Pregnancy Ultrasound (complete, after first trimester) at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$745.21
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.
$1,447.00
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.
$135.12 with LA Care vs $886.00 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 |
|---|---|---|---|
| LA Care | Medicare|All Plans | $135.12 | ↓ -82% |
| Health Net | Medicare|All Plans | $135.12 | ↓ -82% |
| United | Medicare|All Plans | $135.12 | ↓ -82% |
| Scan Health Plan | Medicare|All Plans | $135.12 | ↓ -82% |
| Blue Shield CA | Medicare|All Plans | $135.12 | ↓ -82% |
| Aetna | Medicare|All Plans | $135.12 | ↓ -82% |
| BCBS - Anthem | Medicare|All Plans | $135.12 | ↓ -82% |
| Kaiser | Medicare|All Plans | $135.12 | ↓ -82% |
| Humana | Medicare|All Plans | $135.12 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|> 21 | $135.29 | ↓ -82% |
| Molina | Medicaid|< 21 | $135.29 | ↓ -82% |
| Molina | Medicaid|> 21 | $135.29 | ↓ -82% |
| Kaiser | Medicaid|< 21 | $135.29 | ↓ -82% |
| Kaiser | Medicaid|> 21 | $135.29 | ↓ -82% |
| Partnership Health Plan | Medicaid|< 21 | $135.29 | ↓ -82% |
| Partnership Health Plan | Medicaid|> 21 | $135.29 | ↓ -82% |
| Kern Health System | Medicaid|< 21 | $135.29 | ↓ -82% |
| Kern Health System | Medicaid|> 21 | $135.29 | ↓ -82% |
| California Health & Wellness | Medicaid|< 21 | $135.29 | ↓ -82% |
| California Health & Wellness | Medicaid|> 21 | $135.29 | ↓ -82% |
| Central California Alliance for Health | Medicaid|All Plans | $135.29 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|< 21 | $135.29 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|> 21 | $135.29 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|< 21 | $135.29 | ↓ -82% |
| Allcare | Commercial|All Plans | $147.27 | ↓ -80% |
| BCBS - Anthem | Medicaid|< 21 | $155.58 | ↓ -79% |
| BCBS - Anthem | Medicaid|> 21 | $155.58 | ↓ -79% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -67% |
| United | Commercial|HMO | $245.18 | ↓ -67% |
| United | Commercial|Options PPO | $245.18 | ↓ -67% |
| United | Commercial|All Other Plans | $245.18 | ↓ -67% |
| Health Net | Medicaid|All Plans | $292.23 | ↓ -61% |
| Aetna | Commercial|HMO | $563.67 | ↓ -24% |
| Aetna | Commercial|All Other Plans | $563.67 | ↓ -24% |
| Aetna | Commercial|PPO | $563.67 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $567.04 | ↓ -24% |
| Cigna | Commercial|All Other Plans | $575.90 | ↓ -23% |
| Cigna | Commercial|PPO | $575.90 | ↓ -23% |
| BCBS - Anthem | Commercial|Exchange | $602.48 | ↓ -19% |
| Kaiser | Commercial|All Plans | $611.34 | ↓ -18% |
| First Health | Commercial|All Plans | $708.80 | ↓ -5% |
| BCBS - Anthem | Commercial|All Other Plans | $788.54 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $832.84 | ↑ +12% |
| BCBS - Anthem | Commercial|MCS | $886.00 | ↑ +19% |
Visitor-reported prices
Comments
Pregnancy Ultrasound (complete, after first trimester) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $964.92 | $135.12 – $1,718.34 |
| Redwood City Medical Center | Redwood City | $946.40 | $142.00 – $142.00 |
| Santa Clara Medical Center | SANTA CLARA | $946.40 | $142.00 – $142.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $728.00 | $99.00 – $99.00 |
| Riverside Medical Center | RIVERSIDE | $728.00 | $99.00 – $99.00 |
| Banner Lassen Medical Center | Susanville | $961.62 | $21.27 – $1,188.25 |
| Sacramento Medical Center | SACRAMENTO | $946.40 | $142.00 – $142.00 |
| Oakland Medical Center | Oakland | $946.40 | $142.00 – $142.00 |