Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$26,099.96
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.
$67,095.00
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.
$11.87 with United vs $13,027.20 with Aetna — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $11.87 | ↓ -100% |
| United | Medicaid|> 21 | $11.87 | ↓ -100% |
| Partnership Health Plan | Medicaid|All Plans | $11.87 | ↓ -100% |
| Hill Physicians | Medicaid|All Plans | $13.06 | ↓ -100% |
| BCBS - Anthem | Commercial|Connection EPO | $13.62 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $17.02 | ↓ -100% |
| Molina | Medicaid|All Plans | $22.32 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $22.55 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $23.78 | ↓ -100% |
| Hill Physicians | Commercial|All Plans | $24.64 | ↓ -100% |
| California Health & Wellness | Medicaid|All Plans | $28.01 | ↓ -100% |
| Health Net | Medicaid|All Plans | $28.01 | ↓ -100% |
| United | Commercial|HMO | $49.96 | ↓ -100% |
| United | Commercial|All Other Plans | $49.96 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $54.08 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $72.12 | ↓ -100% |
| United | Commercial|Non-Options PPO | $103.24 | ↓ -100% |
| WCMG | Commercial|All Plans | $1,492.70 | ↓ -94% |
| Kaiser | Medicare|All Plans | $3,121.10 | ↓ -88% |
| Kaiser | Commercial|All Plans | $3,121.10 | ↓ -88% |
| Kaiser | Medicaid|All Plans | $3,121.10 | ↓ -88% |
| Health Net | Commercial|EPPO | $5,428.00 | ↓ -79% |
| Western Health Advantage | Commercial|All Plans | $8,820.50 | ↓ -66% |
| Blue Shield CA | Commercial|ACO Trio | $9,499.00 | ↓ -64% |
| Healthsmart | Commercial|All Plans | $10,177.50 | ↓ -61% |
| Health Net | Commercial|FFS | $10,177.50 | ↓ -61% |
| First Health | Commercial|All Plans | $10,177.50 | ↓ -61% |
| Sutter Health | Commercial|All Plans | $10,856.00 | ↓ -58% |
| MultiPlan | Commercial|All Plans | $11,127.40 | ↓ -57% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11,534.50 | ↓ -56% |
| Blue Shield CA | Commercial|Exchange | $11,534.50 | ↓ -56% |
| Blue Shield CA | Commercial|HMO | $12,213.00 | ↓ -53% |
| Blue Shield CA | Commercial|PPO Tandem | $12,213.00 | ↓ -53% |
| Blue Shield CA | Commercial|All Other Plans | $12,213.00 | ↓ -53% |
| Blue Shield CA | Commercial|CalPers | $12,484.40 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $13,027.20 | ↓ -50% |
| Aetna | Commercial|PPO | $13,027.20 | ↓ -50% |
| Aetna | Commercial|HMO | $13,027.20 | ↓ -50% |