Injection radioactive tracer sentinel node (both sides) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$287.48
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.
$739.00
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.
$31.61 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 | $31.61 | ↓ -89% |
| WCMG | Commercial|All Plans | $81.29 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $90.13 | ↓ -69% |
| Western Health Advantage | Commercial|All Plans | $258.65 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $302.99 | ↑ +5% |
| California Health & Wellness | Medicaid|All Plans | $369.50 | ↑ +29% |
| Health Net | Medicaid|All Plans | $369.50 | ↑ +29% |
| BCBS - Anthem | Medicare|All Other Plans | $497.94 | ↑ +73% |
| BCBS - Anthem | Medicaid|All Plans | $513.40 | ↑ +79% |
| Aetna | Medicare|All Plans | $528.04 | ↑ +84% |
| United | Medicare|All Plans | $528.04 | ↑ +84% |
| Humana | Commercial|All Plans | $528.04 | ↑ +84% |
| Kaiser | Medicare|All Plans | $528.04 | ↑ +84% |
| Blue Shield CA | Medicare|HMO | $528.04 | ↑ +84% |
| Blue Shield CA | Medicare|PPO | $528.04 | ↑ +84% |
| BCBS - Anthem | Medicare|Imperial | $543.88 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $554.25 | ↑ +93% |
| First Health | Commercial|All Plans | $554.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $583.81 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $591.20 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $605.98 | ↑ +111% |
| United | Commercial|Non-Options PPO | $739.00 | ↑ +157% |
| Molina | Medicaid|All Plans | $2,504.00 | ↑ +771% |
| Health Net | Commercial|EPPO | $3,700.00 | ↑ +1187% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +1309% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +1661% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +1889% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +1889% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +1889% |
| Health Net | Commercial|FFS | $7,082.00 | ↑ +2363% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +2365% |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $406.47 | $250.56 – $975.58 |
| Banner Lassen Medical Center | Susanville | $375.32 | $196.39 – $464.63 |
| Arroyo Grande Hospital | Santa Maria | $481.93 | $510.57 – $1,103.48 |
| Mark Twain Medical Center | San Andreas | $951.72 | $19.92 – $75.46 |
| French Hospital | San Luis Obispo | $503.72 | $330.48 – $1,199.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $481.93 | $350.73 – $1,039.20 |
| Bakersfield Memorial Hospital | Bakersfield | $476.74 | $350.73 – $1,026.21 |
| Queen of The Valley Medical Center | Napa | $817.02 | $314.54 – $6,200.00 |