Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$15,083.48
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.
$38,775.00
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.
$107.25 with WCMG vs $965.25 with BCBS - Anthem — 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 | $107.25 | ↓ -99% |
| Kaiser | Medicare|All Plans | $224.25 | ↓ -99% |
| Kaiser | Commercial|All Plans | $224.25 | ↓ -99% |
| Kaiser | Medicaid|All Plans | $224.25 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $234.00 | ↓ -98% |
| Partnership Health Plan | Medicaid|All Plans | $243.75 | ↓ -98% |
| Molina | Medicaid|All Plans | $253.50 | ↓ -98% |
| Health Net | Medicaid|All Plans | $282.75 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $282.75 | ↓ -98% |
| Health Net | Commercial|EPPO | $390.00 | ↓ -97% |
| Cigna | Commercial|LocalPlus | $390.00 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $516.75 | ↓ -97% |
| United | Commercial|Non-Options PPO | $624.00 | ↓ -96% |
| Western Health Advantage | Commercial|All Plans | $633.75 | ↓ -96% |
| United | Commercial|HMO | $643.50 | ↓ -96% |
| United | Commercial|All Other Plans | $663.00 | ↓ -96% |
| Blue Shield CA | Commercial|ACO Trio | $682.50 | ↓ -95% |
| Healthsmart | Commercial|All Plans | $731.25 | ↓ -95% |
| Health Net | Commercial|FFS | $731.25 | ↓ -95% |
| First Health | Commercial|All Plans | $731.25 | ↓ -95% |
| BCBS - Anthem | Commercial|Connection EPO | $770.25 | ↓ -95% |
| Sutter Health | Commercial|All Plans | $780.00 | ↓ -95% |
| MultiPlan | Commercial|All Plans | $799.50 | ↓ -95% |
| Blue Shield CA | Commercial|Exchange | $828.75 | ↓ -95% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $828.75 | ↓ -95% |
| Blue Shield CA | Commercial|HMO | $877.50 | ↓ -94% |
| Blue Shield CA | Commercial|All Other Plans | $877.50 | ↓ -94% |
| Blue Shield CA | Commercial|PPO Tandem | $877.50 | ↓ -94% |
| Blue Shield CA | Commercial|CalPers | $897.00 | ↓ -94% |
| Aetna | Commercial|PPO | $936.00 | ↓ -94% |
| Aetna | Commercial|All Other Plans | $936.00 | ↓ -94% |
| Aetna | Commercial|HMO | $936.00 | ↓ -94% |
| BCBS - Anthem | Commercial|MCS | $965.25 | ↓ -94% |
| BCBS - Anthem | Commercial|All Other Plans | $965.25 | ↓ -94% |
Visitor-reported prices
Comments
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,578.26 | $186.24 – $605.28 |
| Petaluma Valley Hospital | Petaluma | $45,440.26 | not published |
| Arroyo Grande Hospital | Santa Maria | $17,178.21 | $303.37 – $1,292.62 |
| Mark Twain Medical Center | San Andreas | $7,277.39 | $584.93 – $2,215.78 |
| French Hospital | San Luis Obispo | $15,733.32 | $250.61 – $1,292.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16,544.75 | $250.85 – $778.50 |
| Bakersfield Memorial Hospital | Bakersfield | $16,366.37 | $216.25 – $839.05 |
| Queen of The Valley Medical Center | Napa | $33,892.73 | not published |