X-ray skull < 4 views at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$771.47
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.
$1,498.00
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.
$37.27 with Partnership Health Plan vs $450.26 with MultiPlan — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $37.27 | ↓ -95% |
| Kern Health System | Medicaid|< 21 | $37.27 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $37.27 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|> 21 | $37.27 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|< 21 | $37.27 | ↓ -95% |
| Kaiser | Medicaid|< 21 | $37.27 | ↓ -95% |
| Kaiser | Medicaid|> 21 | $37.27 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|> 21 | $37.27 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $37.27 | ↓ -95% |
| California Health & Wellness | Medicaid|> 21 | $37.27 | ↓ -95% |
| Molina | Medicaid|< 21 | $37.27 | ↓ -95% |
| Molina | Medicaid|> 21 | $37.27 | ↓ -95% |
| California Health & Wellness | Medicaid|< 21 | $37.27 | ↓ -95% |
| Inland Empire Health Plan | Medicaid|< 21 | $37.27 | ↓ -95% |
| Kern Health System | Medicaid|> 21 | $37.27 | ↓ -95% |
| BCBS - Anthem | Medicaid|< 21 | $42.86 | ↓ -94% |
| BCBS - Anthem | Medicaid|> 21 | $42.86 | ↓ -94% |
| Health Net | Medicaid|All Plans | $80.50 | ↓ -90% |
| Humana | Medicare|All Plans | $135.12 | ↓ -82% |
| Aetna | Medicare|All Plans | $135.12 | ↓ -82% |
| United | Medicare|All Plans | $135.12 | ↓ -82% |
| Health Net | Medicare|All Plans | $135.12 | ↓ -82% |
| Kaiser | Medicare|All Plans | $135.12 | ↓ -82% |
| BCBS - Anthem | Medicare|All Plans | $135.12 | ↓ -82% |
| Blue Shield CA | Medicare|All Plans | $135.12 | ↓ -82% |
| Scan Health Plan | Medicare|All Plans | $135.12 | ↓ -82% |
| LA Care | Medicare|All Plans | $135.12 | ↓ -82% |
| Aetna | Commercial|HMO | $146.64 | ↓ -81% |
| Aetna | Commercial|PPO | $146.64 | ↓ -81% |
| Aetna | Commercial|All Other Plans | $146.64 | ↓ -81% |
| Allcare | Commercial|All Plans | $147.27 | ↓ -81% |
| BCBS - Anthem | Commercial|Exchange | $189.96 | ↓ -75% |
| United | Commercial|HMO | $245.18 | ↓ -68% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -68% |
| United | Commercial|Options PPO | $245.18 | ↓ -68% |
| United | Commercial|All Other Plans | $245.18 | ↓ -68% |
| BCBS - Anthem | Commercial|All Other Plans | $249.93 | ↓ -68% |
| Healthsmart | Commercial|All Plans | $306.56 | ↓ -60% |
| Cigna | Commercial|All Other Plans | $311.35 | ↓ -60% |
| Cigna | Commercial|PPO | $311.35 | ↓ -60% |
| Kaiser | Commercial|All Plans | $330.51 | ↓ -57% |
| First Health | Commercial|All Plans | $383.20 | ↓ -50% |
| BCBS - Anthem | Commercial|MCS | $394.98 | ↓ -49% |
| MultiPlan | Commercial|All Plans | $450.26 | ↓ -42% |
Visitor-reported prices
Comments
X-ray skull < 4 views at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $683.20 | $142.00 – $142.00 |
| St. John's Camarillo Hospital | Camarillo | $289.96 | $56.38 – $527.07 |
| Antioch Medical Center | ANTIOCH | $683.20 | $142.00 – $142.00 |
| Redwood City Medical Center | Redwood City | $683.20 | $142.00 – $142.00 |
| Santa Clara Medical Center | SANTA CLARA | $683.20 | $142.00 – $142.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $353.60 | $96.00 – $96.00 |
| Riverside Medical Center | RIVERSIDE | $353.60 | $96.00 – $96.00 |
| Fremont Medical Center | FREMONT | $683.20 | $142.00 – $142.00 |