ER Visit (level 1, minor) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$216.29
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.
$556.00
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.
$11.15 with Hill Physicians vs $6,353.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $11.15 | ↓ -95% |
| United | Medicaid|< 21 | $21.77 | ↓ -90% |
| United | Medicaid|> 21 | $21.77 | ↓ -90% |
| Hill Physicians | Medicare|All Plans | $22.53 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $23.95 | ↓ -89% |
| Molina | Medicaid|All Plans | $40.93 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $41.36 | ↓ -81% |
| California Health & Wellness | Medicaid|All Plans | $51.38 | ↓ -76% |
| Health Net | Medicaid|All Plans | $51.38 | ↓ -76% |
| WCMG | Commercial|All Plans | $61.16 | ↓ -72% |
| Partnership Health Plan | Medicaid|All Plans | $93.63 | ↓ -57% |
| BCBS - Anthem | Medicare|All Other Plans | $109.11 | ↓ -50% |
| United | Medicare|All Plans | $115.71 | ↓ -47% |
| Aetna | Medicare|All Plans | $115.71 | ↓ -47% |
| Humana | Commercial|All Plans | $115.71 | ↓ -47% |
| Kaiser | Medicare|All Plans | $115.71 | ↓ -47% |
| Blue Shield CA | Medicare|HMO | $115.71 | ↓ -47% |
| Blue Shield CA | Medicare|PPO | $115.71 | ↓ -47% |
| BCBS - Anthem | Medicare|Imperial | $119.18 | ↓ -45% |
| Western Health Advantage | Commercial|All Plans | $194.60 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $227.96 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $289.12 | ↑ +34% |
| Cigna | Commercial|LocalPlus | $366.96 | ↑ +70% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $372.52 | ↑ +72% |
| First Health | Commercial|All Plans | $417.00 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $417.00 | ↑ +93% |
| Blue Shield CA | Commercial|Exchange | $422.56 | ↑ +95% |
| Kaiser | Commercial|All Plans | $439.24 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $444.80 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $455.92 | ↑ +111% |
| Blue Shield CA | Commercial|PPO Tandem | $455.92 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $489.28 | ↑ +126% |
| Blue Shield CA | Commercial|HMO | $500.40 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $500.40 | ↑ +131% |
| Aetna | Commercial|HMO | $505.96 | ↑ +134% |
| Aetna | Commercial|PPO | $505.96 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $505.96 | ↑ +134% |
| Blue Shield CA | Commercial|CalPers | $511.52 | ↑ +136% |
| Health Net | Commercial|EPPO | $1,447.00 | ↑ +569% |
| BCBS - Anthem | Commercial|Connection EPO | $2,501.00 | ↑ +1056% |
| Health Net | Commercial|FFS | $2,566.00 | ↑ +1086% |
| BCBS - Anthem | Commercial|All Other Plans | $3,126.00 | ↑ +1345% |
| United | Commercial|HMO | $4,149.00 | ↑ +1818% |
| BCBS - Anthem | Commercial|MCS | $4,376.00 | ↑ +1923% |
| United | Commercial|Non-Options PPO | $5,385.00 | ↑ +2390% |
| United | Commercial|All Other Plans | $6,353.00 | ↑ +2837% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $370.99 | $27.95 – $694.54 |
| Banner Lassen Medical Center | Susanville | $311.68 | $17.06 – $331.74 |
| Petaluma Valley Hospital | Petaluma | $587.01 | $113.64 – $115.95 |
| Arroyo Grande Hospital | Santa Maria | $350.54 | $21.77 – $743.82 |
| Mark Twain Medical Center | San Andreas | $262.41 | $16.04 – $60.76 |
| French Hospital | San Luis Obispo | $335.56 | $21.77 – $838.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $176.60 | $21.77 – $334.56 |
| Bakersfield Memorial Hospital | Bakersfield | $174.70 | $21.77 – $390.32 |