Revision open av fistula without thromb at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$7,185.28
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.
$13,952.00
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.
$709.19 with Partnership Health Plan vs $20,554.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $709.19 | ↓ -90% |
| Kern Health System | Medicaid|> 21 | $709.19 | ↓ -90% |
| Kern Health System | Medicaid|< 21 | $709.19 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $709.19 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|> 21 | $709.19 | ↓ -90% |
| Kaiser | Medicaid|> 21 | $709.19 | ↓ -90% |
| Kaiser | Medicaid|< 21 | $709.19 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|< 21 | $709.19 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|> 21 | $709.19 | ↓ -90% |
| California Health & Wellness | Medicaid|> 21 | $709.19 | ↓ -90% |
| Molina | Medicaid|< 21 | $709.19 | ↓ -90% |
| Molina | Medicaid|> 21 | $709.19 | ↓ -90% |
| California Health & Wellness | Medicaid|< 21 | $709.19 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|< 21 | $709.19 | ↓ -90% |
| BCBS - Anthem | Medicaid|< 21 | $1,019.46 | ↓ -86% |
| BCBS - Anthem | Medicaid|> 21 | $1,019.46 | ↓ -86% |
| Central California Alliance for Health | Medicaid|All Plans | $1,117.93 | ↓ -84% |
| Health Net | Medicaid|All Plans | $2,414.73 | ↓ -66% |
| Humana | Medicare|All Plans | $6,868.48 | ↓ -4% |
| Aetna | Medicare|All Plans | $6,868.48 | ↓ -4% |
| United | Medicare|All Plans | $6,868.48 | ↓ -4% |
| Health Net | Medicare|All Plans | $6,868.48 | ↓ -4% |
| Kaiser | Medicare|All Plans | $6,868.48 | ↓ -4% |
| BCBS - Anthem | Medicare|All Plans | $6,868.48 | ↓ -4% |
| Blue Shield CA | Medicare|All Plans | $6,868.48 | ↓ -4% |
| Scan Health Plan | Medicare|All Plans | $6,868.48 | ↓ -4% |
| LA Care | Medicare|All Plans | $6,868.48 | ↓ -4% |
| Western Growers | Commercial|All Plans | $6,976.00 | ↓ -3% |
| Healthsmart | Commercial|All Plans | $8,371.20 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $9,068.80 | ↑ +26% |
| Cigna | Commercial|PPO | $9,068.80 | ↑ +26% |
| Kaiser | Commercial|All Plans | $9,626.88 | ↑ +34% |
| BCBS - Anthem | Commercial|Exchange | $9,887.00 | ↑ +38% |
| Aetna | Commercial|PPO | $10,057.00 | ↑ +40% |
| Aetna | Commercial|All Other Plans | $10,057.00 | ↑ +40% |
| Aetna | Commercial|HMO | $10,057.00 | ↑ +40% |
| First Health | Commercial|All Plans | $11,161.60 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $13,009.00 | ↑ +81% |
| MultiPlan | Commercial|All Plans | $13,114.88 | ↑ +83% |
| United | Commercial|HMO | $13,812.48 | ↑ +92% |
| United | Commercial|Options PPO | $13,952.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $13,952.00 | ↑ +94% |
| United | Commercial|All Other Plans | $13,952.00 | ↑ +94% |
| Health Net | Commercial|Care Product | $17,217.00 | ↑ +140% |
| Health Net | Commercial|FFS | $19,600.00 | ↑ +173% |
| BCBS - Anthem | Commercial|MCS | $20,554.00 | ↑ +186% |
Visitor-reported prices
Comments
Revision open av fistula without thromb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $7,978.95 | $7,900.80 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,272.49 | $7,156.86 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $10,620.46 | $709.19 – $30,344.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,978.95 | $4,233.00 – $15,575.00 |
| Providence Holy Cross Medical Center | Mission Hills | $11,489.45 | $2,160.00 – $12,477.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $6,334.65 | $2,160.00 – $12,111.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $872.30 – $12,900.80 |
| Petaluma Valley Hospital | Petaluma | not published | $3,632.00 – $15,313.00 |