Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$2,891.83
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.
$7,434.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$197.06 with Hill Physicians vs $10,369.00 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 | $197.06 | ↓ -93% |
| United | Medicaid|< 21 | $224.16 | ↓ -92% |
| United | Medicaid|> 21 | $224.16 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $271.14 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $371.15 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $455.88 | ↓ -84% |
| Molina | Medicaid|All Plans | $463.40 | ↓ -84% |
| Health Net | Medicaid|All Plans | $581.72 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $581.72 | ↓ -80% |
| WCMG | Commercial|All Plans | $681.45 | ↓ -76% |
| Partnership Health Plan | Medicaid|All Plans | $840.48 | ↓ -71% |
| Western Health Advantage | Commercial|All Plans | $2,168.25 | ↓ -25% |
| BCBS - Anthem | Medicare|All Other Plans | $2,419.87 | ↓ -16% |
| Kaiser | Medicaid|All Plans | $2,539.95 | ↓ -12% |
| Humana | Commercial|All Plans | $2,566.14 | ↓ -11% |
| Aetna | Medicare|All Plans | $2,566.14 | ↓ -11% |
| United | Medicare|All Plans | $2,566.14 | ↓ -11% |
| Kaiser | Medicare|All Plans | $2,566.14 | ↓ -11% |
| Blue Shield CA | Medicare|HMO | $2,566.14 | ↓ -11% |
| Blue Shield CA | Medicare|PPO | $2,566.14 | ↓ -11% |
| BCBS - Anthem | Medicare|Imperial | $2,643.12 | ↓ -9% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +40% |
| Blue Shield CA | Commercial|ACO Trio | $4,238.00 | ↑ +47% |
| Healthsmart | Commercial|All Plans | $4,646.25 | ↑ +61% |
| First Health | Commercial|All Plans | $4,646.25 | ↑ +61% |
| Kaiser | Commercial|All Plans | $4,894.05 | ↑ +69% |
| Sutter Health | Commercial|All Plans | $4,956.00 | ↑ +71% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $5,079.90 | ↑ +76% |
| Blue Shield CA | Commercial|Exchange | $5,334.00 | ↑ +84% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,400.00 | ↑ +87% |
| Health Net | Commercial|EPPO | $5,416.00 | ↑ +87% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +98% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +98% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +98% |
| United | Commercial|Non-Options PPO | $6,195.00 | ↑ +114% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +145% |
| Blue Shield CA | Commercial|PPO Tandem | $7,807.00 | ↑ +170% |
| Blue Shield CA | Commercial|HMO | $7,912.00 | ↑ +174% |
| Blue Shield CA | Commercial|CalPers | $8,421.00 | ↑ +191% |
| Blue Shield CA | Commercial|All Other Plans | $9,295.00 | ↑ +221% |
| Health Net | Commercial|FFS | $10,369.00 | ↑ +259% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,073.66 | $224.16 – $4,748.10 |
| Mark Twain Medical Center | San Andreas | $3,300.70 | $152.90 – $579.18 |
| French Hospital | San Luis Obispo | $1,899.24 | $224.16 – $4,748.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,031.97 | $224.16 – $4,381.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,146.59 | $224.16 – $4,620.71 |
| Providence St Joseph Hospital Eureka | Eureka | $4,277.37 | $2,511.53 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $761.43 | $2,630.99 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $2,035.07 | $195.34 – $4,370.52 |