Duragen 1x1 5ea/bx at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$19,609.49
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.
$50,410.00
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.
$20.68 with BCBS - Anthem vs $5,923.20 with Aetna — 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 | $20.68 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $25.86 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $36.12 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $45.08 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $60.12 | ↓ -100% |
| WCMG | Commercial|All Plans | $678.70 | ↓ -97% |
| Kaiser | Medicare|All Plans | $1,419.10 | ↓ -93% |
| Kaiser | Commercial|All Plans | $1,419.10 | ↓ -93% |
| Kaiser | Medicaid|All Plans | $1,419.10 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $1,480.80 | ↓ -92% |
| Partnership Health Plan | Medicaid|All Plans | $1,542.50 | ↓ -92% |
| Molina | Medicaid|All Plans | $1,604.20 | ↓ -92% |
| California Health & Wellness | Medicaid|All Plans | $1,789.30 | ↓ -91% |
| Health Net | Medicaid|All Plans | $1,789.30 | ↓ -91% |
| Health Net | Commercial|EPPO | $2,468.00 | ↓ -87% |
| United | Commercial|Non-Options PPO | $3,948.80 | ↓ -80% |
| Western Health Advantage | Commercial|All Plans | $4,010.50 | ↓ -80% |
| United | Commercial|HMO | $4,072.20 | ↓ -79% |
| United | Commercial|All Other Plans | $4,195.60 | ↓ -79% |
| Blue Shield CA | Commercial|ACO Trio | $4,319.00 | ↓ -78% |
| Health Net | Commercial|FFS | $4,627.50 | ↓ -76% |
| Healthsmart | Commercial|All Plans | $4,627.50 | ↓ -76% |
| First Health | Commercial|All Plans | $4,627.50 | ↓ -76% |
| Sutter Health | Commercial|All Plans | $4,936.00 | ↓ -75% |
| MultiPlan | Commercial|All Plans | $5,059.40 | ↓ -74% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,244.50 | ↓ -73% |
| Blue Shield CA | Commercial|Exchange | $5,244.50 | ↓ -73% |
| Blue Shield CA | Commercial|HMO | $5,553.00 | ↓ -72% |
| Blue Shield CA | Commercial|PPO Tandem | $5,553.00 | ↓ -72% |
| Blue Shield CA | Commercial|All Other Plans | $5,553.00 | ↓ -72% |
| Blue Shield CA | Commercial|CalPers | $5,676.40 | ↓ -71% |
| Aetna | Commercial|PPO | $5,923.20 | ↓ -70% |
| Aetna | Commercial|All Other Plans | $5,923.20 | ↓ -70% |
| Aetna | Commercial|HMO | $5,923.20 | ↓ -70% |
Visitor-reported prices
Comments
Duragen 1x1 5ea/bx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,797.95 | $27.01 – $3,831.36 |
| Petaluma Valley Hospital | Petaluma | $23,223.63 | $25.28 – $25.28 |
| Arroyo Grande Hospital | Santa Maria | $10,163.72 | $44.80 – $6,262.20 |
| French Hospital | San Luis Obispo | $9,308.83 | $167.53 – $6,262.20 |
| Queen of The Valley Medical Center | Napa | $17,379.52 | $27.37 – $27.37 |
| Providence St Joseph Hospital Eureka | Eureka | $9,281.81 | $32.65 – $32.65 |
| Healdsburg Hospital | Healdsburg | $11,077.06 | $64.47 – $64.47 |
| Redwood Memorial Hospital | Fortuna | $9,281.81 | $32.73 – $32.73 |