Change g-tube to g-j perc at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,872.26
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.
$4,813.00
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.
$142.35 with Hill Physicians vs $10,369.00 with Health Net — 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 | $142.35 | ↓ -92% |
| WCMG | Commercial|All Plans | $506.99 | ↓ -73% |
| United | Medicaid|> 21 | $912.51 | ↓ -51% |
| United | Medicaid|< 21 | $912.51 | ↓ -51% |
| Hill Physicians | Medicare|All Plans | $977.08 | ↓ -48% |
| Hill Physicians | Medicaid|All Plans | $1,003.76 | ↓ -46% |
| Western Health Advantage | Commercial|All Plans | $1,613.15 | ↓ -14% |
| Molina | Medicaid|All Plans | $1,715.52 | ↓ -8% |
| BCBS - Anthem | Medicaid|All Plans | $1,733.77 | ↓ -7% |
| Kaiser | Medicaid|All Plans | $1,889.69 | ↑ +1% |
| California Health & Wellness | Medicaid|All Plans | $2,153.52 | ↑ +15% |
| Health Net | Medicaid|All Plans | $2,153.52 | ↑ +15% |
| BCBS - Anthem | Medicare|All Other Plans | $2,350.74 | ↑ +26% |
| Humana | Commercial|All Plans | $2,492.83 | ↑ +33% |
| Aetna | Medicare|All Plans | $2,492.83 | ↑ +33% |
| United | Medicare|All Plans | $2,492.83 | ↑ +33% |
| Kaiser | Medicare|All Plans | $2,492.83 | ↑ +33% |
| Blue Shield CA | Medicare|HMO | $2,492.83 | ↑ +33% |
| Blue Shield CA | Medicare|PPO | $2,492.83 | ↑ +33% |
| BCBS - Anthem | Medicare|Imperial | $2,567.61 | ↑ +37% |
| Healthsmart | Commercial|All Plans | $3,456.75 | ↑ +85% |
| First Health | Commercial|All Plans | $3,456.75 | ↑ +85% |
| Kaiser | Commercial|All Plans | $3,641.11 | ↑ +94% |
| Sutter Health | Commercial|All Plans | $3,687.20 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio | $3,708.00 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $3,779.38 | ↑ +102% |
| Partnership Health Plan | Medicaid|All Plans | $3,923.79 | ↑ +110% |
| United | Commercial|Non-Options PPO | $4,609.00 | ↑ +146% |
| Blue Shield CA | Commercial|Exchange | $4,667.00 | ↑ +149% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,725.00 | ↑ +152% |
| Health Net | Commercial|EPPO | $5,416.00 | ↑ +189% |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | ↑ +204% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +205% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +205% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +205% |
| Blue Shield CA | Commercial|PPO Tandem | $6,831.00 | ↑ +265% |
| Blue Shield CA | Commercial|HMO | $6,923.00 | ↑ +270% |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | ↑ +280% |
| Blue Shield CA | Commercial|CalPers | $7,368.00 | ↑ +294% |
| Blue Shield CA | Commercial|All Other Plans | $8,133.00 | ↑ +334% |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | ↑ +433% |
| Health Net | Commercial|FFS | $10,369.00 | ↑ +454% |
Visitor-reported prices
Comments
Change g-tube to g-j perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $996.89 | $614.52 – $4,371.40 |
| Arroyo Grande Hospital | Santa Maria | $1,903.32 | $912.51 – $3,656.38 |
| French Hospital | San Luis Obispo | $1,731.08 | $912.51 – $3,656.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,652.07 | $912.51 – $3,562.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,634.26 | $912.51 – $3,517.87 |
| St. Joseph's Medical Center Stockton | Stockton | $1,782.53 | $636.72 – $2,691.45 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,340.10 | $2,670.09 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,991.36 | $2,097.83 – $6,920.00 |