Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$447.35
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.
$1,150.00
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.
$51.70 with United vs $9,971.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $51.70 | ↓ -88% |
| United | Medicaid|< 21 | $51.70 | ↓ -88% |
| Hill Physicians | Commercial|All Plans | $51.88 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $62.49 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $85.60 | ↓ -81% |
| Hill Physicians | Medicare|All Plans | $94.20 | ↓ -79% |
| Molina | Medicaid|All Plans | $106.80 | ↓ -76% |
| WCMG | Commercial|All Plans | $126.50 | ↓ -72% |
| Health Net | Medicaid|All Plans | $134.07 | ↓ -70% |
| California Health & Wellness | Medicaid|All Plans | $134.07 | ↓ -70% |
| Partnership Health Plan | Medicaid|All Plans | $193.72 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $402.50 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $471.50 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $856.00 | ↑ +91% |
| BCBS - Anthem | Medicare|All Other Plans | $858.17 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $862.50 | ↑ +93% |
| First Health | Commercial|All Plans | $862.50 | ↑ +93% |
| Kaiser | Commercial|All Plans | $908.50 | ↑ +103% |
| Blue Shield CA | Medicare|PPO | $910.04 | ↑ +103% |
| Kaiser | Medicare|All Plans | $910.04 | ↑ +103% |
| Humana | Commercial|All Plans | $910.04 | ↑ +103% |
| United | Medicare|All Plans | $910.04 | ↑ +103% |
| Blue Shield CA | Medicare|HMO | $910.04 | ↑ +103% |
| Aetna | Medicare|All Plans | $910.04 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $920.00 | ↑ +106% |
| BCBS - Anthem | Medicare|Imperial | $937.34 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $943.00 | ↑ +111% |
| Blue Shield CA | Commercial|Exchange | $1,077.00 | ↑ +141% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,090.00 | ↑ +144% |
| United | Commercial|Non-Options PPO | $1,150.00 | ↑ +157% |
| Blue Shield CA | Commercial|PPO Tandem | $1,576.00 | ↑ +252% |
| Blue Shield CA | Commercial|HMO | $1,598.00 | ↑ +257% |
| Blue Shield CA | Commercial|CalPers | $1,700.00 | ↑ +280% |
| Blue Shield CA | Commercial|All Other Plans | $1,877.00 | ↑ +320% |
| Health Net | Commercial|EPPO | $3,700.00 | ↑ +727% |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | ↑ +1174% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +1178% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +1178% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +1178% |
| Health Net | Commercial|FFS | $7,082.00 | ↑ +1483% |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | ↑ +1492% |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | ↑ +2129% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,106.83 | $63.59 – $1,617.30 |
| Petaluma Valley Hospital | Petaluma | $1,305.09 | $593.00 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,242.92 | $51.70 – $2,656.78 |
| French Hospital | San Luis Obispo | $1,022.73 | $51.70 – $1,919.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $264.90 | $51.70 – $714.00 |
| Bakersfield Memorial Hospital | Bakersfield | $262.04 | $51.70 – $714.00 |
| Queen of The Valley Medical Center | Napa | $2,007.36 | $1,002.25 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,347.17 | $907.88 – $8,018.00 |