Bilateral n blobk inj pudendal 64430 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$134.99
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.
$347.00
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.
$38.17 with WCMG vs $8,570.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $38.17 | ↓ -72% |
| Hill Physicians | Commercial|All Plans | $55.25 | ↓ -59% |
| United | Medicaid|> 21 | $80.31 | ↓ -41% |
| United | Medicaid|< 21 | $80.31 | ↓ -41% |
| Hill Physicians | Medicare|All Plans | $103.99 | ↓ -23% |
| Western Health Advantage | Commercial|All Plans | $121.45 | ↓ -10% |
| Hill Physicians | Medicaid|All Plans | $139.27 | ↑ +3% |
| Kaiser | Medicaid|All Plans | $142.27 | ↑ +5% |
| BCBS - Anthem | Medicaid|All Plans | $190.74 | ↑ +41% |
| Molina | Medicaid|All Plans | $238.03 | ↑ +76% |
| Healthsmart | Commercial|All Plans | $260.25 | ↑ +93% |
| First Health | Commercial|All Plans | $260.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $274.13 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $277.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $284.54 | ↑ +111% |
| Health Net | Medicaid|All Plans | $298.80 | ↑ +121% |
| California Health & Wellness | Medicaid|All Plans | $298.80 | ↑ +121% |
| BCBS - Anthem | Medicare|All Other Plans | $327.23 | ↑ +142% |
| Blue Shield CA | Medicare|PPO | $347.00 | ↑ +157% |
| Aetna | Medicare|All Plans | $347.00 | ↑ +157% |
| Humana | Commercial|All Plans | $347.00 | ↑ +157% |
| United | Commercial|Non-Options PPO | $347.00 | ↑ +157% |
| Partnership Health Plan | Medicaid|All Plans | $347.00 | ↑ +157% |
| BCBS - Anthem | Medicare|Imperial | $357.41 | ↑ +165% |
| Blue Shield CA | Medicare|HMO | $1,169.93 | ↑ +767% |
| United | Medicare|All Plans | $1,169.93 | ↑ +767% |
| Kaiser | Medicare|All Plans | $1,169.93 | ↑ +767% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +1953% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +2483% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +2516% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +2900% |
| Health Net | Commercial|EPPO | $4,476.00 | ↑ +3216% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +3650% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +3681% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +3732% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +3979% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +4135% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +4135% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +4135% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +4403% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +5150% |
| Health Net | Commercial|FFS | $8,570.00 | ↑ +6249% |
Visitor-reported prices
Comments
Bilateral n blobk inj pudendal 64430 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,725.84 | $1,191.92 – $2,695.00 |
| Queen of The Valley Medical Center | Napa | $2,962.59 | $1,255.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,929.84 | $1,137.58 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,047.03 | $1,191.69 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,139.85 | $5,981.00 – $20,799.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,523.81 | $80.31 – $2,177.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,845.69 | $1,230.71 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,874.40 | $966.94 – $5,171.00 |