Tx atrial fib pulm vein isol at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$25,202.56
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.
$48,937.00
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.
$1,010.36 with Kaiser vs $50,908.00 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 | $1,010.36 | ↓ -96% |
| Health Plan of San Joaquin | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| Inland Empire Health Plan | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| Health Plan of San Joaquin | Medicaid|< 21 | $1,010.36 | ↓ -96% |
| California Health & Wellness | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| California Health & Wellness | Medicaid|< 21 | $1,010.36 | ↓ -96% |
| Kern Health System | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| Kern Health System | Medicaid|< 21 | $1,010.36 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $1,010.36 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| Inland Empire Health Plan | Medicaid|< 21 | $1,010.36 | ↓ -96% |
| Molina | Medicaid|< 21 | $1,010.36 | ↓ -96% |
| Molina | Medicaid|> 21 | $1,010.36 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $1,116.69 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $1,542.60 | ↓ -94% |
| BCBS - Anthem | Medicaid|> 21 | $1,542.60 | ↓ -94% |
| Health Net | Medicaid|All Plans | $2,412.05 | ↓ -90% |
| Aetna | Commercial|PPO | $15,877.00 | ↓ -37% |
| Aetna | Commercial|HMO | $15,877.00 | ↓ -37% |
| Aetna | Commercial|All Other Plans | $15,877.00 | ↓ -37% |
| BCBS - Anthem | Commercial|Exchange | $18,921.00 | ↓ -25% |
| BCBS - Anthem | Commercial|All Other Plans | $24,896.00 | ↓ -1% |
| Healthsmart | Commercial|All Plans | $29,362.20 | ↑ +17% |
| Kaiser | Medicare|All Plans | $31,170.74 | ↑ +24% |
| Aetna | Medicare|All Plans | $31,170.74 | ↑ +24% |
| United | Medicare|All Plans | $31,170.74 | ↑ +24% |
| Health Net | Medicare|All Plans | $31,170.74 | ↑ +24% |
| Humana | Medicare|All Plans | $31,170.74 | ↑ +24% |
| BCBS - Anthem | Medicare|All Plans | $31,170.74 | ↑ +24% |
| Blue Shield CA | Medicare|All Plans | $31,170.74 | ↑ +24% |
| Scan Health Plan | Medicare|All Plans | $31,170.74 | ↑ +24% |
| LA Care | Medicare|All Plans | $31,170.74 | ↑ +24% |
| Cigna | Commercial|All Other Plans | $31,809.05 | ↑ +26% |
| Cigna | Commercial|PPO | $31,809.05 | ↑ +26% |
| Kaiser | Commercial|All Plans | $33,766.53 | ↑ +34% |
| First Health | Commercial|All Plans | $39,149.60 | ↑ +55% |
| BCBS - Anthem | Commercial|MCS | $39,336.00 | ↑ +56% |
| Health Net | Commercial|Care Product | $44,719.00 | ↑ +77% |
| MultiPlan | Commercial|All Plans | $46,000.78 | ↑ +83% |
| United | Commercial|HMO | $48,447.63 | ↑ +92% |
| United | Commercial|Options PPO | $48,937.00 | ↑ +94% |
| United | Commercial|Non-Options PPO | $48,937.00 | ↑ +94% |
| United | Commercial|All Other Plans | $48,937.00 | ↑ +94% |
| Health Net | Commercial|FFS | $50,908.00 | ↑ +102% |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $23,030.48 | $1,242.74 – $58,938.04 |
| Redwood City Medical Center | Redwood City | $39,104.80 | not published |
| Santa Clara Medical Center | SANTA CLARA | $39,104.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $17,732.00 | not published |
| Riverside Medical Center | RIVERSIDE | $17,732.00 | not published |
| Sacramento Medical Center | SACRAMENTO | $39,104.80 | not published |
| Oakland Medical Center | Oakland | $39,104.80 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $39,104.80 | not published |