Sirolimus, oral at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$77.77
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.
$151.00
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.
$1.75 with United vs $14.00 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $1.75 | ↓ -98% |
| United | Commercial|Options PPO | $1.75 | ↓ -98% |
| United | Commercial|HMO | $1.75 | ↓ -98% |
| BCBS - Anthem | Medicaid|< 21 | $3.50 | ↓ -95% |
| BCBS - Anthem | Medicaid|> 21 | $3.50 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $4.20 | ↓ -95% |
| Aetna | Commercial|PPO | $5.95 | ↓ -92% |
| Aetna | Commercial|All Other Plans | $5.95 | ↓ -92% |
| Aetna | Commercial|HMO | $5.95 | ↓ -92% |
| United | Commercial|Non-Options PPO | $7.43 | ↓ -90% |
| Healthsmart | Commercial|All Plans | $8.40 | ↓ -89% |
| Cigna | Commercial|All Other Plans | $9.10 | ↓ -88% |
| Cigna | Commercial|PPO | $9.10 | ↓ -88% |
| Kaiser | Commercial|All Plans | $9.66 | ↓ -88% |
| BCBS - Anthem | Commercial|Exchange | $10.08 | ↓ -87% |
| First Health | Commercial|All Plans | $11.20 | ↓ -86% |
| Blue Shield CA | Commercial|All Other Plans | $11.90 | ↓ -85% |
| Blue Shield CA | Commercial|Exchange | $11.90 | ↓ -85% |
| BCBS - Anthem | Commercial|All Other Plans | $13.16 | ↓ -83% |
| MultiPlan | Commercial|All Plans | $13.16 | ↓ -83% |
| BCBS - Anthem | Commercial|MCS | $14.00 | ↓ -82% |
| Health Net | Commercial|FFS | $14.00 | ↓ -82% |
| Health Net | Commercial|Care Product | $14.00 | ↓ -82% |
Visitor-reported prices
Comments
Sirolimus, oral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $18.82 | $1.75 – $47.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $51.94 | $1.75 – $28.00 |
| St. Joseph's Medical Center Stockton | Stockton | $37.05 | $1.75 – $22.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $25.21 | $2.29 – $25.10 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $93.01 | $1.64 – $30.91 |
| Dominican Hospital | Santa Cruz | $123.30 | $1.75 – $115.60 |
| Northridge Hospital Medical Center | Northridge | $18.42 | $1.75 – $66.00 |
| Sequoia Hospital | Redwood City | $49.51 | $1.75 – $33.93 |