Insertion single tranvenous electrode/ppm/implantable defibrillator at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$4,861.34
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.
$12,497.00
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.
$365.60 with Hill Physicians vs $24,418.00 with Blue Shield CA — 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 | $365.60 | ↓ -92% |
| Hill Physicians | Medicare|All Plans | $383.18 | ↓ -92% |
| United | Medicaid|> 21 | $512.67 | ↓ -89% |
| United | Medicaid|< 21 | $512.67 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $888.95 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $1,217.58 | ↓ -75% |
| WCMG | Commercial|All Plans | $1,374.67 | ↓ -72% |
| Molina | Medicaid|All Plans | $1,519.30 | ↓ -69% |
| California Health & Wellness | Medicaid|All Plans | $1,907.21 | ↓ -61% |
| Health Net | Medicaid|All Plans | $1,907.21 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $2,755.58 | ↓ -43% |
| Western Health Advantage | Commercial|All Plans | $4,373.95 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $5,123.77 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | ↑ +17% |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | ↑ +47% |
| Healthsmart | Commercial|All Plans | $9,372.75 | ↑ +93% |
| First Health | Commercial|All Plans | $9,372.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $9,872.63 | ↑ +103% |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | ↑ +105% |
| Sutter Health | Commercial|All Plans | $9,997.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $10,247.54 | ↑ +111% |
| BCBS - Anthem | Medicare|All Other Plans | $10,255.57 | ↑ +111% |
| Humana | Commercial|All Plans | $10,875.47 | ↑ +124% |
| Kaiser | Medicare|All Plans | $10,875.47 | ↑ +124% |
| Blue Shield CA | Medicare|HMO | $10,875.47 | ↑ +124% |
| Blue Shield CA | Medicare|PPO | $10,875.47 | ↑ +124% |
| United | Medicare|All Plans | $10,875.47 | ↑ +124% |
| Aetna | Medicare|All Plans | $10,875.47 | ↑ +124% |
| Blue Shield CA | Commercial|ACO Trio | $11,133.00 | ↑ +129% |
| BCBS - Anthem | Medicare|Imperial | $11,201.73 | ↑ +130% |
| Aetna | Commercial|All Other Plans | $11,438.00 | ↑ +135% |
| Aetna | Commercial|PPO | $11,438.00 | ↑ +135% |
| Aetna | Commercial|HMO | $11,438.00 | ↑ +135% |
| Health Net | Commercial|EPPO | $11,608.00 | ↑ +139% |
| United | Commercial|Non-Options PPO | $12,497.00 | ↑ +157% |
| Blue Shield CA | Commercial|Exchange | $14,011.00 | ↑ +188% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,185.00 | ↑ +192% |
| Blue Shield CA | Commercial|PPO Tandem | $20,508.00 | ↑ +322% |
| Blue Shield CA | Commercial|HMO | $20,784.00 | ↑ +328% |
| Blue Shield CA | Commercial|CalPers | $22,121.00 | ↑ +355% |
| Health Net | Commercial|FFS | $22,224.00 | ↑ +357% |
| Blue Shield CA | Commercial|All Other Plans | $24,418.00 | ↑ +402% |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,048.78 | $630.58 – $20,488.56 |
| Arroyo Grande Hospital | Santa Maria | $6,893.37 | $512.67 – $15,783.88 |
| French Hospital | San Luis Obispo | $6,442.52 | $512.67 – $16,106.30 |
| Bakersfield Memorial Hospital | Bakersfield | $5,438.21 | $512.67 – $11,706.22 |
| Queen of The Valley Medical Center | Napa | $11,834.04 | $6,200.00 – $46,622.00 |
| Providence St Joseph Hospital Eureka | Eureka | $9,209.58 | $8,018.00 – $46,622.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,122.15 | $512.67 – $20,349.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,847.81 | $4,042.00 – $15,575.00 |