IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$453.97
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.
$1,167.00
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.
$65.33 with Hill Physicians 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $65.33 | ↓ -86% |
| United | Medicaid|< 21 | $71.83 | ↓ -84% |
| United | Medicaid|> 21 | $71.83 | ↓ -84% |
| Hill Physicians | Medicare|All Plans | $78.45 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $87.33 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $118.94 | ↓ -74% |
| WCMG | Commercial|All Plans | $128.37 | ↓ -72% |
| Molina | Medicaid|All Plans | $149.25 | ↓ -67% |
| California Health & Wellness | Medicaid|All Plans | $187.36 | ↓ -59% |
| Health Net | Medicaid|All Plans | $187.36 | ↓ -59% |
| BCBS - Anthem | Medicare|All Other Plans | $261.09 | ↓ -42% |
| Partnership Health Plan | Medicaid|All Plans | $269.18 | ↓ -41% |
| United | Medicare|All Plans | $276.87 | ↓ -39% |
| Aetna | Medicare|All Plans | $276.87 | ↓ -39% |
| Humana | Commercial|All Plans | $276.87 | ↓ -39% |
| Kaiser | Medicare|All Plans | $276.87 | ↓ -39% |
| Blue Shield CA | Medicare|HMO | $276.87 | ↓ -39% |
| Blue Shield CA | Medicare|PPO | $276.87 | ↓ -39% |
| BCBS - Anthem | Medicare|Imperial | $285.18 | ↓ -37% |
| Western Health Advantage | Commercial|All Plans | $408.45 | ↓ -10% |
| United | Commercial|Non-Options PPO | $465.00 | ↑ +2% |
| Kaiser | Medicaid|All Plans | $478.47 | ↑ +5% |
| Aetna | Commercial|PPO | $523.48 | ↑ +15% |
| Aetna | Commercial|All Other Plans | $523.48 | ↑ +15% |
| Aetna | Commercial|HMO | $523.48 | ↑ +15% |
| United | Commercial|HMO | $544.00 | ↑ +20% |
| United | Commercial|All Other Plans | $549.00 | ↑ +21% |
| Blue Shield CA | Commercial|ACO Trio | $571.83 | ↑ +26% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $735.21 | ↑ +62% |
| Blue Shield CA | Commercial|Exchange | $746.88 | ↑ +65% |
| Cigna | Commercial|LocalPlus | $770.22 | ↑ +70% |
| Healthsmart | Commercial|All Plans | $875.25 | ↑ +93% |
| First Health | Commercial|All Plans | $875.25 | ↑ +93% |
| Blue Shield CA | Commercial|PPO Tandem | $898.59 | ↑ +98% |
| Kaiser | Commercial|All Plans | $921.93 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $933.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $956.94 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $1,026.96 | ↑ +126% |
| Blue Shield CA | Commercial|HMO | $1,050.30 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $1,050.30 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $1,073.64 | ↑ +137% |
| BCBS - Anthem | Commercial|All Other Plans | $1,167.00 | ↑ +157% |
| BCBS - Anthem | Commercial|Connection EPO | $1,167.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $7,560.00 | ↑ +1565% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $646.49 | $88.35 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $414.78 | $42.14 – $601.40 |
| Petaluma Valley Hospital | Petaluma | $1,505.52 | $286.64 – $292.49 |
| Arroyo Grande Hospital | Santa Maria | $493.92 | $71.83 – $1,006.46 |
| Mark Twain Medical Center | San Andreas | $692.64 | $71.83 – $611.52 |
| French Hospital | San Luis Obispo | $452.37 | $71.83 – $837.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $658.53 | $71.83 – $1,412.86 |
| Bakersfield Memorial Hospital | Bakersfield | $651.43 | $71.83 – $1,412.86 |