Chemo adm cns w/lmbr punct at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$724.32
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.
$1,862.00
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.
$76.70 with Hill Physicians vs $14,317.00 with Cigna — 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 | $76.70 | ↓ -89% |
| United | Medicaid|< 21 | $149.91 | ↓ -79% |
| United | Medicaid|> 21 | $149.91 | ↓ -79% |
| Hill Physicians | Medicare|All Plans | $192.43 | ↓ -73% |
| WCMG | Commercial|All Plans | $204.82 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $261.44 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $356.04 | ↓ -51% |
| BCBS - Anthem | Medicare|All Other Plans | $411.03 | ↓ -43% |
| United | Medicare|All Plans | $435.87 | ↓ -40% |
| Aetna | Medicare|All Plans | $435.87 | ↓ -40% |
| Humana | Commercial|All Plans | $435.87 | ↓ -40% |
| Kaiser | Medicare|All Plans | $435.87 | ↓ -40% |
| Blue Shield CA | Medicare|HMO | $435.87 | ↓ -40% |
| Blue Shield CA | Medicare|PPO | $435.87 | ↓ -40% |
| Molina | Medicaid|All Plans | $446.82 | ↓ -38% |
| BCBS - Anthem | Medicare|Imperial | $448.95 | ↓ -38% |
| California Health & Wellness | Medicaid|All Plans | $560.90 | ↓ -23% |
| Health Net | Medicaid|All Plans | $560.90 | ↓ -23% |
| Aetna | Commercial|HMO | $620.88 | ↓ -14% |
| Aetna | Commercial|All Other Plans | $620.88 | ↓ -14% |
| Aetna | Commercial|PPO | $620.88 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $651.70 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $763.42 | ↑ +5% |
| Partnership Health Plan | Medicaid|All Plans | $805.78 | ↑ +11% |
| Blue Shield CA | Commercial|ACO Trio | $912.38 | ↑ +26% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,173.06 | ↑ +62% |
| Blue Shield CA | Commercial|Exchange | $1,191.68 | ↑ +65% |
| First Health | Commercial|All Plans | $1,396.50 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $1,396.50 | ↑ +93% |
| United | Commercial|All Other Plans | $1,403.00 | ↑ +94% |
| Blue Shield CA | Commercial|PPO Tandem | $1,433.74 | ↑ +98% |
| United | Commercial|HMO | $1,450.00 | ↑ +100% |
| Kaiser | Commercial|All Plans | $1,470.98 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $1,489.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,526.84 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $1,638.56 | ↑ +126% |
| Blue Shield CA | Commercial|All Other Plans | $1,675.80 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $1,675.80 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $1,713.04 | ↑ +137% |
| BCBS - Anthem | Commercial|Connection EPO | $1,862.00 | ↑ +157% |
| United | Commercial|Non-Options PPO | $1,862.00 | ↑ +157% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +322% |
| BCBS - Anthem | Commercial|All Other Plans | $5,400.00 | ↑ +646% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +708% |
| BCBS - Anthem | Commercial|MCS | $7,560.00 | ↑ +944% |
| Cigna | Commercial|LocalPlus | $14,317.00 | ↑ +1877% |
Visitor-reported prices
Comments
Chemo adm cns w/lmbr punct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $425.74 | $108.73 – $834.88 |
| Arroyo Grande Hospital | Santa Maria | $1,228.79 | $149.91 – $11,311.00 |
| Mark Twain Medical Center | San Andreas | $453.55 | $149.91 – $667.38 |
| French Hospital | San Luis Obispo | $984.32 | $149.91 – $9,050.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $322.77 | $149.91 – $843.90 |
| Bakersfield Memorial Hospital | Bakersfield | $310.12 | $149.91 – $796.37 |
| Providence St Joseph Hospital Eureka | Eureka | $428.91 | $424.83 – $1,333.00 |
| St. Joseph's Medical Center Stockton | Stockton | $271.07 | $97.02 – $1,266.00 |