Inj nephrosto/ureterogram w/img exstng access at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$924.27
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.
$2,376.00
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.
$67.19 with Hill Physicians vs $7,087.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $67.19 | ↓ -93% |
| United | Medicaid|> 21 | $147.06 | ↓ -84% |
| United | Medicaid|< 21 | $147.06 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $161.77 | ↓ -82% |
| WCMG | Commercial|All Plans | $240.46 | ↓ -74% |
| Molina | Medicaid|All Plans | $276.47 | ↓ -70% |
| Hill Physicians | Medicare|All Plans | $340.03 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $347.06 | ↓ -62% |
| Health Net | Medicaid|All Plans | $347.06 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $632.36 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $668.67 | ↓ -28% |
| Western Health Advantage | Commercial|All Plans | $765.10 | ↓ -17% |
| BCBS - Anthem | Medicare|All Other Plans | $827.12 | ↓ -11% |
| Humana | Commercial|All Plans | $877.12 | ↓ -5% |
| Aetna | Medicare|All Plans | $877.12 | ↓ -5% |
| United | Medicare|All Plans | $877.12 | ↓ -5% |
| Kaiser | Medicare|All Plans | $877.12 | ↓ -5% |
| Blue Shield CA | Medicare|HMO | $877.12 | ↓ -5% |
| Blue Shield CA | Medicare|PPO | $877.12 | ↓ -5% |
| Kaiser | Medicaid|All Plans | $896.26 | ↓ -3% |
| BCBS - Anthem | Medicare|Imperial | $903.43 | ↓ -2% |
| Healthsmart | Commercial|All Plans | $1,639.50 | ↑ +77% |
| First Health | Commercial|All Plans | $1,639.50 | ↑ +77% |
| Kaiser | Commercial|All Plans | $1,726.94 | ↑ +87% |
| Sutter Health | Commercial|All Plans | $1,748.80 | ↑ +89% |
| MultiPlan | Commercial|All Plans | $1,792.52 | ↑ +94% |
| United | Commercial|Non-Options PPO | $2,186.00 | ↑ +137% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +200% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +277% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +282% |
| Health Net | Commercial|EPPO | $3,700.00 | ↑ +300% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +338% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +448% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +452% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +460% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +496% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +519% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +519% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +519% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +558% |
| Health Net | Commercial|FFS | $7,082.00 | ↑ +666% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +667% |
Visitor-reported prices
Comments
Inj nephrosto/ureterogram w/img exstng access at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $740.66 | $222.48 – $1,569.60 |
| Arroyo Grande Hospital | Santa Maria | $1,150.47 | $147.06 – $1,590.54 |
| French Hospital | San Luis Obispo | $1,067.42 | $147.06 – $1,590.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $795.43 | $147.06 – $1,393.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,041.18 | $147.06 – $1,433.85 |
| Queen of The Valley Medical Center | Napa | $1,115.37 | $534.38 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,250.34 | $896.84 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,782.53 | $147.06 – $1,697.64 |