Ins/rpl pm gen exist sgl lead at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$317.78 with Hill Physicians vs $24,418.00 with Blue Shield CA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $317.78 | — |
| Hill Physicians | Medicare|All Plans | $331.32 | — |
| United | Medicaid|< 21 | $338.78 | — |
| United | Medicaid|> 21 | $338.78 | — |
| Hill Physicians | Medicaid|All Plans | $587.44 | — |
| BCBS - Anthem | Medicaid|All Plans | $804.61 | — |
| Molina | Medicaid|All Plans | $1,004.00 | — |
| California Health & Wellness | Medicaid|All Plans | $1,260.33 | — |
| Health Net | Medicaid|All Plans | $1,260.33 | — |
| Partnership Health Plan | Medicaid|All Plans | $1,820.96 | — |
| Aetna | Commercial|PPO | $9,148.00 | — |
| Aetna | Commercial|All Other Plans | $9,148.00 | — |
| Aetna | Commercial|HMO | $9,148.00 | — |
| BCBS - Anthem | Medicare|All Other Plans | $10,255.57 | — |
| Kaiser | Medicare|All Plans | $10,875.47 | — |
| Humana | Commercial|All Plans | $10,875.47 | — |
| Aetna | Medicare|All Plans | $10,875.47 | — |
| United | Medicare|All Plans | $10,875.47 | — |
| Blue Shield CA | Medicare|PPO | $10,875.47 | — |
| Blue Shield CA | Medicare|HMO | $10,875.47 | — |
| Blue Shield CA | Commercial|ACO Trio | $11,133.00 | — |
| BCBS - Anthem | Medicare|Imperial | $11,201.73 | — |
| Health Net | Commercial|EPPO | $11,608.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $12,602.00 | — |
| Blue Shield CA | Commercial|Exchange | $14,011.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,185.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $15,752.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $20,508.00 | — |
| Blue Shield CA | Commercial|HMO | $20,784.00 | — |
| BCBS - Anthem | Commercial|MCS | $22,053.00 | — |
| Blue Shield CA | Commercial|CalPers | $22,121.00 | — |
| Health Net | Commercial|FFS | $22,224.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $24,418.00 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,930.34 | $416.70 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $9,845.72 | $338.78 – $22,543.92 |
| French Hospital | San Luis Obispo | $8,908.20 | $338.78 – $22,270.50 |
| Bakersfield Memorial Hospital | Bakersfield | $10,879.35 | $338.78 – $23,418.76 |
| Queen of The Valley Medical Center | Napa | $21,783.63 | $11,749.91 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,370.18 | $338.78 – $23,914.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,231.04 | $8,912.00 – $20,774.00 |
| Mercy Medical Center Merced | Merced | $14,863.42 | $338.78 – $28,572.39 |