Manipulation chest wall initial demonstration/evaluation at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$214.73
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.
$552.00
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.
$23.17 with Hill Physicians vs $27,872.00 with United — 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 | Medicare|All Plans | $23.17 | ↓ -89% |
| Hill Physicians | Commercial|All Plans | $28.03 | ↓ -87% |
| United | Medicaid|> 21 | $35.46 | ↓ -83% |
| United | Medicaid|< 21 | $35.46 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $39.01 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $54.23 | ↓ -75% |
| WCMG | Commercial|All Plans | $60.72 | ↓ -72% |
| Molina | Medicaid|All Plans | $66.66 | ↓ -69% |
| Health Net | Medicaid|All Plans | $83.69 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $83.69 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $152.48 | ↓ -29% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↓ -26% |
| Aetna | Medicare|All Plans | $169.39 | ↓ -21% |
| Humana | Commercial|All Plans | $169.39 | ↓ -21% |
| United | Medicare|All Plans | $169.39 | ↓ -21% |
| Kaiser | Medicare|All Plans | $169.39 | ↓ -21% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↓ -21% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↓ -21% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↓ -19% |
| Western Health Advantage | Commercial|All Plans | $193.20 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $226.32 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $263.05 | ↑ +23% |
| Blue Shield CA | Commercial|ACO Trio | $270.48 | ↑ +26% |
| BCBS - Anthem | Commercial|All Other Plans | $328.96 | ↑ +53% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $347.76 | ↑ +62% |
| Blue Shield CA | Commercial|Exchange | $353.28 | ↑ +65% |
| Healthsmart | Commercial|All Plans | $414.00 | ↑ +93% |
| First Health | Commercial|All Plans | $414.00 | ↑ +93% |
| Blue Shield CA | Commercial|PPO Tandem | $425.04 | ↑ +98% |
| Kaiser | Commercial|All Plans | $436.08 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $441.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $452.64 | ↑ +111% |
| BCBS - Anthem | Commercial|MCS | $460.49 | ↑ +114% |
| Blue Shield CA | Commercial|HMO | $496.80 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $496.80 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $507.84 | ↑ +137% |
| United | Commercial|Non-Options PPO | $552.00 | ↑ +157% |
| Cigna | Commercial|LocalPlus | $1,867.00 | ↑ +769% |
| Cigna | Commercial|All Other Plans | $2,488.00 | ↑ +1059% |
| United | Commercial|HMO | $13,336.00 | ↑ +6111% |
| United | Commercial|All Other Plans | $27,872.00 | ↑ +12880% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $260.18 | $40.03 – $594.00 |
| Banner Lassen Medical Center | Susanville | $53.84 | $25.78 – $107.67 |
| Petaluma Valley Hospital | Petaluma | $534.48 | $164.65 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $42.80 | $26.80 – $746.00 |
| Mark Twain Medical Center | San Andreas | $185.82 | $35.46 – $273.42 |
| French Hospital | San Luis Obispo | $64.29 | $26.80 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.82 | $35.46 – $727.76 |
| Bakersfield Memorial Hospital | Bakersfield | $303.51 | $35.46 – $12,607.00 |