Special teletx port plan at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,164.93
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.
$2,262.00
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.
$117.20 with Kaiser vs $2,262.00 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 | $117.20 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $117.20 | ↓ -90% |
| California Health & Wellness | Medicaid|> 21 | $117.20 | ↓ -90% |
| California Health & Wellness | Medicaid|< 21 | $117.20 | ↓ -90% |
| Kern Health System | Medicaid|> 21 | $117.20 | ↓ -90% |
| Kern Health System | Medicaid|< 21 | $117.20 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $117.20 | ↓ -90% |
| Kaiser | Medicaid|> 21 | $117.20 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $117.20 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|> 21 | $117.20 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|> 21 | $117.20 | ↓ -90% |
| Molina | Medicaid|< 21 | $117.20 | ↓ -90% |
| Molina | Medicaid|> 21 | $117.20 | ↓ -90% |
| Health Plan of San Joaquin | Medicaid|< 21 | $117.20 | ↓ -90% |
| Inland Empire Health Plan | Medicaid|< 21 | $117.20 | ↓ -90% |
| Health Net | Medicaid|All Plans | $253.15 | ↓ -78% |
| BCBS - Anthem | Medicaid|> 21 | $295.60 | ↓ -75% |
| BCBS - Anthem | Medicaid|< 21 | $295.60 | ↓ -75% |
| Aetna | Commercial|All Other Plans | $350.19 | ↓ -70% |
| Aetna | Commercial|HMO | $350.19 | ↓ -70% |
| Aetna | Commercial|PPO | $350.19 | ↓ -70% |
| Allcare | Commercial|All Plans | $440.37 | ↓ -62% |
| Humana | Medicare|All Plans | $465.13 | ↓ -60% |
| Aetna | Medicare|All Plans | $465.13 | ↓ -60% |
| United | Medicare|All Plans | $465.13 | ↓ -60% |
| Health Net | Medicare|All Plans | $465.13 | ↓ -60% |
| Kaiser | Medicare|All Plans | $465.13 | ↓ -60% |
| BCBS - Anthem | Medicare|All Plans | $465.13 | ↓ -60% |
| Blue Shield CA | Medicare|All Plans | $465.13 | ↓ -60% |
| Scan Health Plan | Medicare|All Plans | $465.13 | ↓ -60% |
| LA Care | Medicare|All Plans | $465.13 | ↓ -60% |
| Healthsmart | Commercial|All Plans | $1,357.20 | ↑ +17% |
| BCBS - Anthem | Commercial|Exchange | $1,405.36 | ↑ +21% |
| Cigna | Commercial|PPO | $1,470.30 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $1,470.30 | ↑ +26% |
| Kaiser | Commercial|All Plans | $1,560.78 | ↑ +34% |
| First Health | Commercial|All Plans | $1,809.60 | ↑ +55% |
| BCBS - Anthem | Commercial|All Other Plans | $1,849.05 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $2,126.28 | ↑ +83% |
| United | Commercial|Options PPO | $2,262.00 | ↑ +94% |
| United | Commercial|HMO | $2,262.00 | ↑ +94% |
| United | Commercial|All Other Plans | $2,262.00 | ↑ +94% |
| BCBS - Anthem | Commercial|MCS | $2,262.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $2,262.00 | ↑ +94% |
Visitor-reported prices
Comments
Special teletx port plan at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $357.85 | $177.32 – $900.38 |
| Arroyo Grande Hospital | Santa Maria | $663.83 | $117.20 – $11,311.00 |
| Queen of The Valley Medical Center | Napa | $993.99 | $531.64 – $1,357.51 |
| Providence St Joseph Hospital Eureka | Eureka | $1,446.36 | $481.58 – $1,539.42 |
| St. Joseph's Medical Center Stockton | Stockton | $1,452.95 | $117.20 – $4,942.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,077.12 | $521.01 – $1,154.91 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,922.88 | $341.00 – $890.92 |
| Northridge Hospital Medical Center | Northridge | $1,100.38 | $85.90 – $3,944.00 |