Debr musc/fascia 20sq cm/< 11043 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$817.68
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.
$2,102.00
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.
$117.37 with WCMG vs $9,971.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $117.37 | ↓ -86% |
| Hill Physicians | Commercial|All Plans | $154.00 | ↓ -81% |
| United | Medicaid|> 21 | $179.86 | ↓ -78% |
| United | Medicaid|< 21 | $179.86 | ↓ -78% |
| Hill Physicians | Medicare|All Plans | $248.67 | ↓ -70% |
| Hill Physicians | Medicaid|All Plans | $311.87 | ↓ -62% |
| Western Health Advantage | Commercial|All Plans | $373.45 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $427.18 | ↓ -48% |
| Kaiser | Medicaid|All Plans | $437.47 | ↓ -46% |
| Molina | Medicaid|All Plans | $533.02 | ↓ -35% |
| Health Net | Medicaid|All Plans | $669.11 | ↓ -18% |
| California Health & Wellness | Medicaid|All Plans | $669.11 | ↓ -18% |
| BCBS - Anthem | Medicare|All Other Plans | $758.55 | ↓ -7% |
| First Health | Commercial|All Plans | $800.25 | ↓ -2% |
| Healthsmart | Commercial|All Plans | $800.25 | ↓ -2% |
| Humana | Commercial|All Plans | $804.40 | ↓ -2% |
| Aetna | Medicare|All Plans | $804.40 | ↓ -2% |
| United | Medicare|All Plans | $804.40 | ↓ -2% |
| Kaiser | Medicare|All Plans | $804.40 | ↓ -2% |
| Blue Shield CA | Medicare|HMO | $804.40 | ↓ -2% |
| Blue Shield CA | Medicare|PPO | $804.40 | ↓ -2% |
| BCBS - Anthem | Medicare|Imperial | $828.53 | ↑ +1% |
| Kaiser | Commercial|All Plans | $842.93 | ↑ +3% |
| Sutter Health | Commercial|All Plans | $853.60 | ↑ +4% |
| MultiPlan | Commercial|All Plans | $874.94 | ↑ +7% |
| Partnership Health Plan | Medicaid|All Plans | $966.76 | ↑ +18% |
| United | Commercial|Non-Options PPO | $1,067.00 | ↑ +30% |
| Health Net | Commercial|EPPO | $3,700.00 | ↑ +352% |
| Blue Shield CA | Commercial|ACO Trio | $3,708.00 | ↑ +353% |
| Blue Shield CA | Commercial|Exchange | $4,667.00 | ↑ +471% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,725.00 | ↑ +478% |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | ↑ +597% |
| Blue Shield CA | Commercial|PPO Tandem | $6,831.00 | ↑ +735% |
| Blue Shield CA | Commercial|HMO | $6,923.00 | ↑ +747% |
| Health Net | Commercial|FFS | $7,082.00 | ↑ +766% |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | ↑ +771% |
| Blue Shield CA | Commercial|CalPers | $7,368.00 | ↑ +801% |
| Aetna | Commercial|All Other Plans | $8,006.00 | ↑ +879% |
| Aetna | Commercial|PPO | $8,006.00 | ↑ +879% |
| Aetna | Commercial|HMO | $8,006.00 | ↑ +879% |
| Blue Shield CA | Commercial|All Other Plans | $8,133.00 | ↑ +895% |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | ↑ +1119% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $870.98 | $179.86 – $1,994.30 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |
| Queen of The Valley Medical Center | Napa | $910.35 | $1,049.38 – $7,483.00 |