Duplex scan unilateral study 93986 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$712.65
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.
$1,832.00
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.
$131.77 with BCBS - Anthem vs $26,722.00 with United — 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 | Medicare|All Other Plans | $131.77 | ↓ -82% |
| Humana | Commercial|All Plans | $139.74 | ↓ -80% |
| Aetna | Medicare|All Plans | $139.74 | ↓ -80% |
| Kaiser | Medicare|All Plans | $139.74 | ↓ -80% |
| Blue Shield CA | Medicare|PPO | $139.74 | ↓ -80% |
| Blue Shield CA | Medicare|HMO | $139.74 | ↓ -80% |
| United | Medicare|All Plans | $139.74 | ↓ -80% |
| United | Medicaid|> 21 | $142.98 | ↓ -80% |
| United | Medicaid|< 21 | $142.98 | ↓ -80% |
| BCBS - Anthem | Medicare|Imperial | $143.93 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $157.28 | ↓ -78% |
| Hill Physicians | Medicare|All Plans | $168.46 | ↓ -76% |
| WCMG | Commercial|All Plans | $201.52 | ↓ -72% |
| Molina | Medicaid|All Plans | $268.80 | ↓ -62% |
| BCBS - Anthem | Medicaid|All Plans | $271.66 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $337.43 | ↓ -53% |
| Health Net | Medicaid|All Plans | $337.43 | ↓ -53% |
| Cigna | Commercial|LocalPlus | $439.91 | ↓ -38% |
| Cigna | Commercial|All Other Plans | $586.59 | ↓ -18% |
| Partnership Health Plan | Medicaid|All Plans | $614.81 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $641.20 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $751.12 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $1,240.26 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $1,374.00 | ↑ +93% |
| First Health | Commercial|All Plans | $1,374.00 | ↑ +93% |
| Kaiser | Commercial|All Plans | $1,447.28 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $1,465.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,502.24 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $1,551.03 | ↑ +118% |
| United | Commercial|Non-Options PPO | $1,832.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $1,832.00 | ↑ +157% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +329% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +721% |
| United | Commercial|HMO | $12,190.00 | ↑ +1611% |
| United | Commercial|All Other Plans | $26,722.00 | ↑ +3650% |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $122.64 | $75.60 – $527.07 |
| French Hospital | San Luis Obispo | $121.13 | $83.43 – $601.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $84.96 | $114.50 – $570.84 |
| Bakersfield Memorial Hospital | Bakersfield | $84.05 | $114.50 – $570.84 |
| St. Joseph's Medical Center Stockton | Stockton | $83.79 | $29.82 – $142.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $228.74 | $70.56 – $294.00 |
| Mercy Medical Center Merced | Merced | $151.41 | $135.12 – $294.00 |
| Dominican Hospital | Santa Cruz | $250.65 | $142.98 – $1,778.76 |