Prq card stent/ath/angio at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$13,364.77
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.
$25,951.00
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.
$1,161.88 with BCBS - Anthem vs $15,399.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|> 21 | $1,161.88 | ↓ -91% |
| BCBS - Anthem | Medicaid|< 21 | $1,161.88 | ↓ -91% |
| Health Net | Medicaid|All Plans | $2,266.00 | ↓ -83% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↓ -60% |
| Aetna | Commercial|PPO | $5,322.00 | ↓ -60% |
| Aetna | Commercial|HMO | $5,322.00 | ↓ -60% |
| Healthsmart | Commercial|All Plans | $6,076.16 | ↓ -55% |
| Cigna | Commercial|PPO | $6,171.10 | ↓ -54% |
| Cigna | Commercial|All Other Plans | $6,171.10 | ↓ -54% |
| Kaiser | Commercial|All Plans | $6,550.86 | ↓ -51% |
| BCBS - Anthem | Commercial|Exchange | $7,407.00 | ↓ -45% |
| First Health | Commercial|All Plans | $7,595.20 | ↓ -43% |
| MultiPlan | Commercial|All Plans | $8,924.36 | ↓ -33% |
| United | Commercial|HMO | $9,399.06 | ↓ -30% |
| United | Commercial|All Other Plans | $9,494.00 | ↓ -29% |
| United | Commercial|Non-Options PPO | $9,494.00 | ↓ -29% |
| United | Commercial|Options PPO | $9,494.00 | ↓ -29% |
| BCBS - Anthem | Commercial|All Other Plans | $9,746.00 | ↓ -27% |
| BCBS - Anthem | Commercial|MCS | $15,399.00 | ↑ +15% |
Visitor-reported prices
Comments
Prq card stent/ath/angio at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $6,352.83 – $18,352.62 |
| Bakersfield Memorial Hospital | Bakersfield | $9,509.71 | $1,333.64 – $25,652.88 |
| St. Joseph's Medical Center Stockton | Stockton | $9,836.07 | $7,025.76 – $28,103.04 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,595.84 | $9,718.00 – $11,117.00 |
| Dominican Hospital | Santa Cruz | $11,154.60 | $16,112.20 – $22,309.20 |
| Northridge Hospital Medical Center | Northridge | $8,116.95 | $1,343.74 – $29,093.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $4,012.40 | $2,455.00 – $10,504.00 |
| California Hospital Medical Center | Los Angeles | $10,180.64 | $1,262.91 – $16,582.89 |