Aspirate pleura without imaging 32554 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,453.31
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.
$3,736.00
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.
$85.02 with United vs $7,087.00 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 | $85.02 | ↓ -94% |
| United | Medicaid|> 21 | $85.02 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $86.36 | ↓ -94% |
| Hill Physicians | Medicaid|All Plans | $102.77 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $140.77 | ↓ -90% |
| Molina | Medicaid|All Plans | $175.65 | ↓ -88% |
| WCMG | Commercial|All Plans | $217.69 | ↓ -85% |
| Health Net | Medicaid|All Plans | $220.49 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $220.49 | ↓ -85% |
| Hill Physicians | Medicare|All Plans | $260.63 | ↓ -82% |
| Partnership Health Plan | Medicaid|All Plans | $318.59 | ↓ -78% |
| Western Health Advantage | Commercial|All Plans | $692.65 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↓ -47% |
| Kaiser | Medicaid|All Plans | $811.39 | ↓ -44% |
| Humana | Commercial|All Plans | $812.46 | ↓ -44% |
| Aetna | Medicare|All Plans | $812.46 | ↓ -44% |
| United | Medicare|All Plans | $812.46 | ↓ -44% |
| Kaiser | Medicare|All Plans | $812.46 | ↓ -44% |
| Blue Shield CA | Medicare|HMO | $812.46 | ↓ -44% |
| Blue Shield CA | Medicare|PPO | $812.46 | ↓ -44% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↓ -42% |
| First Health | Commercial|All Plans | $1,484.25 | ↑ +2% |
| Healthsmart | Commercial|All Plans | $1,484.25 | ↑ +2% |
| Kaiser | Commercial|All Plans | $1,563.41 | ↑ +8% |
| Sutter Health | Commercial|All Plans | $1,583.20 | ↑ +9% |
| MultiPlan | Commercial|All Plans | $1,622.78 | ↑ +12% |
| United | Commercial|Non-Options PPO | $1,979.00 | ↑ +36% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +91% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +140% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +143% |
| Health Net | Commercial|EPPO | $3,700.00 | ↑ +155% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +179% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +248% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +251% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +256% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +279% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +293% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +293% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +293% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +318% |
| Health Net | Commercial|FFS | $7,082.00 | ↑ +387% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +388% |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $580.35 | $104.57 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $976.14 | $845.36 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $2,108.56 | $63.13 – $239.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $619.20 | $85.02 – $1,335.20 |
| Bakersfield Memorial Hospital | Bakersfield | $612.53 | $85.02 – $1,318.51 |
| Queen of The Valley Medical Center | Napa | $4,047.87 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,978.73 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $2,204.22 | $845.19 – $3,982.87 |