Rmvl icd gen w/rplc icd gen dual lead sys at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$41,054.26
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.
$79,717.00
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.
$313.48 with Kaiser vs $79,717.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $313.48 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|< 21 | $313.48 | ↓ -99% |
| Central California Alliance for Health | Medicaid|All Plans | $313.48 | ↓ -99% |
| California Health & Wellness | Medicaid|> 21 | $313.48 | ↓ -99% |
| California Health & Wellness | Medicaid|< 21 | $313.48 | ↓ -99% |
| Kern Health System | Medicaid|> 21 | $313.48 | ↓ -99% |
| Kern Health System | Medicaid|< 21 | $313.48 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $313.48 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $313.48 | ↓ -99% |
| Kaiser | Medicaid|> 21 | $313.48 | ↓ -99% |
| Inland Empire Health Plan | Medicaid|> 21 | $313.48 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|> 21 | $313.48 | ↓ -99% |
| Molina | Medicaid|< 21 | $313.48 | ↓ -99% |
| Molina | Medicaid|> 21 | $313.48 | ↓ -99% |
| Health Plan of San Joaquin | Medicaid|< 21 | $313.48 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $360.44 | ↓ -99% |
| BCBS - Anthem | Medicaid|< 21 | $360.44 | ↓ -99% |
| Health Net | Medicaid|All Plans | $677.12 | ↓ -98% |
| BCBS - Anthem | Commercial|Exchange | $5,769.00 | ↓ -86% |
| BCBS - Anthem | Commercial|All Other Plans | $7,591.00 | ↓ -82% |
| Aetna | Commercial|HMO | $8,124.00 | ↓ -80% |
| Aetna | Commercial|PPO | $8,124.00 | ↓ -80% |
| Aetna | Commercial|All Other Plans | $8,124.00 | ↓ -80% |
| BCBS - Anthem | Commercial|MCS | $11,994.00 | ↓ -71% |
| Kaiser | Medicare|All Plans | $28,520.13 | ↓ -31% |
| Aetna | Medicare|All Plans | $28,520.13 | ↓ -31% |
| United | Medicare|All Plans | $28,520.13 | ↓ -31% |
| Health Net | Medicare|All Plans | $28,520.13 | ↓ -31% |
| Humana | Medicare|All Plans | $28,520.13 | ↓ -31% |
| BCBS - Anthem | Medicare|All Plans | $28,520.13 | ↓ -31% |
| Blue Shield CA | Medicare|All Plans | $28,520.13 | ↓ -31% |
| Scan Health Plan | Medicare|All Plans | $28,520.13 | ↓ -31% |
| LA Care | Medicare|All Plans | $28,520.13 | ↓ -31% |
| Health Net | Commercial|Care Product | $44,719.00 | ↑ +9% |
| Healthsmart | Commercial|All Plans | $47,830.20 | ↑ +17% |
| Health Net | Commercial|FFS | $50,908.00 | ↑ +24% |
| Cigna | Commercial|All Other Plans | $51,816.05 | ↑ +26% |
| Cigna | Commercial|PPO | $51,816.05 | ↑ +26% |
| Kaiser | Commercial|All Plans | $55,004.73 | ↑ +34% |
| First Health | Commercial|All Plans | $63,773.60 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $74,933.98 | ↑ +83% |
| United | Commercial|HMO | $78,919.83 | ↑ +92% |
| United | Commercial|All Other Plans | $79,717.00 | ↑ +94% |
| United | Commercial|Options PPO | $79,717.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $79,717.00 | ↑ +94% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29,632.89 | $474.26 – $57,040.26 |
| Arroyo Grande Hospital | Santa Maria | $36,158.73 | $313.43 – $82,793.34 |
| French Hospital | San Luis Obispo | $33,845.28 | $313.43 – $84,613.20 |
| Bakersfield Memorial Hospital | Bakersfield | $28,573.52 | $313.48 – $61,507.03 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $6,200.00 – $113,226.00 |
| Providence St Joseph Hospital Eureka | Eureka | $33,080.64 | $7,809.00 – $113,226.00 |
| Redwood Memorial Hospital | Fortuna | $38,537.64 | $8,005.00 – $113,226.00 |
| St. Joseph's Medical Center Stockton | Stockton | $18,875.98 | $313.43 – $53,931.36 |