Ustekinumab 45 mg/0.5 ml subcutaneous solution at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$27,198.18
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.
$52,812.00
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.
$161.95 with Blue Shield CA vs $24,821.64 with MultiPlan — 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 | $161.95 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $161.95 | ↓ -99% |
| BCBS - Anthem | Commercial|Exchange | $166.08 | ↓ -99% |
| BCBS - Anthem | Medicaid|< 21 | $179.31 | ↓ -99% |
| BCBS - Anthem | Medicaid|> 21 | $179.31 | ↓ -99% |
| Aetna | Medicare|All Plans | $200.35 | ↓ -99% |
| Blue Shield CA | Medicare|All Plans | $200.35 | ↓ -99% |
| LA Care | Medicare|All Plans | $200.35 | ↓ -99% |
| Kaiser | Medicare|All Plans | $200.35 | ↓ -99% |
| United | Medicare|All Plans | $200.35 | ↓ -99% |
| Scan Health Plan | Medicare|All Plans | $200.35 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $200.35 | ↓ -99% |
| Humana | Medicare|All Plans | $200.35 | ↓ -99% |
| Health Net | Medicare|All Plans | $200.35 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $218.53 | ↓ -99% |
| Allcare | Commercial|All Plans | $244.08 | ↓ -99% |
| United | Commercial|Options PPO | $257.20 | ↓ -99% |
| United | Commercial|HMO | $257.20 | ↓ -99% |
| United | Commercial|All Other Plans | $257.20 | ↓ -99% |
| United | Commercial|Non-Options PPO | $281.85 | ↓ -99% |
| Central California Alliance for Health | Medicaid|All Plans | $318.19 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $345.13 | ↓ -99% |
| Health Net | Commercial|Care Product | $466.43 | ↓ -98% |
| Health Net | Commercial|FFS | $532.51 | ↓ -98% |
| Health Net | Medicaid|All Plans | $687.29 | ↓ -97% |
| Aetna | Commercial|HMO | $2,029.74 | ↓ -93% |
| Aetna | Commercial|PPO | $2,029.74 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $2,029.74 | ↓ -93% |
| Healthsmart | Commercial|All Plans | $15,843.60 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $17,163.90 | ↓ -37% |
| Cigna | Commercial|PPO | $17,163.90 | ↓ -37% |
| Kaiser | Commercial|All Plans | $18,220.14 | ↓ -33% |
| First Health | Commercial|All Plans | $21,124.80 | ↓ -22% |
| MultiPlan | Commercial|All Plans | $24,821.64 | ↓ -9% |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $47,018.27 | $178.00 – $178.00 |
| Antioch Medical Center | ANTIOCH | $47,018.27 | $178.00 – $178.00 |
| Redwood City Medical Center | Redwood City | $47,018.27 | $178.00 – $178.00 |
| Santa Clara Medical Center | SANTA CLARA | $47,018.27 | $178.00 – $178.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $43,659.82 | $178.00 – $178.00 |
| Riverside Medical Center | RIVERSIDE | $43,659.82 | $178.00 – $178.00 |
| Fremont Medical Center | FREMONT | $47,018.27 | $178.00 – $178.00 |
| Panorama Medical Center | PANORAMA CITY | $43,659.82 | $178.00 – $178.00 |