Biopsy muscle percutaneous needle at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,402.35
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.
$3,605.00
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.
$58.11 with Hill Physicians vs $10,369.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $58.11 | ↓ -96% |
| United | Medicaid|> 21 | $75.62 | ↓ -95% |
| United | Medicaid|< 21 | $75.62 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $131.12 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $179.61 | ↓ -87% |
| Molina | Medicaid|All Plans | $224.10 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $265.07 | ↓ -81% |
| Health Net | Medicaid|All Plans | $281.31 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $281.31 | ↓ -80% |
| WCMG | Commercial|All Plans | $380.71 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $406.47 | ↓ -71% |
| Western Health Advantage | Commercial|All Plans | $1,211.35 | ↓ -14% |
| Kaiser | Medicaid|All Plans | $1,419.01 | ↑ +1% |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | ↑ +43% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +52% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +52% |
| United | Medicare|All Plans | $2,129.16 | ↑ +52% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +52% |
| Blue Shield CA | Medicare|HMO | $2,129.16 | ↑ +52% |
| Blue Shield CA | Medicare|PPO | $2,129.16 | ↑ +52% |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $2,595.75 | ↑ +85% |
| First Health | Commercial|All Plans | $2,595.75 | ↑ +85% |
| Kaiser | Commercial|All Plans | $2,734.19 | ↑ +95% |
| Sutter Health | Commercial|All Plans | $2,768.80 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $2,838.02 | ↑ +102% |
| United | Commercial|Non-Options PPO | $3,461.00 | ↑ +147% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +149% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +152% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +189% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +261% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +264% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +269% |
| Health Net | Commercial|EPPO | $5,416.00 | ↑ +286% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +293% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +308% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +308% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +308% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +333% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +405% |
| Health Net | Commercial|FFS | $10,369.00 | ↑ +639% |
Visitor-reported prices
Comments
Biopsy muscle percutaneous needle at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $93.01 – $3,763.88 |
| Banner Lassen Medical Center | Susanville | $1,014.25 | $108.73 – $1,884.71 |
| Petaluma Valley Hospital | Petaluma | $3,014.10 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $75.62 – $2,822.40 |
| Mark Twain Medical Center | San Andreas | $1,374.63 | $75.62 – $884.94 |
| French Hospital | San Luis Obispo | $1,901.60 | $75.62 – $2,723.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,719.22 | $75.62 – $3,707.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,700.68 | $75.62 – $3,660.86 |