Radphm lcl tomogr sgl area sgl day at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,488.87
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.
$2,891.00
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.
$1,030.20 with Healthsmart vs $2,891.00 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 |
|---|---|---|---|
| Healthsmart | Commercial|All Plans | $1,030.20 | ↓ -31% |
| Cigna | Commercial|All Other Plans | $1,116.05 | ↓ -25% |
| Cigna | Commercial|PPO | $1,116.05 | ↓ -25% |
| Kaiser | Commercial|All Plans | $1,184.73 | ↓ -20% |
| First Health | Commercial|All Plans | $1,373.60 | ↓ -8% |
| MultiPlan | Commercial|All Plans | $1,613.98 | ↑ +8% |
| LA Care | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Aetna | Medicare|All Plans | $1,658.74 | ↑ +11% |
| United | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Health Net | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Kaiser | Medicare|All Plans | $1,658.74 | ↑ +11% |
| BCBS - Anthem | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Blue Shield CA | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Scan Health Plan | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Humana | Medicare|All Plans | $1,658.74 | ↑ +11% |
| Allcare | Commercial|All Plans | $1,671.54 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $1,748.89 | ↑ +17% |
| Aetna | Commercial|PPO | $1,748.89 | ↑ +17% |
| Aetna | Commercial|HMO | $1,748.89 | ↑ +17% |
| BCBS - Anthem | Commercial|Exchange | $1,814.90 | ↑ +22% |
| BCBS - Anthem | Commercial|All Other Plans | $2,387.89 | ↑ +60% |
| United | Commercial|All Other Plans | $2,891.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $2,891.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $2,891.00 | ↑ +94% |
| United | Commercial|Options PPO | $2,891.00 | ↑ +94% |
| United | Commercial|HMO | $2,891.00 | ↑ +94% |
Visitor-reported prices
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Radphm lcl tomogr sgl area sgl day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,048.14 | $646.11 – $6,326.24 |
| Banner Lassen Medical Center | Susanville | $803.86 | $261.10 – $1,162.06 |
| Arroyo Grande Hospital | Santa Maria | $3,137.67 | $1,658.74 – $6,825.70 |
| Mark Twain Medical Center | San Andreas | $5,406.59 | $989.53 – $3,748.50 |
| French Hospital | San Luis Obispo | $2,615.43 | $1,581.92 – $7,222.02 |
| Mercy Hospitals – Bakersfield | Bakersfield | $866.29 | $1,167.50 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $856.95 | $1,167.50 – $6,851.62 |
| Queen of The Valley Medical Center | Napa | $4,380.90 | $770.94 – $2,035.50 |