Gi inhouse confirmation at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$50.57
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.
$130.00
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.
$7.85 with Partnership Health Plan vs $130.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $7.85 | ↓ -84% |
| BCBS - Anthem | Medicare|All Other Plans | $8.90 | ↓ -82% |
| Hill Physicians | Medicare|All Plans | $9.44 | ↓ -81% |
| Hill Physicians | Commercial|All Plans | $9.44 | ↓ -81% |
| Aetna | Medicare|All Plans | $9.44 | ↓ -81% |
| Blue Shield CA | Medicare|PPO | $9.44 | ↓ -81% |
| Kaiser | Medicare|All Plans | $9.44 | ↓ -81% |
| Blue Shield CA | Medicare|HMO | $9.44 | ↓ -81% |
| Humana | Commercial|All Plans | $9.44 | ↓ -81% |
| United | Medicare|All Plans | $9.44 | ↓ -81% |
| BCBS - Anthem | Medicare|Imperial | $9.72 | ↓ -81% |
| United | Medicaid|< 21 | $11.26 | ↓ -78% |
| United | Medicaid|> 21 | $11.26 | ↓ -78% |
| United | Commercial|All Other Plans | $11.33 | ↓ -78% |
| United | Commercial|HMO | $11.33 | ↓ -78% |
| United | Commercial|Non-Options PPO | $11.33 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $12.39 | ↓ -75% |
| WCMG | Commercial|All Plans | $14.30 | ↓ -72% |
| Cigna | Commercial|LocalPlus | $20.92 | ↓ -59% |
| Molina | Medicaid|All Plans | $21.17 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $23.58 | ↓ -53% |
| Health Net | Medicaid|All Plans | $26.57 | ↓ -47% |
| California Health & Wellness | Medicaid|All Plans | $26.57 | ↓ -47% |
| Cigna | Commercial|All Other Plans | $27.89 | ↓ -45% |
| Western Health Advantage | Commercial|All Plans | $45.50 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $53.30 | ↑ +5% |
| Aetna | Commercial|PPO | $64.80 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $64.80 | ↑ +28% |
| Aetna | Commercial|HMO | $64.80 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio | $71.50 | ↑ +41% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $92.30 | ↑ +83% |
| Blue Shield CA | Commercial|Exchange | $93.60 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $97.50 | ↑ +93% |
| First Health | Commercial|All Plans | $97.50 | ↑ +93% |
| Kaiser | Commercial|All Plans | $102.70 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $104.00 | ↑ +106% |
| BCBS - Anthem | Commercial|Connection EPO | $104.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $106.60 | ↑ +111% |
| Blue Shield CA | Commercial|PPO Tandem | $113.10 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $117.00 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $117.00 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $119.60 | ↑ +137% |
| BCBS - Anthem | Commercial|All Other Plans | $130.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $130.00 | ↑ +157% |
Visitor-reported prices
Comments
Gi inhouse confirmation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $303.54 | $9.44 – $29.46 |
| Banner Lassen Medical Center | Susanville | $7.25 | $1.89 – $12.95 |
| Petaluma Valley Hospital | Petaluma | $192.27 | $9.25 – $76.99 |
| Arroyo Grande Hospital | Santa Maria | $320.15 | $6.67 – $24.34 |
| Mark Twain Medical Center | San Andreas | $55.95 | $9.44 – $23.13 |
| French Hospital | San Luis Obispo | $293.22 | $3.61 – $28.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.85 | $6.67 – $27.14 |
| Bakersfield Memorial Hospital | Bakersfield | $128.45 | $6.67 – $27.14 |