Removal tunnled intprtnl cath at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,813.71
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.
?
What you pay up front if you don't use insurance.
$9,347.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$361.00 with California Health & Wellness vs $16,193.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| California Health & Wellness | Medicaid|< 21 | $361.00 | ↓ -93% |
| Kern Health System | Medicaid|< 21 | $361.00 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $361.00 | ↓ -93% |
| California Health & Wellness | Medicaid|> 21 | $361.00 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|> 21 | $361.00 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|> 21 | $361.00 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $361.00 | ↓ -93% |
| Kaiser | Medicaid|> 21 | $361.00 | ↓ -93% |
| Molina | Medicaid|< 21 | $361.00 | ↓ -93% |
| Molina | Medicaid|> 21 | $361.00 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|< 21 | $361.00 | ↓ -93% |
| Kaiser | Medicaid|< 21 | $361.00 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|< 21 | $361.00 | ↓ -93% |
| Kern Health System | Medicaid|> 21 | $361.00 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $518.94 | ↓ -89% |
| BCBS - Anthem | Medicaid|> 21 | $518.94 | ↓ -89% |
| Central California Alliance for Health | Medicaid|All Plans | $569.07 | ↓ -88% |
| Health Net | Medicaid|All Plans | $1,229.19 | ↓ -74% |
| Western Growers | Commercial|All Plans | $2,013.00 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $2,576.64 | ↓ -46% |
| Cigna | Commercial|PPO | $2,616.90 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $2,616.90 | ↓ -46% |
| Kaiser | Commercial|All Plans | $2,777.94 | ↓ -42% |
| First Health | Commercial|All Plans | $3,220.80 | ↓ -33% |
| Allcare | Commercial|All Plans | $3,641.20 | ↓ -24% |
| MultiPlan | Commercial|All Plans | $3,784.44 | ↓ -21% |
| United | Commercial|HMO | $3,985.74 | ↓ -17% |
| Humana | Medicare|All Plans | $3,999.21 | ↓ -17% |
| Aetna | Medicare|All Plans | $3,999.21 | ↓ -17% |
| United | Medicare|All Plans | $3,999.21 | ↓ -17% |
| Health Net | Medicare|All Plans | $3,999.21 | ↓ -17% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↓ -17% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↓ -17% |
| Blue Shield CA | Medicare|All Plans | $3,999.21 | ↓ -17% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↓ -17% |
| LA Care | Medicare|All Plans | $3,999.21 | ↓ -17% |
| United | Commercial|All Other Plans | $4,026.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $4,026.00 | ↓ -16% |
| United | Commercial|Options PPO | $4,026.00 | ↓ -16% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +11% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +11% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +11% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +20% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +58% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +149% |
| Health Net | Commercial|Care Product | $14,225.00 | ↑ +196% |
| Health Net | Commercial|FFS | $16,193.00 | ↑ +236% |
Visitor-reported prices
Comments
Removal tunnled intprtnl cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,994.22 | $444.03 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,776.25 | $361.00 – $8,646.54 |
| Mark Twain Medical Center | San Andreas | $681.32 | $264.66 – $1,002.54 |
| French Hospital | San Luis Obispo | $3,458.62 | $361.00 – $8,646.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,408.75 | $361.00 – $7,350.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,372.00 | $361.00 – $7,258.52 |
| Providence St Joseph Hospital Eureka | Eureka | $4,796.04 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,906.46 | $361.00 – $8,437.80 |