Cadd pump refill at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$263.75
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.
$678.00
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.
$13.22 with United vs $678.00 with Aetna — 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $13.22 | ↓ -95% |
| United | Medicaid|< 21 | $13.22 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $14.54 | ↓ -94% |
| Molina | Medicaid|All Plans | $24.85 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $31.20 | ↓ -88% |
| Health Net | Medicaid|All Plans | $31.20 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $31.41 | ↓ -88% |
| Partnership Health Plan | Medicaid|All Plans | $71.08 | ↓ -73% |
| WCMG | Commercial|All Plans | $74.58 | ↓ -72% |
| Hill Physicians | Commercial|All Plans | $130.01 | ↓ -51% |
| Hill Physicians | Medicare|All Plans | $163.08 | ↓ -38% |
| Western Health Advantage | Commercial|All Plans | $237.30 | ↓ -10% |
| BCBS - Anthem | Medicare|All Other Plans | $261.09 | ↓ -1% |
| Kaiser | Medicare|All Plans | $276.87 | ↑ +5% |
| Aetna | Medicare|All Plans | $276.87 | ↑ +5% |
| United | Medicare|All Plans | $276.87 | ↑ +5% |
| Humana | Commercial|All Plans | $276.87 | ↑ +5% |
| Blue Shield CA | Medicare|HMO | $276.87 | ↑ +5% |
| Blue Shield CA | Medicare|PPO | $276.87 | ↑ +5% |
| Kaiser | Medicaid|All Plans | $277.98 | ↑ +5% |
| BCBS - Anthem | Medicare|Imperial | $285.18 | ↑ +8% |
| Blue Shield CA | Commercial|ACO Trio | $332.22 | ↑ +26% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $427.14 | ↑ +62% |
| Blue Shield CA | Commercial|Exchange | $433.92 | ↑ +65% |
| Cigna | Commercial|LocalPlus | $447.48 | ↑ +70% |
| United | Commercial|Non-Options PPO | $465.00 | ↑ +76% |
| Healthsmart | Commercial|All Plans | $508.50 | ↑ +93% |
| First Health | Commercial|All Plans | $508.50 | ↑ +93% |
| Blue Shield CA | Commercial|PPO Tandem | $522.06 | ↑ +98% |
| Kaiser | Commercial|All Plans | $535.62 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $542.40 | ↑ +106% |
| United | Commercial|HMO | $544.00 | ↑ +106% |
| United | Commercial|All Other Plans | $549.00 | ↑ +108% |
| MultiPlan | Commercial|All Plans | $555.96 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $596.64 | ↑ +126% |
| Blue Shield CA | Commercial|All Other Plans | $610.20 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $610.20 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $623.76 | ↑ +136% |
| Aetna | Commercial|All Other Plans | $678.00 | ↑ +157% |
| Aetna | Commercial|PPO | $678.00 | ↑ +157% |
| Aetna | Commercial|HMO | $678.00 | ↑ +157% |
Visitor-reported prices
Comments
Cadd pump refill at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $476.11 | $20.00 – $1,951.00 |
| Arroyo Grande Hospital | Santa Maria | $320.15 | $13.22 – $999.00 |
| Mark Twain Medical Center | San Andreas | $276.39 | $13.22 – $406.70 |
| French Hospital | San Luis Obispo | $293.22 | $13.22 – $1,654.00 |
| Bakersfield Memorial Hospital | Bakersfield | $229.01 | $13.22 – $12,607.00 |
| Queen of The Valley Medical Center | Napa | $459.51 | $302.01 – $302.01 |
| Providence St Joseph Hospital Eureka | Eureka | $275.40 | $273.57 – $273.57 |
| Redwood Memorial Hospital | Fortuna | $371.28 | not published |