Sugars single quant at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$19.57
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.
?
What you pay up front if you don't use insurance.
$38.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.11 with Blue Shield CA vs $34.86 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue Shield CA | Commercial|Exchange | $10.11 | ↓ -48% |
| Health Net | Medicare|All Plans | $11.53 | ↓ -41% |
| Kaiser | Medicare|All Plans | $11.53 | ↓ -41% |
| Scan Health Plan | Medicare|All Plans | $11.53 | ↓ -41% |
| Aetna | Medicare|All Plans | $11.53 | ↓ -41% |
| Blue Shield CA | Medicare|All Plans | $11.53 | ↓ -41% |
| BCBS - Anthem | Medicare|All Plans | $11.53 | ↓ -41% |
| Humana | Medicare|All Plans | $11.53 | ↓ -41% |
| United | Medicare|All Plans | $11.53 | ↓ -41% |
| LA Care | Medicare|All Plans | $11.53 | ↓ -41% |
| Blue Shield CA | Commercial|All Other Plans | $13.60 | ↓ -31% |
| United | Commercial|All Other Plans | $13.84 | ↓ -29% |
| United | Commercial|HMO | $13.84 | ↓ -29% |
| United | Commercial|Options PPO | $13.84 | ↓ -29% |
| United | Commercial|Non-Options PPO | $13.84 | ↓ -29% |
| Inland Empire Health Plan | Medicaid|> 21 | $14.69 | ↓ -25% |
| Molina | Medicaid|< 21 | $14.69 | ↓ -25% |
| Molina | Medicaid|> 21 | $14.69 | ↓ -25% |
| Kaiser | Medicaid|< 21 | $14.69 | ↓ -25% |
| Kaiser | Medicaid|> 21 | $14.69 | ↓ -25% |
| Partnership Health Plan | Medicaid|< 21 | $14.69 | ↓ -25% |
| Partnership Health Plan | Medicaid|> 21 | $14.69 | ↓ -25% |
| Kern Health System | Medicaid|< 21 | $14.69 | ↓ -25% |
| Kern Health System | Medicaid|> 21 | $14.69 | ↓ -25% |
| California Health & Wellness | Medicaid|< 21 | $14.69 | ↓ -25% |
| California Health & Wellness | Medicaid|> 21 | $14.69 | ↓ -25% |
| Central California Alliance for Health | Medicaid|All Plans | $14.69 | ↓ -25% |
| Health Plan of San Joaquin | Medicaid|< 21 | $14.69 | ↓ -25% |
| Health Plan of San Joaquin | Medicaid|> 21 | $14.69 | ↓ -25% |
| Inland Empire Health Plan | Medicaid|< 21 | $14.69 | ↓ -25% |
| BCBS - Anthem | Medicaid|< 21 | $17.58 | ↓ -10% |
| BCBS - Anthem | Medicaid|> 21 | $17.58 | ↓ -10% |
| Healthsmart | Commercial|All Plans | $20.92 | ↑ +7% |
| Cigna | Commercial|PPO | $22.66 | ↑ +16% |
| Cigna | Commercial|All Other Plans | $22.66 | ↑ +16% |
| BCBS - Anthem | Commercial|Exchange | $23.71 | ↑ +21% |
| Kaiser | Commercial|All Plans | $24.06 | ↑ +23% |
| First Health | Commercial|All Plans | $27.89 | ↑ +43% |
| BCBS - Anthem | Commercial|All Other Plans | $31.03 | ↑ +59% |
| Health Net | Medicaid|All Plans | $31.73 | ↑ +62% |
| MultiPlan | Commercial|All Plans | $32.77 | ↑ +67% |
| Aetna | Commercial|All Other Plans | $34.86 | ↑ +78% |
| Aetna | Commercial|PPO | $34.86 | ↑ +78% |
| Aetna | Commercial|HMO | $34.86 | ↑ +78% |
| BCBS - Anthem | Commercial|MCS | $34.86 | ↑ +78% |
Visitor-reported prices
Comments
Sugars single quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $16.65 | $10.26 – $30.57 |
| Banner Lassen Medical Center | Susanville | $6.89 | $2.31 – $16.90 |
| Arroyo Grande Hospital | Santa Maria | $44.02 | $11.53 – $37.24 |
| Mark Twain Medical Center | San Andreas | $25.31 | $11.53 – $37.24 |
| French Hospital | San Luis Obispo | $40.32 | $10.26 – $37.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14.10 | $11.53 – $34.86 |
| Bakersfield Memorial Hospital | Bakersfield | $13.95 | $11.53 – $33.11 |
| St. Joseph's Behavioral Health Center | Stockton | $21.70 | $3.49 – $27.89 |