Coronary angio/cath placement bypass graft/lv gram/lt heart at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$17,447.82
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.
$44,853.00
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.
$833.64 with Hill Physicians vs $44,853.00 with United — 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 | $833.64 | ↓ -95% |
| United | Medicaid|< 21 | $1,203.26 | ↓ -93% |
| United | Medicaid|> 21 | $1,203.26 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $1,295.64 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $1,462.88 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $1,992.28 | ↓ -89% |
| Molina | Medicaid|All Plans | $2,500.19 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $3,138.54 | ↓ -82% |
| Health Net | Medicaid|All Plans | $3,138.54 | ↓ -82% |
| BCBS - Anthem | Medicare|All Other Plans | $3,985.76 | ↓ -77% |
| United | Medicare|All Plans | $4,226.68 | ↓ -76% |
| Humana | Commercial|All Plans | $4,226.68 | ↓ -76% |
| Aetna | Medicare|All Plans | $4,226.68 | ↓ -76% |
| Kaiser | Medicare|All Plans | $4,226.68 | ↓ -76% |
| Blue Shield CA | Medicare|PPO | $4,226.68 | ↓ -76% |
| Blue Shield CA | Medicare|HMO | $4,226.68 | ↓ -76% |
| BCBS - Anthem | Medicare|Imperial | $4,353.48 | ↓ -75% |
| Partnership Health Plan | Medicaid|All Plans | $4,508.85 | ↓ -74% |
| WCMG | Commercial|All Plans | $4,933.83 | ↓ -72% |
| Health Net | Commercial|EPPO | $6,554.00 | ↓ -62% |
| Blue Shield CA | Commercial|ACO Trio | $8,272.00 | ↓ -53% |
| Blue Shield CA | Commercial|Exchange | $10,411.00 | ↓ -40% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,540.00 | ↓ -40% |
| Health Net | Commercial|FFS | $12,547.00 | ↓ -28% |
| Blue Shield CA | Commercial|PPO Tandem | $15,238.00 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $15,443.00 | ↓ -11% |
| Western Health Advantage | Commercial|All Plans | $15,698.55 | ↓ -10% |
| Blue Shield CA | Commercial|CalPers | $16,437.00 | ↓ -6% |
| Blue Shield CA | Commercial|All Other Plans | $18,143.00 | ↑ +4% |
| Aetna | Commercial|All Other Plans | $18,293.00 | ↑ +5% |
| Aetna | Commercial|PPO | $18,293.00 | ↑ +5% |
| Aetna | Commercial|HMO | $18,293.00 | ↑ +5% |
| Kaiser | Medicaid|All Plans | $18,389.73 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $18,675.00 | ↑ +7% |
| BCBS - Anthem | Commercial|All Other Plans | $23,344.00 | ↑ +34% |
| BCBS - Anthem | Commercial|MCS | $32,682.00 | ↑ +87% |
| Healthsmart | Commercial|All Plans | $33,639.75 | ↑ +93% |
| First Health | Commercial|All Plans | $33,639.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $35,433.87 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $35,882.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $36,779.46 | ↑ +111% |
| United | Commercial|Non-Options PPO | $44,853.00 | ↑ +157% |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,624.18 | $1,480.01 – $17,138.94 |
| Arroyo Grande Hospital | Santa Maria | $9,329.12 | $1,203.26 – $21,361.06 |
| French Hospital | San Luis Obispo | $8,288.06 | $1,203.26 – $20,720.14 |
| Bakersfield Memorial Hospital | Bakersfield | $5,637.86 | $1,203.26 – $12,135.98 |
| Queen of The Valley Medical Center | Napa | $23,269.26 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,521.30 | $4,169.67 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $14,675.01 | $1,048.57 – $41,928.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,996.19 | $4,511.03 – $12,568.00 |