All Plans | $507.02 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +746% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +746% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +746% |
| Health Net | Commercial|Care Product | $8,022.00 | ↑ +1175% |
| Health Net | Commercial|FFS | $9,131.00 | ↑ +1351% |
Visitor-reported prices
Comments
Pr removal drug delivery implant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $764.49 | $593.00 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $240.43 | $46.31 – $175.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $458.56 | $89.94 – $988.80 |
| Bakersfield Memorial Hospital | Bakersfield | $453.62 | $89.94 – $976.44 |
| Queen of The Valley Medical Center | Napa | $850.17 | $634.29 – $3,331.00 |
| Providence St Joseph Hospital Eureka | Eureka | $871.59 | $574.56 – $3,331.00 |
| Healdsburg Hospital | Healdsburg | $1,484.10 | $601.89 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $426.36 | $1,847.00 – $20,799.00 |