Bx spinal cord pq ndl at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$260.96 with Hill Physicians vs $10,369.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $260.96 | — |
| Hill Physicians | Medicare|All Plans | $272.31 | — |
| United | Medicaid|> 21 | $427.22 | — |
| United | Medicaid|< 21 | $427.22 | — |
| Hill Physicians | Medicaid|All Plans | $740.80 | — |
| BCBS - Anthem | Medicaid|All Plans | $1,014.66 | — |
| Molina | Medicaid|All Plans | $1,266.09 | — |
| California Health & Wellness | Medicaid|All Plans | $1,589.34 | — |
| Health Net | Medicaid|All Plans | $1,589.34 | — |
| BCBS - Anthem | Medicare|All Other Plans | $2,007.80 | — |
| Kaiser | Medicare|All Plans | $2,129.16 | — |
| Aetna | Medicare|All Plans | $2,129.16 | — |
| Blue Shield CA | Medicare|PPO | $2,129.16 | — |
| United | Medicare|All Plans | $2,129.16 | — |
| Blue Shield CA | Medicare|HMO | $2,129.16 | — |
| Humana | Commercial|All Plans | $2,129.16 | — |
| BCBS - Anthem | Medicare|Imperial | $2,193.03 | — |
| Partnership Health Plan | Medicaid|All Plans | $2,296.32 | — |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | — |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | — |
| Blue Shield CA | Commercial|HMO | $5,173.00 | — |
| Health Net | Commercial|EPPO | $5,416.00 | — |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | — |
| Aetna | Commercial|HMO | $5,717.00 | — |
| Aetna | Commercial|All Other Plans | $5,717.00 | — |
| Aetna | Commercial|PPO | $5,717.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | — |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | — |
| Health Net | Commercial|FFS | $10,369.00 | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Bx spinal cord pq ndl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital Eureka | Eureka | $2,665.26 | $2,124.23 – $9,858.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,642.82 | $2,238.00 – $4,737.00 |
| California Hospital Medical Center | Los Angeles | $1,151.88 | $427.22 – $3,367.25 |
| Providence Saint Joseph Medical Center | Burbank | $2,481.50 | $1,142.00 – $3,929.83 |
| Providence Holy Cross Medical Center | Mission Hills | $2,481.50 | $1,142.00 – $7,309.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $525.48 – $3,763.88 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $427.22 – $2,058.68 |