Debride skin bone at fx site at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$413.92 with Hill Physicians vs $12,547.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $413.92 | — |
| United | Medicaid|> 21 | $441.75 | — |
| United | Medicaid|< 21 | $441.75 | — |
| Hill Physicians | Medicare|All Plans | $711.37 | — |
| Hill Physicians | Medicaid|All Plans | $765.97 | — |
| BCBS - Anthem | Medicaid|All Plans | $1,049.16 | — |
| Molina | Medicaid|All Plans | $1,309.12 | — |
| Health Net | Medicaid|All Plans | $1,643.36 | — |
| California Health & Wellness | Medicaid|All Plans | $1,643.36 | — |
| Partnership Health Plan | Medicaid|All Plans | $2,374.40 | — |
| BCBS - Anthem | Medicare|All Other Plans | $3,546.64 | — |
| Blue Shield CA | Commercial|ACO Trio | $3,708.00 | — |
| Kaiser | Medicare|All Plans | $3,761.02 | — |
| Aetna | Medicare|All Plans | $3,761.02 | — |
| Blue Shield CA | Medicare|PPO | $3,761.02 | — |
| United | Medicare|All Plans | $3,761.02 | — |
| Blue Shield CA | Medicare|HMO | $3,761.02 | — |
| Humana | Commercial|All Plans | $3,761.02 | — |
| BCBS - Anthem | Medicare|Imperial | $3,873.85 | — |
| Blue Shield CA | Commercial|Exchange | $4,667.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,725.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | — |
| Health Net | Commercial|EPPO | $6,554.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $6,831.00 | — |
| Blue Shield CA | Commercial|HMO | $6,923.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | — |
| Blue Shield CA | Commercial|CalPers | $7,368.00 | — |
| Aetna | Commercial|HMO | $8,006.00 | — |
| Aetna | Commercial|All Other Plans | $8,006.00 | — |
| Aetna | Commercial|PPO | $8,006.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $8,133.00 | — |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | — |
| Health Net | Commercial|FFS | $12,547.00 | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Debride skin bone at fx site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,904.56 | $2,570.00 – $3,994.31 |
| Mark Twain Medical Center | San Andreas | $560.78 | $217.83 – $825.16 |
| Queen of The Valley Medical Center | Napa | $3,577.65 | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,803.07 | $3,735.95 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $3,174.75 | $3,125.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,481.15 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,595.21 | $2,741.00 – $4,124.29 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,235.84 | $1,894.00 – $6,920.00 |