Heparin-protamine tolerance at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$90.25
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.
$232.00
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.
$11.64 with Partnership Health Plan vs $232.00 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 | $11.64 | ↓ -87% |
| BCBS - Anthem | Medicare|All Other Plans | $12.34 | ↓ -86% |
| Hill Physicians | Medicare|All Plans | $13.09 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $13.09 | ↓ -85% |
| Aetna | Medicare|All Plans | $13.09 | ↓ -85% |
| Blue Shield CA | Medicare|PPO | $13.09 | ↓ -85% |
| Kaiser | Medicare|All Plans | $13.09 | ↓ -85% |
| Blue Shield CA | Medicare|HMO | $13.09 | ↓ -85% |
| Humana | Commercial|All Plans | $13.09 | ↓ -85% |
| United | Medicare|All Plans | $13.09 | ↓ -85% |
| BCBS - Anthem | Medicare|Imperial | $13.48 | ↓ -85% |
| United | Commercial|HMO | $15.71 | ↓ -83% |
| United | Commercial|Non-Options PPO | $15.71 | ↓ -83% |
| United | Commercial|All Other Plans | $15.71 | ↓ -83% |
| United | Medicaid|< 21 | $16.70 | ↓ -81% |
| United | Medicaid|> 21 | $16.70 | ↓ -81% |
| Hill Physicians | Medicaid|All Plans | $18.37 | ↓ -80% |
| WCMG | Commercial|All Plans | $25.52 | ↓ -72% |
| Cigna | Commercial|LocalPlus | $28.99 | ↓ -68% |
| Molina | Medicaid|All Plans | $31.40 | ↓ -65% |
| BCBS - Anthem | Medicaid|All Plans | $36.02 | ↓ -60% |
| Cigna | Commercial|All Other Plans | $38.66 | ↓ -57% |
| Health Net | Medicaid|All Plans | $39.41 | ↓ -56% |
| California Health & Wellness | Medicaid|All Plans | $39.41 | ↓ -56% |
| Western Health Advantage | Commercial|All Plans | $81.20 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $95.12 | ↑ +5% |
| Aetna | Commercial|All Other Plans | $97.37 | ↑ +8% |
| Aetna | Commercial|HMO | $97.37 | ↑ +8% |
| Aetna | Commercial|PPO | $97.37 | ↑ +8% |
| Blue Shield CA | Commercial|ACO Trio | $127.60 | ↑ +41% |
| BCBS - Anthem | Commercial|Connection EPO | $156.99 | ↑ +74% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $164.72 | ↑ +83% |
| Blue Shield CA | Commercial|Exchange | $167.04 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $174.00 | ↑ +93% |
| First Health | Commercial|All Plans | $174.00 | ↑ +93% |
| Kaiser | Commercial|All Plans | $183.28 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $185.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $190.24 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $196.32 | ↑ +118% |
| Blue Shield CA | Commercial|PPO Tandem | $201.84 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $208.80 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $208.80 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $213.44 | ↑ +136% |
| BCBS - Anthem | Commercial|MCS | $232.00 | ↑ +157% |
Visitor-reported prices
Comments
Heparin-protamine tolerance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $107.31 | $13.09 – $191.10 |
| Northridge Hospital Medical Center | Northridge | $74.50 | $13.09 – $267.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $218.55 | $13.09 – $392.98 |
| Providence St Joseph Hospital Orange | Orange | $76.80 | $11.13 – $26.18 |
| Mercy San Juan Medical Center | Carmichael | $63.57 | $11.64 – $192.56 |
| Mercy General Hospital | Sacramento | $50.58 | $11.64 – $185.60 |
| Woodland Memorial Hospital | Woodland | $63.57 | $11.64 – $232.00 |
| Methodist Hospital of Sacramento | Sacramento | $66.82 | $11.64 – $192.56 |