Rmvl icd by tv extr at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$3,245.02
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.
$6,301.00
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.
$626.73 with Health Plan of San Joaquin vs $20,554.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Health Plan of San Joaquin | Medicaid|> 21 | $626.73 | ↓ -81% |
| Kaiser | Medicaid|> 21 | $626.73 | ↓ -81% |
| California Health & Wellness | Medicaid|> 21 | $626.73 | ↓ -81% |
| Inland Empire Health Plan | Medicaid|> 21 | $626.73 | ↓ -81% |
| California Health & Wellness | Medicaid|< 21 | $626.73 | ↓ -81% |
| Kern Health System | Medicaid|> 21 | $626.73 | ↓ -81% |
| Kern Health System | Medicaid|< 21 | $626.73 | ↓ -81% |
| Inland Empire Health Plan | Medicaid|< 21 | $626.73 | ↓ -81% |
| Partnership Health Plan | Medicaid|> 21 | $626.73 | ↓ -81% |
| Partnership Health Plan | Medicaid|< 21 | $626.73 | ↓ -81% |
| Kaiser | Medicaid|< 21 | $626.73 | ↓ -81% |
| Health Plan of San Joaquin | Medicaid|< 21 | $626.73 | ↓ -81% |
| Molina | Medicaid|< 21 | $626.73 | ↓ -81% |
| Molina | Medicaid|> 21 | $626.73 | ↓ -81% |
| BCBS - Anthem | Medicaid|> 21 | $900.92 | ↓ -72% |
| BCBS - Anthem | Medicaid|< 21 | $900.92 | ↓ -72% |
| Central California Alliance for Health | Medicaid|All Plans | $987.96 | ↓ -70% |
| Health Net | Medicaid|All Plans | $2,133.99 | ↓ -34% |
| Healthsmart | Commercial|All Plans | $3,780.60 | ↑ +17% |
| Allcare | Commercial|All Plans | $3,920.71 | ↑ +21% |
| Cigna | Commercial|All Other Plans | $4,095.65 | ↑ +26% |
| Cigna | Commercial|PPO | $4,095.65 | ↑ +26% |
| Kaiser | Commercial|All Plans | $4,347.69 | ↑ +34% |
| Humana | Medicare|All Plans | $4,624.09 | ↑ +42% |
| Aetna | Medicare|All Plans | $4,624.09 | ↑ +42% |
| United | Medicare|All Plans | $4,624.09 | ↑ +42% |
| Health Net | Medicare|All Plans | $4,624.09 | ↑ +42% |
| Kaiser | Medicare|All Plans | $4,624.09 | ↑ +42% |
| BCBS - Anthem | Medicare|All Plans | $4,624.09 | ↑ +42% |
| Blue Shield CA | Medicare|All Plans | $4,624.09 | ↑ +42% |
| Scan Health Plan | Medicare|All Plans | $4,624.09 | ↑ +42% |
| LA Care | Medicare|All Plans | $4,624.09 | ↑ +42% |
| First Health | Commercial|All Plans | $5,040.80 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $5,922.94 | ↑ +83% |
| United | Commercial|HMO | $6,237.99 | ↑ +92% |
| United | Commercial|All Other Plans | $6,301.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $6,301.00 | ↑ +94% |
| United | Commercial|Options PPO | $6,301.00 | ↑ +94% |
| BCBS - Anthem | Commercial|Exchange | $9,887.00 | ↑ +205% |
| Aetna | Commercial|PPO | $10,057.00 | ↑ +210% |
| Aetna | Commercial|All Other Plans | $10,057.00 | ↑ +210% |
| Aetna | Commercial|HMO | $10,057.00 | ↑ +210% |
| BCBS - Anthem | Commercial|All Other Plans | $13,009.00 | ↑ +301% |
| Health Net | Commercial|Care Product | $17,217.00 | ↑ +431% |
| Health Net | Commercial|FFS | $19,600.00 | ↑ +504% |
| BCBS - Anthem | Commercial|MCS | $20,554.00 | ↑ +533% |
Visitor-reported prices
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Rmvl icd by tv extr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,382.72 | $770.88 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $3,331.98 | $626.73 – $7,629.30 |
| French Hospital | San Luis Obispo | $3,105.04 | $626.73 – $7,762.58 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $626.73 – $5,111.30 |
| Queen of The Valley Medical Center | Napa | $5,701.29 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,715.28 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,681.39 | $626.73 – $5,163.44 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,202.00 | $3,423.00 – $11,377.00 |