Reposition pm/icd lead at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$3,320.72
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.
$6,448.00
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.
$151.15 with Partnership Health Plan vs $16,193.00 with Health Net — 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 | $151.15 | ↓ -95% |
| Kern Health System | Medicaid|> 21 | $151.15 | ↓ -95% |
| Kern Health System | Medicaid|< 21 | $151.15 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|< 21 | $151.15 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $151.15 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $151.15 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|> 21 | $151.15 | ↓ -95% |
| Kaiser | Medicaid|< 21 | $151.15 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|< 21 | $151.15 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $151.15 | ↓ -95% |
| Molina | Medicaid|< 21 | $151.15 | ↓ -95% |
| Molina | Medicaid|> 21 | $151.15 | ↓ -95% |
| California Health & Wellness | Medicaid|> 21 | $151.15 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|> 21 | $151.15 | ↓ -95% |
| California Health & Wellness | Medicaid|< 21 | $151.15 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $173.86 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $173.86 | ↓ -95% |
| Health Net | Medicaid|All Plans | $326.48 | ↓ -90% |
| Healthsmart | Commercial|All Plans | $3,868.80 | ↑ +17% |
| Humana | Medicare|All Plans | $3,999.21 | ↑ +20% |
| Aetna | Medicare|All Plans | $3,999.21 | ↑ +20% |
| United | Medicare|All Plans | $3,999.21 | ↑ +20% |
| Health Net | Medicare|All Plans | $3,999.21 | ↑ +20% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↑ +20% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↑ +20% |
| Blue Shield CA | Medicare|All Plans | $3,999.21 | ↑ +20% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↑ +20% |
| LA Care | Medicare|All Plans | $3,999.21 | ↑ +20% |
| Cigna | Commercial|All Other Plans | $4,191.20 | ↑ +26% |
| Cigna | Commercial|PPO | $4,191.20 | ↑ +26% |
| Kaiser | Commercial|All Plans | $4,449.12 | ↑ +34% |
| First Health | Commercial|All Plans | $5,158.40 | ↑ +55% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $6,061.12 | ↑ +83% |
| United | Commercial|HMO | $6,383.52 | ↑ +92% |
| United | Commercial|Options PPO | $6,448.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $6,448.00 | ↑ +94% |
| United | Commercial|All Other Plans | $6,448.00 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↑ +129% |
| Aetna | Commercial|PPO | $8,124.00 | ↑ +145% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↑ +145% |
| Aetna | Commercial|HMO | $8,124.00 | ↑ +145% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↑ +261% |
| Health Net | Commercial|Care Product | $14,225.00 | ↑ +328% |
| Health Net | Commercial|FFS | $16,193.00 | ↑ +388% |
Visitor-reported prices
Comments
Reposition pm/icd lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,354.25 | $228.67 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,820.33 | $151.15 – $8,747.48 |
| French Hospital | San Luis Obispo | $3,570.73 | $151.15 – $8,926.82 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $151.15 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $4,098.36 | $4,483.19 – $22,465.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $23,444.00 |
| Redwood Memorial Hospital | Fortuna | $5,193.84 | $8,222.00 – $36,398.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,651.70 | $151.15 – $4,719.12 |