Stent/tib/peroneal/unilat/initial 37230 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$20,940.42
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.
$40,661.00
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.
$594.56 with Kaiser vs $42,061.00 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $594.56 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|< 21 | $594.56 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $594.56 | ↓ -97% |
| California Health & Wellness | Medicaid|> 21 | $594.56 | ↓ -97% |
| California Health & Wellness | Medicaid|< 21 | $594.56 | ↓ -97% |
| Kern Health System | Medicaid|> 21 | $594.56 | ↓ -97% |
| Kern Health System | Medicaid|< 21 | $594.56 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $594.56 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $594.56 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $594.56 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|> 21 | $594.56 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|> 21 | $594.56 | ↓ -97% |
| Molina | Medicaid|< 21 | $594.56 | ↓ -97% |
| Molina | Medicaid|> 21 | $594.56 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|< 21 | $594.56 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $683.76 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $683.76 | ↓ -97% |
| Health Net | Medicaid|All Plans | $1,284.25 | ↓ -94% |
| Aetna | Commercial|HMO | $10,057.00 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $10,057.00 | ↓ -52% |
| Aetna | Commercial|PPO | $10,057.00 | ↓ -52% |
| BCBS - Anthem | Commercial|Exchange | $10,694.00 | ↓ -49% |
| BCBS - Anthem | Commercial|All Other Plans | $14,071.00 | ↓ -33% |
| BCBS - Anthem | Commercial|MCS | $22,232.00 | ↑ +6% |
| Kaiser | Medicare|All Plans | $22,815.81 | ↑ +9% |
| Aetna | Medicare|All Plans | $22,815.81 | ↑ +9% |
| United | Medicare|All Plans | $22,815.81 | ↑ +9% |
| Health Net | Medicare|All Plans | $22,815.81 | ↑ +9% |
| Humana | Medicare|All Plans | $22,815.81 | ↑ +9% |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | ↑ +9% |
| Blue Shield CA | Medicare|All Plans | $22,815.81 | ↑ +9% |
| Scan Health Plan | Medicare|All Plans | $22,815.81 | ↑ +9% |
| LA Care | Medicare|All Plans | $22,815.81 | ↑ +9% |
| Healthsmart | Commercial|All Plans | $24,396.60 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $26,429.65 | ↑ +26% |
| Cigna | Commercial|PPO | $26,429.65 | ↑ +26% |
| Kaiser | Commercial|All Plans | $28,056.09 | ↑ +34% |
| First Health | Commercial|All Plans | $32,528.80 | ↑ +55% |
| Health Net | Commercial|Care Product | $36,948.00 | ↑ +76% |
| MultiPlan | Commercial|All Plans | $38,221.34 | ↑ +83% |
| United | Commercial|HMO | $40,254.39 | ↑ +92% |
| United | Commercial|All Other Plans | $40,661.00 | ↑ +94% |
| United | Commercial|Options PPO | $40,661.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $40,661.00 | ↑ +94% |
| Health Net | Commercial|FFS | $42,061.00 | ↑ +101% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,858.85 | $899.51 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $14,930.78 | $594.56 – $34,187.30 |
| French Hospital | San Luis Obispo | $13,674.92 | $594.56 – $34,025.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $594.56 – $33,402.40 |
| Bakersfield Memorial Hospital | Bakersfield | $15,323.36 | $594.56 – $32,984.87 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $11,036.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,206.78 | $0.80 – $12,709.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,905.08 | $4,233.00 – $89,248.00 |