Tib/per revasc stent & ather 37231 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$22,737.25
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.
$44,150.00
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.
$646.31 with Kaiser vs $44,150.00 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 | $646.31 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|< 21 | $646.31 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $646.31 | ↓ -97% |
| California Health & Wellness | Medicaid|> 21 | $646.31 | ↓ -97% |
| California Health & Wellness | Medicaid|< 21 | $646.31 | ↓ -97% |
| Kern Health System | Medicaid|> 21 | $646.31 | ↓ -97% |
| Kern Health System | Medicaid|< 21 | $646.31 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $646.31 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $646.31 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $646.31 | ↓ -97% |
| Inland Empire Health Plan | Medicaid|> 21 | $646.31 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|> 21 | $646.31 | ↓ -97% |
| Molina | Medicaid|< 21 | $646.31 | ↓ -97% |
| Molina | Medicaid|> 21 | $646.31 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|< 21 | $646.31 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $743.11 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $743.11 | ↓ -97% |
| Health Net | Medicaid|All Plans | $1,396.03 | ↓ -94% |
| Aetna | Commercial|HMO | $10,057.00 | ↓ -56% |
| Aetna | Commercial|All Other Plans | $10,057.00 | ↓ -56% |
| Aetna | Commercial|PPO | $10,057.00 | ↓ -56% |
| BCBS - Anthem | Commercial|Exchange | $10,694.00 | ↓ -53% |
| BCBS - Anthem | Commercial|All Other Plans | $14,071.00 | ↓ -38% |
| BCBS - Anthem | Commercial|MCS | $22,232.00 | ↓ -2% |
| Kaiser | Medicare|All Plans | $22,815.81 | ↑ +0% |
| Aetna | Medicare|All Plans | $22,815.81 | ↑ +0% |
| United | Medicare|All Plans | $22,815.81 | ↑ +0% |
| Health Net | Medicare|All Plans | $22,815.81 | ↑ +0% |
| Humana | Medicare|All Plans | $22,815.81 | ↑ +0% |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | ↑ +0% |
| Blue Shield CA | Medicare|All Plans | $22,815.81 | ↑ +0% |
| Scan Health Plan | Medicare|All Plans | $22,815.81 | ↑ +0% |
| LA Care | Medicare|All Plans | $22,815.81 | ↑ +0% |
| Healthsmart | Commercial|All Plans | $26,490.00 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $28,697.50 | ↑ +26% |
| Cigna | Commercial|PPO | $28,697.50 | ↑ +26% |
| Kaiser | Commercial|All Plans | $30,463.50 | ↑ +34% |
| First Health | Commercial|All Plans | $35,320.00 | ↑ +55% |
| Health Net | Commercial|Care Product | $36,948.00 | ↑ +62% |
| MultiPlan | Commercial|All Plans | $41,501.00 | ↑ +83% |
| Health Net | Commercial|FFS | $42,061.00 | ↑ +85% |
| United | Commercial|HMO | $43,708.50 | ↑ +92% |
| United | Commercial|All Other Plans | $44,150.00 | ↑ +94% |
| United | Commercial|Options PPO | $44,150.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $44,150.00 | ↑ +94% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21,131.75 | $977.80 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $25,795.99 | $646.18 – $59,065.58 |
| French Hospital | San Luis Obispo | $23,626.24 | $646.18 – $57,299.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $646.31 – $36,273.60 |
| Bakersfield Memorial Hospital | Bakersfield | $16,640.52 | $646.31 – $35,820.18 |
| Queen of The Valley Medical Center | Napa | $25,453.59 | $9,256.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $14,274.88 | $0.80 – $13,349.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $30,382.74 | $4,233.00 – $89,248.00 |