Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$282.81
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.
$727.00
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.
$28.82 with WCMG vs $7,560.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $28.82 | ↓ -90% |
| Western Health Advantage | Commercial|All Plans | $91.70 | ↓ -68% |
| Kaiser | Medicaid|All Plans | $107.42 | ↓ -62% |
| Blue Shield CA | Commercial|ACO Trio | $136.24 | ↓ -52% |
| Cigna | Commercial|LocalPlus | $172.92 | ↓ -39% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $175.54 | ↓ -38% |
| Healthsmart | Commercial|All Plans | $196.50 | ↓ -31% |
| First Health | Commercial|All Plans | $196.50 | ↓ -31% |
| Blue Shield CA | Commercial|Exchange | $199.12 | ↓ -30% |
| Kaiser | Commercial|All Plans | $206.98 | ↓ -27% |
| Sutter Health | Commercial|All Plans | $209.60 | ↓ -26% |
| MultiPlan | Commercial|All Plans | $214.84 | ↓ -24% |
| Blue Shield CA | Commercial|PPO Tandem | $214.84 | ↓ -24% |
| Cigna | Commercial|All Other Plans | $230.56 | ↓ -18% |
| Blue Shield CA | Commercial|All Other Plans | $235.80 | ↓ -17% |
| Blue Shield CA | Commercial|HMO | $235.80 | ↓ -17% |
| Aetna | Commercial|HMO | $238.42 | ↓ -16% |
| Aetna | Commercial|All Other Plans | $238.42 | ↓ -16% |
| Aetna | Commercial|PPO | $238.42 | ↓ -16% |
| Blue Shield CA | Commercial|CalPers | $241.04 | ↓ -15% |
| BCBS - Anthem | Commercial|Connection EPO | $262.00 | ↓ -7% |
| California Health & Wellness | Medicaid|All Plans | $343.00 | ↑ +21% |
| Health Net | Medicaid|All Plans | $343.00 | ↑ +21% |
| United | Commercial|Non-Options PPO | $465.00 | ↑ +64% |
| United | Commercial|HMO | $544.00 | ↑ +92% |
| United | Commercial|All Other Plans | $549.00 | ↑ +94% |
| BCBS - Anthem | Commercial|All Other Plans | $5,400.00 | ↑ +1809% |
| BCBS - Anthem | Commercial|MCS | $7,560.00 | ↑ +2573% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $123.52 | $66.96 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $61.82 | $39.36 – $93.12 |
| Petaluma Valley Hospital | Petaluma | $148.41 | not published |
| Arroyo Grande Hospital | Santa Maria | $265.79 | $112.50 – $1,208.00 |
| Mark Twain Medical Center | San Andreas | $231.11 | $32.86 – $124.46 |
| French Hospital | San Luis Obispo | $221.09 | $57.51 – $213.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $206.28 | $72.90 – $281.00 |
| Bakersfield Memorial Hospital | Bakersfield | $204.06 | $72.90 – $221.40 |