Ghs protoporphyrins fract at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$6.23
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.
$16.00
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.
$1.72 with WCMG vs $42.39 with Cigna — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $1.72 | ↓ -72% |
| Western Health Advantage | Commercial|All Plans | $5.47 | ↓ -12% |
| Kaiser | Medicaid|All Plans | $6.41 | ↑ +3% |
| Blue Shield CA | Commercial|ACO Trio | $8.60 | ↑ +38% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11.10 | ↑ +78% |
| Blue Shield CA | Commercial|Exchange | $11.25 | ↑ +81% |
| Healthsmart | Commercial|All Plans | $11.72 | ↑ +88% |
| First Health | Commercial|All Plans | $11.72 | ↑ +88% |
| Kaiser | Commercial|All Plans | $12.34 | ↑ +98% |
| Sutter Health | Commercial|All Plans | $12.50 | ↑ +101% |
| BCBS - Anthem | Commercial|Connection EPO | $12.50 | ↑ +101% |
| Partnership Health Plan | Medicaid|All Plans | $12.75 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $12.81 | ↑ +106% |
| BCBS - Anthem | Medicare|All Other Plans | $13.53 | ↑ +117% |
| Blue Shield CA | Commercial|PPO Tandem | $13.59 | ↑ +118% |
| Blue Shield CA | Commercial|HMO | $14.06 | ↑ +126% |
| Blue Shield CA | Commercial|All Other Plans | $14.06 | ↑ +126% |
| United | Medicare|All Plans | $14.35 | ↑ +130% |
| Aetna | Medicare|All Plans | $14.35 | ↑ +130% |
| Humana | Commercial|All Plans | $14.35 | ↑ +130% |
| Kaiser | Medicare|All Plans | $14.35 | ↑ +130% |
| Blue Shield CA | Medicare|HMO | $14.35 | ↑ +130% |
| Blue Shield CA | Medicare|PPO | $14.35 | ↑ +130% |
| Hill Physicians | Commercial|All Plans | $14.35 | ↑ +130% |
| Hill Physicians | Medicare|All Plans | $14.35 | ↑ +130% |
| Blue Shield CA | Commercial|CalPers | $14.38 | ↑ +131% |
| BCBS - Anthem | Medicare|Imperial | $14.78 | ↑ +137% |
| United | Medicaid|> 21 | $15.62 | ↑ +151% |
| United | Medicaid|< 21 | $15.62 | ↑ +151% |
| United | Commercial|Non-Options PPO | $15.62 | ↑ +151% |
| Aetna | Commercial|All Other Plans | $15.62 | ↑ +151% |
| United | Commercial|HMO | $15.62 | ↑ +151% |
| Aetna | Commercial|HMO | $15.62 | ↑ +151% |
| United | Commercial|All Other Plans | $15.62 | ↑ +151% |
| Molina | Medicaid|All Plans | $15.62 | ↑ +151% |
| California Health & Wellness | Medicaid|All Plans | $15.62 | ↑ +151% |
| Aetna | Commercial|PPO | $15.62 | ↑ +151% |
| Hill Physicians | Medicaid|All Plans | $15.62 | ↑ +151% |
| BCBS - Anthem | Commercial|All Other Plans | $15.62 | ↑ +151% |
| BCBS - Anthem | Medicaid|All Plans | $15.62 | ↑ +151% |
| BCBS - Anthem | Commercial|MCS | $15.62 | ↑ +151% |
| Health Net | Medicaid|All Plans | $15.62 | ↑ +151% |
| Cigna | Commercial|LocalPlus | $31.79 | ↑ +410% |
| Cigna | Commercial|All Other Plans | $42.39 | ↑ +580% |
Visitor-reported prices
Comments
Ghs protoporphyrins fract at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $38.19 | $2.87 – $59.17 |
| Arroyo Grande Hospital | Santa Maria | $22.65 | $5.45 – $36.98 |
| Mark Twain Medical Center | San Andreas | $35.24 | $14.35 – $35.17 |
| French Hospital | San Luis Obispo | $20.75 | $2.95 – $43.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $19.63 | $8.00 – $41.25 |
| Bakersfield Memorial Hospital | Bakersfield | $19.42 | $8.00 – $41.25 |
| St. Joseph's Behavioral Health Center | Stockton | $30.22 | $1.60 – $12.80 |
| St. Joseph's Medical Center Stockton | Stockton | $15.56 | $3.36 – $16.00 |