Radiotherapy dose plan imrt at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$6,975.68
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.
$13,545.00
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.
$1,237.18 with Partnership Health Plan vs $13,545.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Kaiser | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Kaiser | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| Central California Alliance for Health | Medicaid|All Plans | $1,237.18 | ↓ -82% |
| California Health & Wellness | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| Molina | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Molina | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| California Health & Wellness | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Kern Health System | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| Kern Health System | Medicaid|< 21 | $1,237.18 | ↓ -82% |
| Partnership Health Plan | Medicaid|> 21 | $1,237.18 | ↓ -82% |
| BCBS - Anthem | Medicaid|> 21 | $1,422.76 | ↓ -80% |
| BCBS - Anthem | Medicaid|< 21 | $1,422.76 | ↓ -80% |
| Allcare | Commercial|All Plans | $1,636.26 | ↓ -77% |
| Humana | Medicare|All Plans | $1,738.51 | ↓ -75% |
| Aetna | Medicare|All Plans | $1,738.51 | ↓ -75% |
| United | Medicare|All Plans | $1,738.51 | ↓ -75% |
| Health Net | Medicare|All Plans | $1,738.51 | ↓ -75% |
| Kaiser | Medicare|All Plans | $1,738.51 | ↓ -75% |
| BCBS - Anthem | Medicare|All Plans | $1,738.51 | ↓ -75% |
| Blue Shield CA | Medicare|All Plans | $1,738.51 | ↓ -75% |
| Scan Health Plan | Medicare|All Plans | $1,738.51 | ↓ -75% |
| LA Care | Medicare|All Plans | $1,738.51 | ↓ -75% |
| Health Net | Medicaid|All Plans | $2,672.31 | ↓ -62% |
| United | Commercial|Options PPO | $3,800.00 | ↓ -46% |
| United | Commercial|All Other Plans | $3,800.00 | ↓ -46% |
| United | Commercial|HMO | $5,500.00 | ↓ -21% |
| Healthsmart | Commercial|All Plans | $8,127.00 | ↑ +17% |
| BCBS - Anthem | Commercial|Exchange | $8,134.69 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $8,804.25 | ↑ +26% |
| Cigna | Commercial|PPO | $8,804.25 | ↑ +26% |
| Kaiser | Commercial|All Plans | $9,346.05 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $9,882.93 | ↑ +42% |
| Aetna | Commercial|PPO | $9,882.93 | ↑ +42% |
| Aetna | Commercial|HMO | $9,882.93 | ↑ +42% |
| BCBS - Anthem | Commercial|All Other Plans | $10,702.95 | ↑ +53% |
| First Health | Commercial|All Plans | $10,836.00 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $12,732.30 | ↑ +83% |
| United | Commercial|Non-Options PPO | $13,545.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $13,545.00 | ↑ +94% |
Visitor-reported prices
Comments
Radiotherapy dose plan imrt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,214.26 | $1,000.00 – $16,315.98 |
| Arroyo Grande Hospital | Santa Maria | $2,459.29 | $1,091.50 – $11,311.00 |
| French Hospital | San Luis Obispo | $855.74 | $589.41 – $9,050.00 |
| Queen of The Valley Medical Center | Napa | $5,750.25 | $1,965.27 – $7,857.73 |
| Providence St Joseph Hospital Eureka | Eureka | $8,373.18 | $1,780.22 – $8,910.71 |
| St. Joseph's Medical Center Stockton | Stockton | $3,805.25 | $1,237.18 – $10,613.26 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,475.07 | $1,925.97 – $6,685.04 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,299.68 | $1,513.19 – $3,293.41 |