ER Visit (level 3) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,010.24
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.
$2,597.00
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.
$63.97 with United vs $13,475.00 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $63.97 | ↓ -94% |
| United | Medicaid|> 21 | $63.97 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $69.50 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $70.37 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $73.60 | ↓ -93% |
| Molina | Medicaid|All Plans | $120.26 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $121.54 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $150.97 | ↓ -85% |
| Health Net | Medicaid|All Plans | $150.97 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $275.09 | ↓ -73% |
| WCMG | Commercial|All Plans | $285.67 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $343.12 | ↓ -66% |
| United | Medicare|All Plans | $363.86 | ↓ -64% |
| Aetna | Medicare|All Plans | $363.86 | ↓ -64% |
| Humana | Commercial|All Plans | $363.86 | ↓ -64% |
| Kaiser | Medicare|All Plans | $363.86 | ↓ -64% |
| Blue Shield CA | Medicare|HMO | $363.86 | ↓ -64% |
| Blue Shield CA | Medicare|PPO | $363.86 | ↓ -64% |
| BCBS - Anthem | Medicare|Imperial | $374.78 | ↓ -63% |
| Western Health Advantage | Commercial|All Plans | $908.95 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $1,064.77 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $1,350.44 | ↑ +34% |
| Cigna | Commercial|LocalPlus | $1,714.02 | ↑ +70% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,739.99 | ↑ +72% |
| First Health | Commercial|All Plans | $1,947.75 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $1,947.75 | ↑ +93% |
| Blue Shield CA | Commercial|Exchange | $1,973.72 | ↑ +95% |
| Kaiser | Commercial|All Plans | $2,051.63 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $2,077.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $2,129.54 | ↑ +111% |
| Blue Shield CA | Commercial|PPO Tandem | $2,129.54 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $2,285.36 | ↑ +126% |
| Blue Shield CA | Commercial|HMO | $2,337.30 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $2,337.30 | ↑ +131% |
| Aetna | Commercial|HMO | $2,363.27 | ↑ +134% |
| Aetna | Commercial|PPO | $2,363.27 | ↑ +134% |
| Aetna | Commercial|All Other Plans | $2,363.27 | ↑ +134% |
| Blue Shield CA | Commercial|CalPers | $2,389.24 | ↑ +137% |
| Health Net | Commercial|EPPO | $3,792.00 | ↑ +275% |
| BCBS - Anthem | Commercial|Connection EPO | $6,004.00 | ↑ +494% |
| Health Net | Commercial|FFS | $6,727.00 | ↑ +566% |
| BCBS - Anthem | Commercial|All Other Plans | $7,505.00 | ↑ +643% |
| BCBS - Anthem | Commercial|MCS | $10,507.00 | ↑ +940% |
| United | Commercial|Non-Options PPO | $11,340.00 | ↑ +1023% |
| United | Commercial|All Other Plans | $13,379.00 | ↑ +1224% |
| United | Commercial|HMO | $13,475.00 | ↑ +1234% |
Visitor-reported prices
Comments
ER Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $762.56 | $81.27 – $1,196.38 |
| Banner Lassen Medical Center | Susanville | $1,059.08 | $55.38 – $1,065.06 |
| Petaluma Valley Hospital | Petaluma | $1,925.25 | $367.87 – $375.37 |
| Arroyo Grande Hospital | Santa Maria | $828.61 | $63.97 – $1,736.56 |
| Mark Twain Medical Center | San Andreas | $746.59 | $46.83 – $177.38 |
| French Hospital | San Luis Obispo | $758.92 | $63.97 – $1,897.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $731.25 | $63.97 – $1,616.22 |
| Bakersfield Memorial Hospital | Bakersfield | $723.36 | $63.97 – $1,616.22 |