Alcohol/subs interv >30 min at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$80.92
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.
$208.00
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.
$22.88 with WCMG vs $6,353.00 with United — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $22.88 | ↓ -72% |
| Hill Physicians | Commercial|All Plans | $62.70 | ↓ -23% |
| Hill Physicians | Medicare|All Plans | $69.24 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $72.80 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $85.28 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $108.16 | ↑ +34% |
| BCBS - Anthem | Medicaid|All Plans | $115.16 | ↑ +42% |
| Cigna | Commercial|LocalPlus | $137.28 | ↑ +70% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $139.36 | ↑ +72% |
| First Health | Commercial|All Plans | $156.00 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $156.00 | ↑ +93% |
| Blue Shield CA | Commercial|Exchange | $158.08 | ↑ +95% |
| Kaiser | Commercial|All Plans | $164.32 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $166.40 | ↑ +106% |
| Blue Shield CA | Commercial|PPO Tandem | $170.56 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $170.56 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $183.04 | ↑ +126% |
| Blue Shield CA | Commercial|HMO | $187.20 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $187.20 | ↑ +131% |
| Aetna | Commercial|All Other Plans | $189.28 | ↑ +134% |
| Aetna | Commercial|HMO | $189.28 | ↑ +134% |
| Aetna | Commercial|PPO | $189.28 | ↑ +134% |
| Blue Shield CA | Commercial|CalPers | $191.36 | ↑ +136% |
| BCBS - Anthem | Medicare|All Other Plans | $196.15 | ↑ +142% |
| Blue Shield CA | Medicare|PPO | $208.00 | ↑ +157% |
| Aetna | Medicare|All Plans | $208.00 | ↑ +157% |
| Humana | Commercial|All Plans | $208.00 | ↑ +157% |
| Kaiser | Medicare|All Plans | $211.14 | ↑ +161% |
| Blue Shield CA | Medicare|HMO | $211.14 | ↑ +161% |
| United | Medicare|All Plans | $211.14 | ↑ +161% |
| BCBS - Anthem | Medicare|Imperial | $214.24 | ↑ +165% |
| California Health & Wellness | Medicaid|All Plans | $343.00 | ↑ +324% |
| Health Net | Medicaid|All Plans | $343.00 | ↑ +324% |
| United | Commercial|HMO | $4,149.00 | ↑ +5027% |
| United | Commercial|Non-Options PPO | $5,385.00 | ↑ +6555% |
| United | Commercial|All Other Plans | $6,353.00 | ↑ +7751% |
Visitor-reported prices
Comments
Alcohol/subs interv >30 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $197.31 | $204.15 – $451.78 |
| French Hospital | San Luis Obispo | $180.72 | $124.47 – $451.78 |
| Dominican Hospital | Santa Cruz | $283.50 | $220.74 – $690.92 |
| Northridge Hospital Medical Center | Northridge | $117.46 | $80.61 – $421.00 |
| California Hospital Medical Center | Los Angeles | $202.73 | $75.76 – $330.22 |
| St. Mary Medical Center | Long Beach | $203.82 | $60.61 – $474.00 |
| Community Hospital San Bernardino | San Bernardino | $207.63 | $90.92 – $531.00 |
| Glendale Memorial Hospital Health Center | Glendale | $100.74 | $75.77 – $255.19 |