Shrinker prosth below knee at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$136.99
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.
$266.00
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.
$24.15 with Health Net vs $105.00 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 Net | Medicaid|All Plans | $24.15 | ↓ -82% |
| Inland Empire Health Plan | Medicaid|> 21 | $36.84 | ↓ -73% |
| Molina | Medicaid|< 21 | $36.84 | ↓ -73% |
| Molina | Medicaid|> 21 | $36.84 | ↓ -73% |
| Kaiser | Medicaid|< 21 | $36.84 | ↓ -73% |
| Kaiser | Medicaid|> 21 | $36.84 | ↓ -73% |
| Partnership Health Plan | Medicaid|< 21 | $36.84 | ↓ -73% |
| Partnership Health Plan | Medicaid|> 21 | $36.84 | ↓ -73% |
| Kern Health System | Medicaid|< 21 | $36.84 | ↓ -73% |
| Kern Health System | Medicaid|> 21 | $36.84 | ↓ -73% |
| California Health & Wellness | Medicaid|< 21 | $36.84 | ↓ -73% |
| California Health & Wellness | Medicaid|> 21 | $36.84 | ↓ -73% |
| Central California Alliance for Health | Medicaid|All Plans | $36.84 | ↓ -73% |
| Health Plan of San Joaquin | Medicaid|< 21 | $36.84 | ↓ -73% |
| Health Plan of San Joaquin | Medicaid|> 21 | $36.84 | ↓ -73% |
| Inland Empire Health Plan | Medicaid|< 21 | $36.84 | ↓ -73% |
| BCBS - Anthem | Medicaid|> 21 | $42.37 | ↓ -69% |
| BCBS - Anthem | Medicaid|< 21 | $42.37 | ↓ -69% |
| Healthsmart | Commercial|All Plans | $47.25 | ↓ -66% |
| Health Net | Commercial|Care Product | $59.85 | ↓ -56% |
| United | Commercial|HMO | $64.05 | ↓ -53% |
| Cigna | Commercial|PPO | $68.25 | ↓ -50% |
| Western Growers | Commercial|All Plans | $68.25 | ↓ -50% |
| Cigna | Commercial|All Other Plans | $68.25 | ↓ -50% |
| Health Net | Commercial|FFS | $69.30 | ↓ -49% |
| Kaiser | Commercial|All Plans | $72.45 | ↓ -47% |
| United | Commercial|Non-Options PPO | $77.70 | ↓ -43% |
| BCBS - Anthem | Commercial|Exchange | $79.80 | ↓ -42% |
| First Health | Commercial|All Plans | $84.00 | ↓ -39% |
| United | Commercial|Options PPO | $84.00 | ↓ -39% |
| United | Commercial|All Other Plans | $86.10 | ↓ -37% |
| Blue Shield CA | Commercial|Exchange | $91.35 | ↓ -33% |
| Blue Shield CA | Commercial|All Other Plans | $92.40 | ↓ -33% |
| MultiPlan | Commercial|All Plans | $98.70 | ↓ -28% |
| Aetna | Commercial|HMO | $100.80 | ↓ -26% |
| Aetna | Commercial|PPO | $100.80 | ↓ -26% |
| Aetna | Commercial|All Other Plans | $100.80 | ↓ -26% |
| BCBS - Anthem | Commercial|All Other Plans | $105.00 | ↓ -23% |
| BCBS - Anthem | Commercial|MCS | $105.00 | ↓ -23% |
Visitor-reported prices
Comments
Shrinker prosth below knee at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $200.17 | $48.72 – $158.34 |
| Redwood City Medical Center | Redwood City | $64.40 | not published |
| Santa Clara Medical Center | SANTA CLARA | $64.40 | not published |
| Sacramento Medical Center | SACRAMENTO | $64.40 | not published |
| Oakland Medical Center | Oakland | $64.40 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $64.40 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $36.84 – $157.50 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $36.84 – $169.75 |