Recon, cta for surg plan at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$624.18
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.
$1,212.00
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.
$166.20 with Allcare vs $554.00 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 |
|---|---|---|---|
| Allcare | Commercial|All Plans | $166.20 | ↓ -73% |
| Healthsmart | Commercial|All Plans | $354.56 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $360.10 | ↓ -42% |
| Cigna | Commercial|PPO | $360.10 | ↓ -42% |
| BCBS - Anthem | Commercial|Exchange | $376.72 | ↓ -40% |
| Kaiser | Commercial|All Plans | $382.26 | ↓ -39% |
| First Health | Commercial|All Plans | $443.20 | ↓ -29% |
| BCBS - Anthem | Commercial|All Other Plans | $493.06 | ↓ -21% |
| MultiPlan | Commercial|All Plans | $520.76 | ↓ -17% |
| United | Commercial|HMO | $548.46 | ↓ -12% |
| BCBS - Anthem | Commercial|MCS | $554.00 | ↓ -11% |
| United | Commercial|Non-Options PPO | $554.00 | ↓ -11% |
| United | Commercial|Options PPO | $554.00 | ↓ -11% |
| United | Commercial|All Other Plans | $554.00 | ↓ -11% |
Visitor-reported prices
Comments
Recon, cta for surg plan at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,795.80 | $1,107.00 – $3,198.00 |
| Mark Twain Medical Center | San Andreas | $368.30 | $54.59 – $206.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $415.52 | $560.00 – $1,130.00 |
| Bakersfield Memorial Hospital | Bakersfield | $411.04 | $560.00 – $1,130.00 |
| St. Joseph's Medical Center Stockton | Stockton | $476.87 | $60.27 – $3,330.00 |
| St. Mary Medical Center | Long Beach | $533.20 | $310.00 – $1,582.00 |
| Petaluma Valley Hospital | Petaluma | not published | $501.71 – $2,410.25 |
| Queen of The Valley Medical Center | Napa | not published | $761.27 – $3,045.96 |