Access thoracic lymph duct at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,004.01
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.
$2,581.00
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.
$193.53 with United vs $18,293.00 with Aetna — 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $193.53 | ↓ -81% |
| United | Medicaid|< 21 | $193.53 | ↓ -81% |
| WCMG | Commercial|All Plans | $283.91 | ↓ -72% |
| Hill Physicians | Commercial|All Plans | $289.22 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $307.62 | ↓ -69% |
| Hill Physicians | Medicaid|All Plans | $335.58 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $459.63 | ↓ -54% |
| Molina | Medicaid|All Plans | $573.53 | ↓ -43% |
| California Health & Wellness | Medicaid|All Plans | $719.97 | ↓ -28% |
| Health Net | Medicaid|All Plans | $719.97 | ↓ -28% |
| Western Health Advantage | Commercial|All Plans | $903.35 | ↓ -10% |
| Partnership Health Plan | Medicaid|All Plans | $1,040.22 | ↑ +4% |
| Kaiser | Medicaid|All Plans | $1,058.21 | ↑ +5% |
| Healthsmart | Commercial|All Plans | $1,935.75 | ↑ +93% |
| First Health | Commercial|All Plans | $1,935.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $2,038.99 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $2,064.80 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $2,116.42 | ↑ +111% |
| United | Commercial|Non-Options PPO | $2,581.00 | ↑ +157% |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | ↑ +468% |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | ↑ +609% |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | ↑ +893% |
| Aetna | Commercial|PPO | $18,293.00 | ↑ +1722% |
| Aetna | Commercial|HMO | $18,293.00 | ↑ +1722% |
| Aetna | Commercial|All Other Plans | $18,293.00 | ↑ +1722% |
Visitor-reported prices
Comments
Access thoracic lymph duct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Santa Rosa Memorial Hospital | Santa Rosa | $2,153.22 | $1,716.00 – $4,042.00 |
| Mercy San Juan Medical Center | Carmichael | $707.20 | $193.53 – $2,142.23 |
| Mercy General Hospital | Sacramento | $562.66 | $193.53 – $2,064.80 |
| Woodland Memorial Hospital | Woodland | $707.20 | $193.53 – $2,581.00 |
| Methodist Hospital of Sacramento | Sacramento | $743.33 | $193.53 – $2,142.23 |
| Providence Saint John's Health Center | Santa Monica | $347.90 | $1,487.00 – $9,891.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $238.04 – $416.09 |
| Petaluma Valley Hospital | Petaluma | not published | $1,687.00 – $1,687.00 |