Athrectomy tib/pero/unilat/ini ves 37229 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$14,078.69
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.
$36,192.00
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.
$613.18 with United vs $32,537.00 with Health Net — 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 | $613.18 | ↓ -96% |
| United | Medicaid|< 21 | $613.18 | ↓ -96% |
| Hill Physicians | Commercial|All Plans | $647.48 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $674.50 | ↓ -95% |
| Molina | Medicaid|All Plans | $1,152.78 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $1,165.18 | ↓ -92% |
| WCMG | Commercial|All Plans | $1,300.53 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $1,447.10 | ↓ -90% |
| Health Net | Medicaid|All Plans | $1,447.10 | ↓ -90% |
| Partnership Health Plan | Medicaid|All Plans | $2,636.67 | ↓ -81% |
| Western Health Advantage | Commercial|All Plans | $4,138.05 | ↓ -71% |
| Kaiser | Medicaid|All Plans | $4,847.43 | ↓ -66% |
| Blue Shield CA | Commercial|ACO Trio | $5,241.00 | ↓ -63% |
| Blue Shield CA | Commercial|Exchange | $6,595.00 | ↓ -53% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6,677.00 | ↓ -53% |
| First Health | Commercial|All Plans | $8,867.25 | ↓ -37% |
| Healthsmart | Commercial|All Plans | $8,867.25 | ↓ -37% |
| Kaiser | Commercial|All Plans | $9,340.17 | ↓ -34% |
| Sutter Health | Commercial|All Plans | $9,458.40 | ↓ -33% |
| Blue Shield CA | Commercial|PPO Tandem | $9,653.00 | ↓ -31% |
| MultiPlan | Commercial|All Plans | $9,694.86 | ↓ -31% |
| Blue Shield CA | Commercial|HMO | $9,783.00 | ↓ -31% |
| Blue Shield CA | Commercial|CalPers | $10,413.00 | ↓ -26% |
| BCBS - Anthem | Commercial|Connection EPO | $10,566.00 | ↓ -25% |
| BCBS - Anthem | Medicare|All Other Plans | $11,149.09 | ↓ -21% |
| Aetna | Commercial|All Other Plans | $11,438.00 | ↓ -19% |
| Aetna | Commercial|PPO | $11,438.00 | ↓ -19% |
| Aetna | Commercial|HMO | $11,438.00 | ↓ -19% |
| Blue Shield CA | Commercial|All Other Plans | $11,494.00 | ↓ -18% |
| United | Commercial|Non-Options PPO | $11,823.00 | ↓ -16% |
| Humana | Commercial|All Plans | $11,823.00 | ↓ -16% |
| Blue Shield CA | Medicare|PPO | $11,823.00 | ↓ -16% |
| Aetna | Medicare|All Plans | $11,823.00 | ↓ -16% |
| Hill Physicians | Medicare|All Plans | $11,823.00 | ↓ -16% |
| BCBS - Anthem | Medicare|Imperial | $12,177.69 | ↓ -14% |
| BCBS - Anthem | Commercial|All Other Plans | $13,207.00 | ↓ -6% |
| Health Net | Commercial|EPPO | $16,995.00 | ↑ +21% |
| BCBS - Anthem | Commercial|MCS | $18,490.00 | ↑ +31% |
| Blue Shield CA | Medicare|HMO | $23,596.93 | ↑ +68% |
| Kaiser | Medicare|All Plans | $23,596.93 | ↑ +68% |
| United | Medicare|All Plans | $23,596.93 | ↑ +68% |
| Health Net | Commercial|FFS | $32,537.00 | ↑ +131% |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $18,189.27 | $927.68 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $14,930.78 | $613.18 – $34,187.30 |
| French Hospital | San Luis Obispo | $13,674.92 | $613.18 – $34,025.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $613.18 – $33,664.00 |
| Bakersfield Memorial Hospital | Bakersfield | $15,443.36 | $613.18 – $33,243.20 |
| Queen of The Valley Medical Center | Napa | $25,453.59 | $9,256.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $11,036.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,303.80 | $0.80 – $18,829.00 |