Bx breast pq tomo guide at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$7,418.23
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.
$19,070.00
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.
$1,685.00 with BCBS - Anthem vs $19,070.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $1,685.00 | ↓ -77% |
| WCMG | Commercial|All Plans | $2,097.70 | ↓ -72% |
| Molina | Medicaid|All Plans | $2,504.00 | ↓ -66% |
| Blue Shield CA | Commercial|ACO Trio | $3,708.00 | ↓ -50% |
| Blue Shield CA | Commercial|Exchange | $4,667.00 | ↓ -37% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,725.00 | ↓ -36% |
| BCBS - Anthem | Medicare|All Other Plans | $4,745.23 | ↓ -36% |
| Kaiser | Medicare|All Plans | $5,032.06 | ↓ -32% |
| Aetna | Medicare|All Plans | $5,032.06 | ↓ -32% |
| United | Medicare|All Plans | $5,032.06 | ↓ -32% |
| Humana | Commercial|All Plans | $5,032.06 | ↓ -32% |
| Blue Shield CA | Medicare|HMO | $5,032.06 | ↓ -32% |
| Blue Shield CA | Medicare|PPO | $5,032.06 | ↓ -32% |
| BCBS - Anthem | Medicare|Imperial | $5,183.02 | ↓ -30% |
| Aetna | Commercial|HMO | $5,717.00 | ↓ -23% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↓ -23% |
| Aetna | Commercial|PPO | $5,717.00 | ↓ -23% |
| Health Net | Commercial|EPPO | $6,554.00 | ↓ -12% |
| Western Health Advantage | Commercial|All Plans | $6,674.50 | ↓ -10% |
| Blue Shield CA | Commercial|PPO Tandem | $6,831.00 | ↓ -8% |
| Blue Shield CA | Commercial|HMO | $6,923.00 | ↓ -7% |
| Blue Shield CA | Commercial|CalPers | $7,368.00 | ↓ -1% |
| Kaiser | Medicaid|All Plans | $7,818.70 | ↑ +5% |
| Blue Shield CA | Commercial|All Other Plans | $8,133.00 | ↑ +10% |
| Health Net | Medicaid|All Plans | $9,535.00 | ↑ +29% |
| California Health & Wellness | Medicaid|All Plans | $9,535.00 | ↑ +29% |
| Health Net | Commercial|FFS | $12,547.00 | ↑ +69% |
| First Health | Commercial|All Plans | $14,302.50 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $14,302.50 | ↑ +93% |
| Kaiser | Commercial|All Plans | $15,065.30 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $15,256.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $15,637.40 | ↑ +111% |
| United | Commercial|Non-Options PPO | $19,070.00 | ↑ +157% |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,714.40 | $1,247.67 – $4,621.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,695.91 | $1,218.24 – $4,512.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,708.41 | $305.13 – $1,453.00 |
| Mercy Medical Center Merced | Merced | $4,576.81 | $1,262.58 – $3,826.00 |
| California Hospital Medical Center | Los Angeles | $6,331.68 | $3,263.75 – $10,313.45 |
| Mercy San Juan Medical Center | Carmichael | $5,225.18 | $2,097.70 – $15,828.10 |
| Mercy General Hospital | Sacramento | $4,157.26 | $4,745.23 – $19,070.00 |
| Woodland Memorial Hospital | Woodland | $5,225.18 | $2,097.70 – $19,070.00 |