Inj w/fluor eval cv device at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,453.31
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.
$3,736.00
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.
$34.81 with Hill Physicians vs $8,006.00 with Aetna — 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 | $34.81 | ↓ -98% |
| United | Medicaid|> 21 | $126.88 | ↓ -91% |
| United | Medicaid|< 21 | $126.88 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $135.68 | ↓ -91% |
| Hill Physicians | Medicaid|All Plans | $153.38 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $210.08 | ↓ -86% |
| BCBS - Anthem | Medicare|All Other Plans | $261.09 | ↓ -82% |
| Molina | Medicaid|All Plans | $262.15 | ↓ -82% |
| Kaiser | Medicare|All Plans | $276.87 | ↓ -81% |
| United | Medicare|All Plans | $276.87 | ↓ -81% |
| Blue Shield CA | Medicare|HMO | $276.87 | ↓ -81% |
| Blue Shield CA | Medicare|PPO | $276.87 | ↓ -81% |
| Aetna | Medicare|All Plans | $276.87 | ↓ -81% |
| Humana | Commercial|All Plans | $276.87 | ↓ -81% |
| BCBS - Anthem | Medicare|Imperial | $285.18 | ↓ -80% |
| California Health & Wellness | Medicaid|All Plans | $329.08 | ↓ -77% |
| Health Net | Medicaid|All Plans | $329.08 | ↓ -77% |
| WCMG | Commercial|All Plans | $394.57 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $475.45 | ↓ -67% |
| Blue Shield CA | Commercial|ACO Trio | $856.00 | ↓ -41% |
| Blue Shield CA | Commercial|Exchange | $1,077.00 | ↓ -26% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,090.00 | ↓ -25% |
| Western Health Advantage | Commercial|All Plans | $1,255.45 | ↓ -14% |
| Kaiser | Medicaid|All Plans | $1,470.67 | ↑ +1% |
| Blue Shield CA | Commercial|PPO Tandem | $1,576.00 | ↑ +8% |
| Blue Shield CA | Commercial|HMO | $1,598.00 | ↑ +10% |
| Blue Shield CA | Commercial|CalPers | $1,700.00 | ↑ +17% |
| Blue Shield CA | Commercial|All Other Plans | $1,877.00 | ↑ +29% |
| Healthsmart | Commercial|All Plans | $2,690.25 | ↑ +85% |
| First Health | Commercial|All Plans | $2,690.25 | ↑ +85% |
| Kaiser | Commercial|All Plans | $2,833.73 | ↑ +95% |
| Sutter Health | Commercial|All Plans | $2,869.60 | ↑ +97% |
| MultiPlan | Commercial|All Plans | $2,941.34 | ↑ +102% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +110% |
| United | Commercial|Non-Options PPO | $3,587.00 | ↑ +147% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +179% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +248% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +303% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +388% |
| Aetna | Commercial|PPO | $8,006.00 | ↑ +451% |
| Aetna | Commercial|All Other Plans | $8,006.00 | ↑ +451% |
| Aetna | Commercial|HMO | $8,006.00 | ↑ +451% |
Visitor-reported prices
Comments
Inj w/fluor eval cv device at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $270.25 | $156.06 – $518.50 |
| Arroyo Grande Hospital | Santa Maria | $520.45 | $126.88 – $1,025.08 |
| French Hospital | San Luis Obispo | $476.68 | $126.88 – $666.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $303.11 | $126.88 – $628.80 |
| Bakersfield Memorial Hospital | Bakersfield | $299.84 | $126.88 – $620.94 |
| Queen of The Valley Medical Center | Napa | $643.11 | $302.01 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,560.09 | $273.57 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $430.42 | $110.57 – $614.88 |