Blood count spun microhematocrit at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$17.51
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.
$45.00
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.
$2.03 with Partnership Health Plan vs $45.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $2.03 | ↓ -88% |
| United | Medicaid|> 21 | $2.91 | ↓ -83% |
| United | Medicaid|< 21 | $2.91 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $3.20 | ↓ -82% |
| WCMG | Commercial|All Plans | $4.95 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $5.02 | ↓ -71% |
| Molina | Medicaid|All Plans | $5.47 | ↓ -69% |
| BCBS - Anthem | Medicare|All Other Plans | $6.60 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $6.87 | ↓ -61% |
| Health Net | Medicaid|All Plans | $6.87 | ↓ -61% |
| United | Medicare|All Plans | $7.00 | ↓ -60% |
| Aetna | Medicare|All Plans | $7.00 | ↓ -60% |
| Humana | Commercial|All Plans | $7.00 | ↓ -60% |
| Kaiser | Medicare|All Plans | $7.00 | ↓ -60% |
| Blue Shield CA | Medicare|HMO | $7.00 | ↓ -60% |
| Blue Shield CA | Medicare|PPO | $7.00 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $7.00 | ↓ -60% |
| Hill Physicians | Medicare|All Plans | $7.00 | ↓ -60% |
| BCBS - Anthem | Medicare|Imperial | $7.21 | ↓ -59% |
| United | Commercial|Non-Options PPO | $8.40 | ↓ -52% |
| United | Commercial|All Other Plans | $8.40 | ↓ -52% |
| United | Commercial|HMO | $8.40 | ↓ -52% |
| Cigna | Commercial|LocalPlus | $15.50 | ↓ -11% |
| Western Health Advantage | Commercial|All Plans | $15.75 | ↓ -10% |
| Aetna | Commercial|HMO | $16.23 | ↓ -7% |
| Aetna | Commercial|All Other Plans | $16.23 | ↓ -7% |
| Aetna | Commercial|PPO | $16.23 | ↓ -7% |
| Kaiser | Medicaid|All Plans | $18.45 | ↑ +5% |
| Cigna | Commercial|All Other Plans | $20.67 | ↑ +18% |
| Blue Shield CA | Commercial|ACO Trio | $24.75 | ↑ +41% |
| BCBS - Anthem | Commercial|Connection EPO | $30.82 | ↑ +76% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $31.95 | ↑ +82% |
| Blue Shield CA | Commercial|Exchange | $32.40 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $33.75 | ↑ +93% |
| First Health | Commercial|All Plans | $33.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $35.55 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $36.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $36.90 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $38.54 | ↑ +120% |
| Blue Shield CA | Commercial|PPO Tandem | $39.15 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $40.50 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $40.50 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $41.40 | ↑ +136% |
| BCBS - Anthem | Commercial|MCS | $45.00 | ↑ +157% |
Visitor-reported prices
Comments
Blood count spun microhematocrit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $50.83 | $2.85 – $20.12 |
| Bakersfield Memorial Hospital | Bakersfield | $50.28 | $2.85 – $20.12 |
| St. Joseph's Behavioral Health Center | Stockton | $78.23 | $7.00 – $109.60 |
| St. Joseph's Medical Center Stockton | Stockton | $40.58 | $2.91 – $113.16 |
| Mercy Medical Center Merced | Merced | $75.71 | $2.91 – $138.18 |
| Sequoia Hospital | Redwood City | $4.01 | $2.42 – $24.37 |
| Mercy San Juan Medical Center | Carmichael | $12.33 | $2.03 – $37.35 |
| Mercy Medical Center Redding | Redding | $12.17 | $2.03 – $23.52 |