Dilate biliary duct/ampulla at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$825.85
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.
$2,123.00
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.
$131.24 with Hill Physicians vs $9,295.00 with Blue Shield CA — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $131.24 | ↓ -84% |
| WCMG | Commercial|All Plans | $233.53 | ↓ -72% |
| United | Medicaid|< 21 | $469.47 | ↓ -43% |
| United | Medicaid|> 21 | $469.47 | ↓ -43% |
| Hill Physicians | Medicaid|All Plans | $516.42 | ↓ -37% |
| Hill Physicians | Medicare|All Plans | $579.61 | ↓ -30% |
| Western Health Advantage | Commercial|All Plans | $743.05 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $870.43 | ↑ +5% |
| Molina | Medicaid|All Plans | $882.60 | ↑ +7% |
| BCBS - Anthem | Medicaid|All Plans | $891.99 | ↑ +8% |
| Health Net | Medicaid|All Plans | $1,107.95 | ↑ +34% |
| California Health & Wellness | Medicaid|All Plans | $1,107.95 | ↑ +34% |
| Healthsmart | Commercial|All Plans | $1,592.25 | ↑ +93% |
| First Health | Commercial|All Plans | $1,592.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $1,677.17 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $1,698.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,740.86 | ↑ +111% |
| Partnership Health Plan | Medicaid|All Plans | $2,018.72 | ↑ +144% |
| United | Commercial|Non-Options PPO | $2,123.00 | ↑ +157% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +390% |
| Blue Shield CA | Commercial|ACO Trio | $4,238.00 | ↑ +413% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +513% |
| Blue Shield CA | Commercial|Exchange | $5,334.00 | ↑ +546% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,400.00 | ↑ +554% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +592% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +592% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +592% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +758% |
| Blue Shield CA | Commercial|PPO Tandem | $7,807.00 | ↑ +845% |
| Blue Shield CA | Commercial|HMO | $7,912.00 | ↑ +858% |
| Blue Shield CA | Commercial|CalPers | $8,421.00 | ↑ +920% |
| Blue Shield CA | Commercial|All Other Plans | $9,295.00 | ↑ +1026% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $731.90 | $451.17 – $1,303.38 |
| Arroyo Grande Hospital | Santa Maria | $751.14 | $469.47 – $1,719.90 |
| French Hospital | San Luis Obispo | $687.96 | $469.47 – $1,719.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $856.27 | $469.47 – $2,054.12 |
| Bakersfield Memorial Hospital | Bakersfield | $847.04 | $469.47 – $2,284.92 |
| St. Joseph's Medical Center Stockton | Stockton | $645.33 | $460.95 – $1,843.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,304.96 | $1,200.00 – $7,908.00 |
| Mercy Medical Center Merced | Merced | $1,156.69 | $469.47 – $2,223.54 |