Diphtheria-tetanus toxoids 0.5 ml (peds) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$106.59
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.
$274.00
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.
$13.76 with BCBS - Anthem vs $229.61 with Cigna — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Connection EPO | $13.76 | ↓ -87% |
| BCBS - Anthem | Commercial|All Other Plans | $17.20 | ↓ -84% |
| WCMG | Commercial|All Plans | $21.45 | ↓ -80% |
| BCBS - Anthem | Commercial|MCS | $24.02 | ↓ -77% |
| United | Commercial|All Other Plans | $27.75 | ↓ -74% |
| United | Commercial|HMO | $27.75 | ↓ -74% |
| Health Net | Commercial|EPPO | $45.83 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $58.69 | ↓ -45% |
| United | Medicaid|< 21 | $69.05 | ↓ -35% |
| United | Medicaid|> 21 | $69.05 | ↓ -35% |
| Partnership Health Plan | Medicaid|All Plans | $69.05 | ↓ -35% |
| Hill Physicians | Medicaid|All Plans | $75.96 | ↓ -29% |
| Blue Shield CA | Commercial|Exchange | $79.01 | ↓ -26% |
| Blue Shield CA | Commercial|ACO Trio | $79.01 | ↓ -26% |
| Blue Shield CA | Commercial|All Other Plans | $79.01 | ↓ -26% |
| Blue Shield CA | Commercial|HMO | $79.01 | ↓ -26% |
| Blue Shield CA | Commercial|PPO Tandem | $79.01 | ↓ -26% |
| Blue Shield CA | Commercial|CalPers | $79.01 | ↓ -26% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $79.01 | ↓ -26% |
| Kaiser | Medicaid|All Plans | $79.95 | ↓ -25% |
| Health Net | Commercial|FFS | $86.91 | ↓ -18% |
| United | Commercial|Non-Options PPO | $124.26 | ↑ +17% |
| Molina | Medicaid|All Plans | $129.81 | ↑ +22% |
| BCBS - Anthem | Medicaid|All Plans | $131.20 | ↑ +23% |
| First Health | Commercial|All Plans | $146.25 | ↑ +37% |
| Healthsmart | Commercial|All Plans | $146.25 | ↑ +37% |
| Kaiser | Commercial|All Plans | $154.05 | ↑ +45% |
| Sutter Health | Commercial|All Plans | $156.00 | ↑ +46% |
| MultiPlan | Commercial|All Plans | $159.90 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $162.96 | ↑ +53% |
| Health Net | Medicaid|All Plans | $162.96 | ↑ +53% |
| Cigna | Commercial|LocalPlus | $172.17 | ↑ +62% |
| Cigna | Commercial|All Other Plans | $229.61 | ↑ +115% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $100.20 | $27.39 – $153.26 |
| Mercy Medical Center Merced | Merced | $24.21 | $19.31 – $47.00 |
| Dominican Hospital | Santa Cruz | $310.91 | $24.72 – $587.27 |
| Sierra Nevada Memorial Hospital | Grass Valley | $130.80 | $27.75 – $171.00 |
| St Jude Medical Center | Fullerton | $204.15 | $23.63 – $36.16 |
| Mercy San Juan Medical Center | Carmichael | $75.08 | $21.45 – $172.17 |
| Mercy General Hospital | Sacramento | $59.74 | $27.75 – $172.17 |
| Woodland Memorial Hospital | Woodland | $75.08 | $19.42 – $195.00 |