Tocilizumab for covid-19 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$4,017.00
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.
$7,800.00
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.
$539.75 with BCBS - Anthem vs $2,159.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|< 21 | $539.75 | ↓ -87% |
| BCBS - Anthem | Medicaid|> 21 | $539.75 | ↓ -87% |
| Central California Alliance for Health | Medicaid|All Plans | $647.70 | ↓ -84% |
| Healthsmart | Commercial|All Plans | $1,295.40 | ↓ -68% |
| Cigna | Commercial|All Other Plans | $1,403.35 | ↓ -65% |
| Cigna | Commercial|PPO | $1,403.35 | ↓ -65% |
| Kaiser | Commercial|All Plans | $1,489.71 | ↓ -63% |
| BCBS - Anthem | Commercial|Exchange | $1,554.48 | ↓ -61% |
| First Health | Commercial|All Plans | $1,727.20 | ↓ -57% |
| MultiPlan | Commercial|All Plans | $2,029.46 | ↓ -49% |
| BCBS - Anthem | Commercial|All Other Plans | $2,029.46 | ↓ -49% |
| United | Commercial|HMO | $2,137.41 | ↓ -47% |
| United | Commercial|Non-Options PPO | $2,159.00 | ↓ -46% |
| BCBS - Anthem | Commercial|MCS | $2,159.00 | ↓ -46% |
| United | Commercial|All Other Plans | $2,159.00 | ↓ -46% |
| United | Commercial|Options PPO | $2,159.00 | ↓ -46% |
Visitor-reported prices
Comments
Tocilizumab for covid-19 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | $606.64 | $243.54 – $2,214.00 |
| Petaluma Valley Hospital | Petaluma | not published | $8.11 – $16.28 |
| Queen of The Valley Medical Center | Napa | not published | $8.78 – $16.28 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $10.47 – $16.28 |
| Healdsburg Hospital | Healdsburg | not published | $6.77 – $20.67 |
| Redwood Memorial Hospital | Fortuna | not published | $10.49 – $15.14 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $8.72 – $16.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $10.73 – $16.28 |