Ghs urine, porphyrins quant at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$9.34
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.
$24.00
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.
$2.64 with WCMG vs $43.43 with Cigna — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $2.64 | ↓ -72% |
| Western Health Advantage | Commercial|All Plans | $8.40 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $9.84 | ↑ +5% |
| Partnership Health Plan | Medicaid|All Plans | $13.08 | ↑ +40% |
| Blue Shield CA | Commercial|ACO Trio | $13.20 | ↑ +41% |
| BCBS - Anthem | Medicare|All Other Plans | $13.87 | ↑ +49% |
| United | Medicare|All Plans | $14.71 | ↑ +57% |
| Aetna | Medicare|All Plans | $14.71 | ↑ +57% |
| Humana | Commercial|All Plans | $14.71 | ↑ +57% |
| Kaiser | Medicare|All Plans | $14.71 | ↑ +57% |
| Blue Shield CA | Medicare|HMO | $14.71 | ↑ +57% |
| Blue Shield CA | Medicare|PPO | $14.71 | ↑ +57% |
| Hill Physicians | Commercial|All Plans | $14.71 | ↑ +57% |
| Hill Physicians | Medicare|All Plans | $14.71 | ↑ +57% |
| BCBS - Anthem | Medicare|Imperial | $15.15 | ↑ +62% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $17.04 | ↑ +82% |
| Blue Shield CA | Commercial|Exchange | $17.28 | ↑ +85% |
| United | Commercial|HMO | $17.65 | ↑ +89% |
| United | Commercial|All Other Plans | $17.65 | ↑ +89% |
| United | Commercial|Non-Options PPO | $17.65 | ↑ +89% |
| First Health | Commercial|All Plans | $18.00 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $18.00 | ↑ +93% |
| United | Medicaid|> 21 | $18.76 | ↑ +101% |
| United | Medicaid|< 21 | $18.76 | ↑ +101% |
| Kaiser | Commercial|All Plans | $18.96 | ↑ +103% |
| BCBS - Anthem | Commercial|Connection EPO | $19.20 | ↑ +106% |
| Sutter Health | Commercial|All Plans | $19.20 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $19.68 | ↑ +111% |
| Hill Physicians | Medicaid|All Plans | $20.64 | ↑ +121% |
| Blue Shield CA | Commercial|PPO Tandem | $20.88 | ↑ +124% |
| Blue Shield CA | Commercial|HMO | $21.60 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $21.60 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $22.08 | ↑ +136% |
| Aetna | Commercial|HMO | $24.00 | ↑ +157% |
| BCBS - Anthem | Medicaid|All Plans | $24.00 | ↑ +157% |
| BCBS - Anthem | Commercial|All Other Plans | $24.00 | ↑ +157% |
| Aetna | Commercial|PPO | $24.00 | ↑ +157% |
| Aetna | Commercial|All Other Plans | $24.00 | ↑ +157% |
| California Health & Wellness | Medicaid|All Plans | $24.00 | ↑ +157% |
| Molina | Medicaid|All Plans | $24.00 | ↑ +157% |
| Health Net | Medicaid|All Plans | $24.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $24.00 | ↑ +157% |
| Cigna | Commercial|LocalPlus | $32.57 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $43.43 | ↑ +365% |
Visitor-reported prices
Comments
Ghs urine, porphyrins quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11.39 | $6.48 – $39.02 |
| Banner Lassen Medical Center | Susanville | $7.51 | $2.94 – $21.58 |
| Petaluma Valley Hospital | Petaluma | $66.94 | $14.42 – $120.08 |
| Arroyo Grande Hospital | Santa Maria | $11.13 | $12.00 – $37.90 |
| Mark Twain Medical Center | San Andreas | $15.99 | $13.00 – $23.52 |
| French Hospital | San Luis Obispo | $10.20 | $6.48 – $44.55 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9.65 | $8.50 – $42.26 |
| Bakersfield Memorial Hospital | Bakersfield | $9.55 | $8.50 – $42.26 |