Fl exam g/colon tube w contrast at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$222.12
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.
?
What you pay up front if you don't use insurance.
$571.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.87 with Hill Physicians vs $7,087.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $29.87 | ↓ -87% |
| WCMG | Commercial|All Plans | $58.30 | ↓ -74% |
| United | Medicaid|< 21 | $141.10 | ↓ -36% |
| United | Medicaid|> 21 | $141.10 | ↓ -36% |
| Hill Physicians | Medicaid|All Plans | $155.21 | ↓ -30% |
| Hill Physicians | Medicare|All Plans | $162.38 | ↓ -27% |
| Western Health Advantage | Commercial|All Plans | $185.50 | ↓ -16% |
| Kaiser | Medicaid|All Plans | $217.30 | ↓ -2% |
| Molina | Medicaid|All Plans | $265.27 | ↑ +19% |
| BCBS - Anthem | Medicaid|All Plans | $268.09 | ↑ +21% |
| BCBS - Anthem | Medicare|All Other Plans | $299.53 | ↑ +35% |
| Humana | Commercial|All Plans | $317.64 | ↑ +43% |
| Aetna | Medicare|All Plans | $317.64 | ↑ +43% |
| United | Medicare|All Plans | $317.64 | ↑ +43% |
| Kaiser | Medicare|All Plans | $317.64 | ↑ +43% |
| Blue Shield CA | Medicare|HMO | $317.64 | ↑ +43% |
| Blue Shield CA | Medicare|PPO | $317.64 | ↑ +43% |
| BCBS - Anthem | Medicare|Imperial | $327.17 | ↑ +47% |
| Health Net | Medicaid|All Plans | $333.00 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $333.00 | ↑ +50% |
| Healthsmart | Commercial|All Plans | $397.50 | ↑ +79% |
| First Health | Commercial|All Plans | $397.50 | ↑ +79% |
| Kaiser | Commercial|All Plans | $418.70 | ↑ +89% |
| Sutter Health | Commercial|All Plans | $424.00 | ↑ +91% |
| MultiPlan | Commercial|All Plans | $434.60 | ↑ +96% |
| United | Commercial|Non-Options PPO | $530.00 | ↑ +139% |
| Partnership Health Plan | Medicaid|All Plans | $530.00 | ↑ +139% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +1148% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +1276% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +1470% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +1490% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +1723% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +2179% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +2198% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +2229% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +2379% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +2474% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +2474% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +2474% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +2535% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +2636% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +3091% |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $191.41 | $117.99 – $586.14 |
| Petaluma Valley Hospital | Petaluma | $573.75 | $321.54 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $319.72 | $141.10 – $496.86 |
| Mark Twain Medical Center | San Andreas | $718.62 | $121.85 – $461.58 |
| French Hospital | San Luis Obispo | $339.08 | $104.49 – $379.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $241.15 | $141.10 – $520.00 |
| Bakersfield Memorial Hospital | Bakersfield | $238.55 | $141.10 – $513.50 |
| Queen of The Valley Medical Center | Napa | $512.55 | $338.78 – $6,200.00 |