Debridement/bone/ea add 20 sq cm 11047 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$564.44
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.
$1,451.00
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.
$62.38 with United vs $7,087.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $62.38 | ↓ -89% |
| United | Medicaid|< 21 | $62.38 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $75.41 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $94.21 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $103.28 | ↓ -82% |
| Hill Physicians | Medicare|All Plans | $126.37 | ↓ -78% |
| Molina | Medicaid|All Plans | $128.87 | ↓ -77% |
| WCMG | Commercial|All Plans | $152.02 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $161.78 | ↓ -71% |
| Health Net | Medicaid|All Plans | $161.78 | ↓ -71% |
| Partnership Health Plan | Medicaid|All Plans | $233.75 | ↓ -59% |
| Western Health Advantage | Commercial|All Plans | $483.70 | ↓ -14% |
| Kaiser | Medicaid|All Plans | $566.62 | ↑ +0% |
| Healthsmart | Commercial|All Plans | $1,036.50 | ↑ +84% |
| First Health | Commercial|All Plans | $1,036.50 | ↑ +84% |
| Kaiser | Commercial|All Plans | $1,091.78 | ↑ +93% |
| Sutter Health | Commercial|All Plans | $1,105.60 | ↑ +96% |
| MultiPlan | Commercial|All Plans | $1,133.24 | ↑ +101% |
| United | Commercial|Non-Options PPO | $1,382.00 | ↑ +145% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +618% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +797% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +913% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +913% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +913% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +1156% |
Visitor-reported prices
Comments
Debridement/bone/ea add 20 sq cm 11047 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $730.82 | $76.73 – $339.00 |
| Petaluma Valley Hospital | Petaluma | $1,339.77 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $863.71 | $62.38 – $1,977.64 |
| French Hospital | San Luis Obispo | $791.06 | $62.38 – $1,977.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | $708.61 | $62.38 – $1,699.90 |
| Bakersfield Memorial Hospital | Bakersfield | $700.97 | $62.38 – $1,890.90 |
| Queen of The Valley Medical Center | Napa | $1,412.70 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,519.62 | $2,699.00 – $21,319.00 |