Ins/rpl pm w/tv ld atrl at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$6,760.05
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.
$17,378.00
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.
$444.66 with Hill Physicians vs $26,891.00 with Health Net — 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 | $444.66 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $467.43 | ↓ -93% |
| United | Medicaid|< 21 | $854.44 | ↓ -87% |
| United | Medicaid|> 21 | $854.44 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $1,481.59 | ↓ -78% |
| WCMG | Commercial|All Plans | $1,911.58 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $2,029.30 | ↓ -70% |
| Molina | Medicaid|All Plans | $2,532.17 | ↓ -63% |
| Health Net | Medicaid|All Plans | $3,178.68 | ↓ -53% |
| California Health & Wellness | Medicaid|All Plans | $3,178.68 | ↓ -53% |
| Partnership Health Plan | Medicaid|All Plans | $4,592.63 | ↓ -32% |
| Western Health Advantage | Commercial|All Plans | $6,082.30 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $7,124.98 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $7,314.00 | ↑ +8% |
| BCBS - Anthem | Commercial|All Other Plans | $9,143.00 | ↑ +35% |
| Blue Shield CA | Commercial|ACO Trio | $11,133.00 | ↑ +65% |
| BCBS - Anthem | Commercial|MCS | $12,800.00 | ↑ +89% |
| BCBS - Anthem | Medicare|All Other Plans | $12,968.60 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $13,033.50 | ↑ +93% |
| First Health | Commercial|All Plans | $13,033.50 | ↑ +93% |
| Kaiser | Commercial|All Plans | $13,728.62 | ↑ +103% |
| Blue Shield CA | Medicare|PPO | $13,752.49 | ↑ +103% |
| Humana | Commercial|All Plans | $13,752.49 | ↑ +103% |
| Kaiser | Medicare|All Plans | $13,752.49 | ↑ +103% |
| Aetna | Medicare|All Plans | $13,752.49 | ↑ +103% |
| Blue Shield CA | Medicare|HMO | $13,752.49 | ↑ +103% |
| United | Medicare|All Plans | $13,752.49 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $13,902.40 | ↑ +106% |
| Blue Shield CA | Commercial|Exchange | $14,011.00 | ↑ +107% |
| Health Net | Commercial|EPPO | $14,045.00 | ↑ +108% |
| BCBS - Anthem | Medicare|Imperial | $14,165.06 | ↑ +110% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,185.00 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $14,249.96 | ↑ +111% |
| United | Commercial|Non-Options PPO | $17,378.00 | ↑ +157% |
| Aetna | Commercial|HMO | $18,293.00 | ↑ +171% |
| Aetna | Commercial|All Other Plans | $18,293.00 | ↑ +171% |
| Aetna | Commercial|PPO | $18,293.00 | ↑ +171% |
| Blue Shield CA | Commercial|PPO Tandem | $20,508.00 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $20,784.00 | ↑ +207% |
| Blue Shield CA | Commercial|CalPers | $22,121.00 | ↑ +227% |
| Blue Shield CA | Commercial|All Other Plans | $24,418.00 | ↑ +261% |
| Health Net | Commercial|FFS | $26,891.00 | ↑ +298% |
Visitor-reported prices
Comments
Ins/rpl pm w/tv ld atrl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14,400.13 | $1,050.96 – $25,925.22 |
| Arroyo Grande Hospital | Santa Maria | $38,626.58 | $854.44 – $88,444.02 |
| French Hospital | San Luis Obispo | $36,127.12 | $854.44 – $90,317.78 |
| Bakersfield Memorial Hospital | Bakersfield | $13,055.66 | $854.44 – $28,103.46 |
| Queen of The Valley Medical Center | Napa | $19,382.04 | $7,745.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $9,008.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $9,031.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,655.55 | $854.44 – $27,587.28 |