Lipoprotein blood quant at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$21.40
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.
$55.00
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.
$1.55 with WCMG vs $100.95 with Cigna — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $1.55 | ↓ -93% |
| Western Health Advantage | Commercial|All Plans | $4.93 | ↓ -77% |
| Kaiser | Medicaid|All Plans | $5.78 | ↓ -73% |
| Blue Shield CA | Commercial|ACO Trio | $7.75 | ↓ -64% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10.00 | ↓ -53% |
| Blue Shield CA | Commercial|Exchange | $10.14 | ↓ -53% |
| First Health | Commercial|All Plans | $10.56 | ↓ -51% |
| Healthsmart | Commercial|All Plans | $10.56 | ↓ -51% |
| Kaiser | Commercial|All Plans | $11.13 | ↓ -48% |
| BCBS - Anthem | Commercial|Connection EPO | $11.27 | ↓ -47% |
| Sutter Health | Commercial|All Plans | $11.27 | ↓ -47% |
| MultiPlan | Commercial|All Plans | $11.55 | ↓ -46% |
| Blue Shield CA | Commercial|PPO Tandem | $12.25 | ↓ -43% |
| Blue Shield CA | Commercial|HMO | $12.68 | ↓ -41% |
| Blue Shield CA | Commercial|All Other Plans | $12.68 | ↓ -41% |
| Blue Shield CA | Commercial|CalPers | $12.96 | ↓ -39% |
| BCBS - Anthem | Medicare|All Other Plans | $13.28 | ↓ -38% |
| Blue Shield CA | Medicare|HMO | $14.08 | ↓ -34% |
| Blue Shield CA | Medicare|PPO | $14.08 | ↓ -34% |
| Partnership Health Plan | Medicaid|All Plans | $14.08 | ↓ -34% |
| California Health & Wellness | Medicaid|All Plans | $14.08 | ↓ -34% |
| Hill Physicians | Commercial|All Plans | $14.08 | ↓ -34% |
| Hill Physicians | Medicaid|All Plans | $14.08 | ↓ -34% |
| Hill Physicians | Medicare|All Plans | $14.08 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $14.08 | ↓ -34% |
| Aetna | Commercial|All Other Plans | $14.08 | ↓ -34% |
| Aetna | Commercial|PPO | $14.08 | ↓ -34% |
| Aetna | Medicare|All Plans | $14.08 | ↓ -34% |
| Aetna | Commercial|HMO | $14.08 | ↓ -34% |
| Molina | Medicaid|All Plans | $14.08 | ↓ -34% |
| United | Commercial|All Other Plans | $14.08 | ↓ -34% |
| United | Medicare|All Plans | $14.08 | ↓ -34% |
| United | Commercial|HMO | $14.08 | ↓ -34% |
| United | Commercial|Non-Options PPO | $14.08 | ↓ -34% |
| United | Medicaid|< 21 | $14.08 | ↓ -34% |
| United | Medicaid|> 21 | $14.08 | ↓ -34% |
| Health Net | Medicaid|All Plans | $14.08 | ↓ -34% |
| Kaiser | Medicare|All Plans | $14.08 | ↓ -34% |
| BCBS - Anthem | Commercial|All Other Plans | $14.08 | ↓ -34% |
| Humana | Commercial|All Plans | $14.08 | ↓ -34% |
| BCBS - Anthem | Commercial|MCS | $14.08 | ↓ -34% |
| BCBS - Anthem | Medicare|Imperial | $14.51 | ↓ -32% |
| Cigna | Commercial|LocalPlus | $75.70 | ↑ +254% |
| Cigna | Commercial|All Other Plans | $100.95 | ↑ +372% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $16.90 | $6.84 – $46.28 |
| Petaluma Valley Hospital | Petaluma | $32.02 | $33.51 – $251.92 |
| Arroyo Grande Hospital | Santa Maria | $29.96 | $7.04 – $88.08 |
| Mark Twain Medical Center | San Andreas | $40.04 | $7.63 – $14.08 |
| French Hospital | San Luis Obispo | $27.44 | $3.81 – $103.55 |
| Queen of The Valley Medical Center | Napa | $32.02 | $34.19 – $318.37 |
| Providence St Joseph Hospital Eureka | Eureka | $32.02 | $34.19 – $361.03 |
| Redwood Memorial Hospital | Fortuna | $32.02 | $361.87 – $361.87 |