Radphm quant measure sgl area add-on at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$884.26
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.
$1,717.00
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.
$88.62 with Inland Empire Health Plan vs $1,717.00 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 |
|---|---|---|---|
| Inland Empire Health Plan | Medicaid|> 21 | $88.62 | ↓ -90% |
| Molina | Medicaid|< 21 | $88.62 | ↓ -90% |
| Molina | Medicaid|> 21 | $88.62 | ↓ -90% |
| Kaiser | Medicaid|< 21 | $88.62 | ↓ -90% |
| Kaiser | Medicaid|> 21 | $88.62 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $88.62 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $88.62 | ↓ -90% |
| Kern Health System | Medicaid|< 21 | $88.62 | ↓ -90% |
| Kern Health System | Medicaid|> 21 | $88.62 | ↓ -90% |
| California Health & Wellness | Medicaid|< 21 | $88.62 | ↓ -90% |
| California Health & Wellness | Medicaid|> 21 | $88.62 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $88.62 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|< 21 | $88.62 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|> 21 | $88.62 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|< 21 | $88.62 | ↓ -90% |
| BCBS - Anthem | Medicaid|< 21 | $101.91 | ↓ -88% |
| BCBS - Anthem | Medicaid|> 21 | $101.91 | ↓ -88% |
| Health Net | Medicaid|All Plans | $191.42 | ↓ -78% |
| Healthsmart | Commercial|All Plans | $309.00 | ↓ -65% |
| Cigna | Commercial|PPO | $334.75 | ↓ -62% |
| Cigna | Commercial|All Other Plans | $334.75 | ↓ -62% |
| Kaiser | Commercial|All Plans | $355.35 | ↓ -60% |
| First Health | Commercial|All Plans | $412.00 | ↓ -53% |
| MultiPlan | Commercial|All Plans | $484.10 | ↓ -45% |
| Aetna | Commercial|HMO | $491.25 | ↓ -44% |
| Aetna | Commercial|PPO | $491.25 | ↓ -44% |
| Aetna | Commercial|All Other Plans | $491.25 | ↓ -44% |
| BCBS - Anthem | Commercial|Exchange | $797.87 | ↓ -10% |
| BCBS - Anthem | Commercial|All Other Plans | $1,049.78 | ↑ +19% |
| BCBS - Anthem | Commercial|MCS | $1,659.00 | ↑ +88% |
| United | Commercial|HMO | $1,699.83 | ↑ +92% |
| United | Commercial|Options PPO | $1,717.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $1,717.00 | ↑ +94% |
| United | Commercial|All Other Plans | $1,717.00 | ↑ +94% |
Visitor-reported prices
Comments
Radphm quant measure sgl area add-on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $678.81 | $456.61 – $609.86 |
| Mercy Hospitals – Bakersfield | Bakersfield | $974.25 | $88.62 – $2,100.80 |
| Bakersfield Memorial Hospital | Bakersfield | $963.75 | $88.62 – $2,599.74 |
| Queen of The Valley Medical Center | Napa | $875.16 | $702.94 – $799.25 |
| Providence St Joseph Hospital Eureka | Eureka | $839.46 | $873.99 – $873.99 |
| Redwood Memorial Hospital | Fortuna | $615.57 | $876.03 – $876.03 |
| St. Joseph's Medical Center Stockton | Stockton | $1,000.49 | $88.62 – $1,428.84 |
| Santa Rosa Memorial Hospital | Santa Rosa | $809.37 | $586.59 – $655.69 |