Mopath procedure level 1 at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$89.09
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.
$229.00
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.
$25.19 with WCMG vs $229.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $25.19 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $60.31 | ↓ -32% |
| Humana | Commercial|All Plans | $63.96 | ↓ -28% |
| Aetna | Medicare|All Plans | $63.96 | ↓ -28% |
| United | Medicare|All Plans | $63.96 | ↓ -28% |
| United | Medicaid|< 21 | $63.96 | ↓ -28% |
| United | Medicaid|> 21 | $63.96 | ↓ -28% |
| Kaiser | Medicare|All Plans | $63.96 | ↓ -28% |
| Blue Shield CA | Medicare|HMO | $63.96 | ↓ -28% |
| Blue Shield CA | Medicare|PPO | $63.96 | ↓ -28% |
| Partnership Health Plan | Medicaid|All Plans | $63.96 | ↓ -28% |
| Hill Physicians | Commercial|All Plans | $63.96 | ↓ -28% |
| Hill Physicians | Medicare|All Plans | $63.96 | ↓ -28% |
| BCBS - Anthem | Medicare|Imperial | $65.88 | ↓ -26% |
| Hill Physicians | Medicaid|All Plans | $70.36 | ↓ -21% |
| United | Commercial|Non-Options PPO | $76.75 | ↓ -14% |
| United | Commercial|All Other Plans | $76.75 | ↓ -14% |
| United | Commercial|HMO | $76.75 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $80.15 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $93.89 | ↑ +5% |
| Molina | Medicaid|All Plans | $120.24 | ↑ +35% |
| BCBS - Anthem | Medicaid|All Plans | $121.52 | ↑ +36% |
| Cigna | Commercial|LocalPlus | $141.63 | ↑ +59% |
| California Health & Wellness | Medicaid|All Plans | $150.95 | ↑ +69% |
| Health Net | Medicaid|All Plans | $150.95 | ↑ +69% |
| Healthsmart | Commercial|All Plans | $171.75 | ↑ +93% |
| First Health | Commercial|All Plans | $171.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $180.91 | ↑ +103% |
| BCBS - Anthem | Commercial|Connection EPO | $183.20 | ↑ +106% |
| Sutter Health | Commercial|All Plans | $183.20 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $187.78 | ↑ +111% |
| Cigna | Commercial|All Other Plans | $188.85 | ↑ +112% |
| Aetna | Commercial|All Other Plans | $229.00 | ↑ +157% |
| Aetna | Commercial|HMO | $229.00 | ↑ +157% |
| BCBS - Anthem | Commercial|All Other Plans | $229.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $229.00 | ↑ +157% |
| Aetna | Commercial|PPO | $229.00 | ↑ +157% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $19.07 | $12.79 – $105.53 |
| Petaluma Valley Hospital | Petaluma | $178.50 | $62.68 – $247.31 |
| Arroyo Grande Hospital | Santa Maria | $140.82 | $20.31 – $164.78 |
| French Hospital | San Luis Obispo | $128.97 | $10.97 – $193.72 |
| Queen of The Valley Medical Center | Napa | $178.50 | $63.96 – $312.53 |
| Providence St Joseph Hospital Eureka | Eureka | $178.50 | $63.96 – $590.69 |
| Redwood Memorial Hospital | Fortuna | $178.50 | $592.07 – $592.07 |
| Santa Rosa Memorial Hospital | Santa Rosa | $178.50 | $62.68 – $265.89 |