Whfo nontorsion joint prefab at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$41.72
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.
$81.00
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.
$18.40 with Health Net vs $80.00 with Inland Empire Health Plan — 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 |
|---|---|---|---|
| Health Net | Medicaid|All Plans | $18.40 | ↓ -56% |
| Healthsmart | Commercial|All Plans | $36.00 | ↓ -14% |
| Health Net | Commercial|Care Product | $45.60 | ↑ +9% |
| United | Commercial|HMO | $48.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $52.00 | ↑ +25% |
| Cigna | Commercial|PPO | $52.00 | ↑ +25% |
| Western Growers | Commercial|All Plans | $52.00 | ↑ +25% |
| Health Net | Commercial|FFS | $52.80 | ↑ +27% |
| Kaiser | Commercial|All Plans | $55.20 | ↑ +32% |
| United | Commercial|Non-Options PPO | $59.20 | ↑ +42% |
| BCBS - Anthem | Commercial|Exchange | $60.80 | ↑ +46% |
| First Health | Commercial|All Plans | $64.00 | ↑ +53% |
| United | Commercial|Options PPO | $64.00 | ↑ +53% |
| United | Commercial|All Other Plans | $65.60 | ↑ +57% |
| Blue Shield CA | Commercial|Exchange | $69.60 | ↑ +67% |
| Blue Shield CA | Commercial|All Other Plans | $70.40 | ↑ +69% |
| MultiPlan | Commercial|All Plans | $75.20 | ↑ +80% |
| Aetna | Commercial|All Other Plans | $76.80 | ↑ +84% |
| Aetna | Commercial|PPO | $76.80 | ↑ +84% |
| Aetna | Commercial|HMO | $76.80 | ↑ +84% |
| Inland Empire Health Plan | Medicaid|> 21 | $80.00 | ↑ +92% |
| Molina | Medicaid|< 21 | $80.00 | ↑ +92% |
| Molina | Medicaid|> 21 | $80.00 | ↑ +92% |
| Kaiser | Medicaid|< 21 | $80.00 | ↑ +92% |
| Kaiser | Medicaid|> 21 | $80.00 | ↑ +92% |
| BCBS - Anthem | Commercial|All Other Plans | $80.00 | ↑ +92% |
| BCBS - Anthem | Commercial|MCS | $80.00 | ↑ +92% |
| BCBS - Anthem | Medicaid|< 21 | $80.00 | ↑ +92% |
| BCBS - Anthem | Medicaid|> 21 | $80.00 | ↑ +92% |
| Partnership Health Plan | Medicaid|< 21 | $80.00 | ↑ +92% |
| Partnership Health Plan | Medicaid|> 21 | $80.00 | ↑ +92% |
| Kern Health System | Medicaid|< 21 | $80.00 | ↑ +92% |
| Kern Health System | Medicaid|> 21 | $80.00 | ↑ +92% |
| California Health & Wellness | Medicaid|< 21 | $80.00 | ↑ +92% |
| California Health & Wellness | Medicaid|> 21 | $80.00 | ↑ +92% |
| Central California Alliance for Health | Medicaid|All Plans | $80.00 | ↑ +92% |
| Health Plan of San Joaquin | Medicaid|< 21 | $80.00 | ↑ +92% |
| Health Plan of San Joaquin | Medicaid|> 21 | $80.00 | ↑ +92% |
| Inland Empire Health Plan | Medicaid|< 21 | $80.00 | ↑ +92% |
Visitor-reported prices
Comments
Whfo nontorsion joint prefab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $50.09 | $25.00 – $100.00 |
| Bakersfield Memorial Hospital | Bakersfield | $49.55 | $25.00 – $100.00 |
| St. Joseph's Medical Center Stockton | Stockton | $35.87 | $23.40 – $90.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $256.74 | $79.20 – $323.40 |
| Dominican Hospital | Santa Cruz | $228.60 | $146.94 – $389.00 |
| St. Mary Medical Center | Long Beach | $322.50 | $88.00 – $734.70 |
| Providence Saint Joseph Medical Center | Burbank | $84.35 | $261.73 – $484.20 |
| Community Hospital San Bernardino | San Bernardino | $293.25 | $92.40 – $734.70 |