Ho post-op hip abduction at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$2,400.13
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.
$6,170.00
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.
$521.95 with WCMG vs $4,697.55 with BCBS - Anthem — 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 | $521.95 | ↓ -78% |
| United | Medicaid|< 21 | $939.45 | ↓ -61% |
| United | Medicaid|> 21 | $939.45 | ↓ -61% |
| Hill Physicians | Medicaid|All Plans | $1,033.40 | ↓ -57% |
| Kaiser | Medicaid|All Plans | $1,091.35 | ↓ -55% |
| Kaiser | Commercial|All Plans | $1,091.35 | ↓ -55% |
| Kaiser | Medicare|All Plans | $1,091.35 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $1,138.80 | ↓ -53% |
| Partnership Health Plan | Medicaid|All Plans | $1,186.25 | ↓ -51% |
| Molina | Medicaid|All Plans | $1,233.70 | ↓ -49% |
| Health Net | Medicaid|All Plans | $1,376.05 | ↓ -43% |
| California Health & Wellness | Medicaid|All Plans | $1,376.05 | ↓ -43% |
| Health Net | Commercial|EPPO | $1,898.00 | ↓ -21% |
| Cigna | Commercial|LocalPlus | $1,898.00 | ↓ -21% |
| Cigna | Commercial|All Other Plans | $2,514.85 | ↑ +5% |
| United | Commercial|Non-Options PPO | $3,036.80 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $3,084.25 | ↑ +29% |
| United | Commercial|HMO | $3,131.70 | ↑ +30% |
| United | Commercial|All Other Plans | $3,226.60 | ↑ +34% |
| Blue Shield CA | Commercial|ACO Trio | $3,321.50 | ↑ +38% |
| Health Net | Commercial|FFS | $3,558.75 | ↑ +48% |
| Healthsmart | Commercial|All Plans | $3,558.75 | ↑ +48% |
| First Health | Commercial|All Plans | $3,558.75 | ↑ +48% |
| BCBS - Anthem | Commercial|Connection EPO | $3,748.55 | ↑ +56% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↑ +58% |
| MultiPlan | Commercial|All Plans | $3,890.90 | ↑ +62% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,033.25 | ↑ +68% |
| Blue Shield CA | Commercial|Exchange | $4,033.25 | ↑ +68% |
| Blue Shield CA | Commercial|PPO Tandem | $4,270.50 | ↑ +78% |
| Blue Shield CA | Commercial|HMO | $4,270.50 | ↑ +78% |
| Blue Shield CA | Commercial|All Other Plans | $4,270.50 | ↑ +78% |
| Blue Shield CA | Commercial|CalPers | $4,365.40 | ↑ +82% |
| Aetna | Commercial|HMO | $4,555.20 | ↑ +90% |
| Aetna | Commercial|PPO | $4,555.20 | ↑ +90% |
| Aetna | Commercial|All Other Plans | $4,555.20 | ↑ +90% |
| BCBS - Anthem | Commercial|All Other Plans | $4,697.55 | ↑ +96% |
| BCBS - Anthem | Commercial|MCS | $4,697.55 | ↑ +96% |
Visitor-reported prices
Comments
Ho post-op hip abduction at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,151.46 | $906.72 – $2,946.84 |
| Arroyo Grande Hospital | Santa Maria | $2,103.20 | $939.45 – $4,815.72 |
| French Hospital | San Luis Obispo | $1,926.29 | $933.66 – $4,815.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,198.33 | $807.50 – $2,907.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,185.41 | $807.50 – $3,133.10 |
| St. Joseph's Medical Center Stockton | Stockton | $664.74 | $587.86 – $2,261.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,617.70 | $507.12 – $2,070.74 |
| Mercy Medical Center Merced | Merced | $665.38 | $297.16 – $1,240.32 |