Prgrmg eval implantable dfb at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$50.47
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.
$98.00
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.
$47.38 with Kaiser vs $14,950.00 with United — 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 | Medicare|All Plans | $47.38 | ↓ -6% |
| Health Net | Medicare|All Plans | $47.38 | ↓ -6% |
| LA Care | Medicare|All Plans | $47.38 | ↓ -6% |
| Aetna | Medicare|All Plans | $47.38 | ↓ -6% |
| Scan Health Plan | Medicare|All Plans | $47.38 | ↓ -6% |
| Humana | Medicare|All Plans | $47.38 | ↓ -6% |
| United | Medicare|All Plans | $47.38 | ↓ -6% |
| BCBS - Anthem | Medicare|All Plans | $47.38 | ↓ -6% |
| Blue Shield CA | Medicare|All Plans | $47.38 | ↓ -6% |
| Allcare | Commercial|All Plans | $47.63 | ↓ -6% |
| Healthsmart | Commercial|All Plans | $58.80 | ↑ +17% |
| Molina | Medicaid|< 21 | $62.35 | ↑ +24% |
| Molina | Medicaid|> 21 | $62.35 | ↑ +24% |
| Kaiser | Medicaid|< 21 | $62.35 | ↑ +24% |
| Kaiser | Medicaid|> 21 | $62.35 | ↑ +24% |
| Partnership Health Plan | Medicaid|< 21 | $62.35 | ↑ +24% |
| Partnership Health Plan | Medicaid|> 21 | $62.35 | ↑ +24% |
| Kern Health System | Medicaid|< 21 | $62.35 | ↑ +24% |
| Kern Health System | Medicaid|> 21 | $62.35 | ↑ +24% |
| California Health & Wellness | Medicaid|< 21 | $62.35 | ↑ +24% |
| California Health & Wellness | Medicaid|> 21 | $62.35 | ↑ +24% |
| Central California Alliance for Health | Medicaid|All Plans | $62.35 | ↑ +24% |
| Health Plan of San Joaquin | Medicaid|< 21 | $62.35 | ↑ +24% |
| Health Plan of San Joaquin | Medicaid|> 21 | $62.35 | ↑ +24% |
| Inland Empire Health Plan | Medicaid|< 21 | $62.35 | ↑ +24% |
| Inland Empire Health Plan | Medicaid|> 21 | $62.35 | ↑ +24% |
| Cigna | Commercial|All Other Plans | $63.70 | ↑ +26% |
| Cigna | Commercial|PPO | $63.70 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $66.64 | ↑ +32% |
| Kaiser | Commercial|All Plans | $67.62 | ↑ +34% |
| BCBS - Anthem | Medicaid|> 21 | $71.70 | ↑ +42% |
| BCBS - Anthem | Medicaid|< 21 | $71.70 | ↑ +42% |
| First Health | Commercial|All Plans | $78.40 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $87.22 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $92.12 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $98.00 | ↑ +94% |
| Health Net | Medicaid|All Plans | $98.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $98.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $6,629.00 | ↑ +13035% |
| Health Net | Commercial|FFS | $7,546.00 | ↑ +14851% |
| United | Commercial|All Other Plans | $9,362.00 | ↑ +18450% |
| United | Commercial|Options PPO | $9,722.00 | ↑ +19163% |
| United | Commercial|HMO | $14,950.00 | ↑ +29522% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $33.77 | $46.00 – $92.00 |
| St. Joseph's Medical Center Stockton | Stockton | $38.22 | $27.30 – $130.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $184.11 | $51.93 – $171.65 |
| St. Mary Medical Center | Long Beach | $113.52 | $47.38 – $311.75 |
| Community Hospital San Bernardino | San Bernardino | $41.45 | $47.38 – $8,268.00 |
| Glendale Memorial Hospital Health Center | Glendale | $40.43 | $30.50 – $97.60 |
| Mercy San Juan Medical Center | Carmichael | $102.21 | $41.03 – $309.59 |
| St. Bernardine Medical Center | San Bernardino | $35.30 | $30.74 – $6,210.00 |