Declotting thrombolytic agent implanted vas access device 36 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$238.46
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.
$613.00
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.
$33.51 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 | $33.51 | ↓ -86% |
| United | Medicaid|> 21 | $33.51 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $35.81 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $36.86 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $38.50 | ↓ -84% |
| Molina | Medicaid|All Plans | $63.00 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $63.67 | ↓ -73% |
| WCMG | Commercial|All Plans | $64.24 | ↓ -73% |
| Health Net | Medicaid|All Plans | $79.08 | ↓ -67% |
| California Health & Wellness | Medicaid|All Plans | $79.08 | ↓ -67% |
| Partnership Health Plan | Medicaid|All Plans | $144.09 | ↓ -40% |
| Western Health Advantage | Commercial|All Plans | $204.40 | ↓ -14% |
| Kaiser | Medicaid|All Plans | $239.44 | ↑ +0% |
| BCBS - Anthem | Medicare|All Other Plans | $411.03 | ↑ +72% |
| Humana | Commercial|All Plans | $435.87 | ↑ +83% |
| Aetna | Medicare|All Plans | $435.87 | ↑ +83% |
| United | Medicare|All Plans | $435.87 | ↑ +83% |
| Kaiser | Medicare|All Plans | $435.87 | ↑ +83% |
| Blue Shield CA | Medicare|HMO | $435.87 | ↑ +83% |
| Blue Shield CA | Medicare|PPO | $435.87 | ↑ +83% |
| Healthsmart | Commercial|All Plans | $438.00 | ↑ +84% |
| First Health | Commercial|All Plans | $438.00 | ↑ +84% |
| BCBS - Anthem | Medicare|Imperial | $448.95 | ↑ +88% |
| Kaiser | Commercial|All Plans | $461.36 | ↑ +93% |
| Sutter Health | Commercial|All Plans | $467.20 | ↑ +96% |
| MultiPlan | Commercial|All Plans | $478.88 | ↑ +101% |
| United | Commercial|Non-Options PPO | $584.00 | ↑ +145% |
| Blue Shield CA | Commercial|ACO Trio | $856.00 | ↑ +259% |
| Blue Shield CA | Commercial|Exchange | $1,077.00 | ↑ +352% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,090.00 | ↑ +357% |
| Blue Shield CA | Commercial|PPO Tandem | $1,576.00 | ↑ +561% |
| Blue Shield CA | Commercial|HMO | $1,598.00 | ↑ +570% |
| Blue Shield CA | Commercial|CalPers | $1,700.00 | ↑ +613% |
| Blue Shield CA | Commercial|All Other Plans | $1,877.00 | ↑ +687% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +1182% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +1598% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +2023% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +2297% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +2297% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +2297% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +2354% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +2872% |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $314.49 | $50.70 – $834.88 |
| Banner Lassen Medical Center | Susanville | $354.58 | $55.29 – $492.76 |
| Petaluma Valley Hospital | Petaluma | $673.71 | $445.12 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $445.12 | $33.51 – $890.82 |
| Mark Twain Medical Center | San Andreas | $486.18 | $33.51 – $704.62 |
| French Hospital | San Luis Obispo | $407.68 | $33.51 – $890.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $369.15 | $33.51 – $796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $365.17 | $33.51 – $545.10 |