Cardiac shunt imaging at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,803.02
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.
$4,635.00
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.
$150.67 with Hill Physicians vs $3,800.70 with MultiPlan — 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 | $150.67 | ↓ -92% |
| Hill Physicians | Medicare|All Plans | $203.80 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $206.51 | ↓ -89% |
| Aetna | Commercial|PPO | $487.39 | ↓ -73% |
| Aetna | Commercial|All Other Plans | $487.39 | ↓ -73% |
| Aetna | Commercial|HMO | $487.39 | ↓ -73% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↓ -72% |
| WCMG | Commercial|All Plans | $509.85 | ↓ -72% |
| Humana | Commercial|All Plans | $528.04 | ↓ -71% |
| Aetna | Medicare|All Plans | $528.04 | ↓ -71% |
| United | Medicare|All Plans | $528.04 | ↓ -71% |
| Kaiser | Medicare|All Plans | $528.04 | ↓ -71% |
| Blue Shield CA | Medicare|HMO | $528.04 | ↓ -71% |
| Blue Shield CA | Medicare|PPO | $528.04 | ↓ -71% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↓ -70% |
| BCBS - Anthem | Commercial|Connection EPO | $842.62 | ↓ -53% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -53% |
| United | Commercial|HMO | $848.52 | ↓ -53% |
| United | Commercial|All Other Plans | $848.52 | ↓ -53% |
| BCBS - Anthem | Commercial|All Other Plans | $1,053.75 | ↓ -42% |
| BCBS - Anthem | Commercial|MCS | $1,475.06 | ↓ -18% |
| Cigna | Commercial|LocalPlus | $1,523.13 | ↓ -16% |
| Western Health Advantage | Commercial|All Plans | $1,622.25 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $1,900.35 | ↑ +5% |
| Cigna | Commercial|All Other Plans | $2,030.99 | ↑ +13% |
| Health Net | Medicaid|All Plans | $2,317.50 | ↑ +29% |
| California Health & Wellness | Medicaid|All Plans | $2,317.50 | ↑ +29% |
| First Health | Commercial|All Plans | $3,476.25 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $3,476.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $3,661.65 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $3,708.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $3,800.70 | ↑ +111% |
Visitor-reported prices
Comments
Cardiac shunt imaging at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $430.56 | $265.41 – $1,824.90 |
| Mark Twain Medical Center | San Andreas | $2,770.56 | $507.06 – $1,920.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $364.70 | $491.50 – $1,976.45 |
| Bakersfield Memorial Hospital | Bakersfield | $360.77 | $143.47 – $1,976.45 |
| St. Joseph's Medical Center Stockton | Stockton | $280.77 | $111.51 – $531.00 |
| Mercy Medical Center Merced | Merced | $573.20 | $124.99 – $511.00 |
| Dominican Hospital | Santa Cruz | $980.10 | $552.06 – $6,158.70 |
| California Hospital Medical Center | Los Angeles | $1,930.30 | $135.86 – $3,144.20 |