Myelography via inj w/s&i thoracic at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,538.50
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.
$3,955.00
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.
$109.83 with United vs $9,971.00 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $109.83 | ↓ -93% |
| United | Medicaid|< 21 | $109.83 | ↓ -93% |
| Hill Physicians | Commercial|All Plans | $118.91 | ↓ -92% |
| Hill Physicians | Medicaid|All Plans | $120.81 | ↓ -92% |
| Molina | Medicaid|All Plans | $206.48 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $208.68 | ↓ -86% |
| Health Net | Medicaid|All Plans | $259.20 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $259.20 | ↓ -83% |
| Hill Physicians | Medicare|All Plans | $291.39 | ↓ -81% |
| WCMG | Commercial|All Plans | $418.33 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $472.27 | ↓ -69% |
| BCBS - Anthem | Medicare|All Other Plans | $979.04 | ↓ -36% |
| Humana | Commercial|All Plans | $1,038.22 | ↓ -33% |
| Aetna | Medicare|All Plans | $1,038.22 | ↓ -33% |
| United | Medicare|All Plans | $1,038.22 | ↓ -33% |
| Kaiser | Medicare|All Plans | $1,038.22 | ↓ -33% |
| Blue Shield CA | Medicare|HMO | $1,038.22 | ↓ -33% |
| Blue Shield CA | Medicare|PPO | $1,038.22 | ↓ -33% |
| BCBS - Anthem | Medicare|Imperial | $1,069.37 | ↓ -30% |
| Western Health Advantage | Commercial|All Plans | $1,331.05 | ↓ -13% |
| Kaiser | Medicaid|All Plans | $1,559.23 | ↑ +1% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +80% |
| First Health | Commercial|All Plans | $2,852.25 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $2,852.25 | ↑ +85% |
| Kaiser | Commercial|All Plans | $3,004.37 | ↑ +95% |
| Sutter Health | Commercial|All Plans | $3,042.40 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $3,118.46 | ↑ +103% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +127% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +130% |
| United | Commercial|Non-Options PPO | $3,803.00 | ↑ +147% |
| Health Net | Commercial|EPPO | $4,476.00 | ↑ +191% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +232% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +236% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +258% |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | ↑ +270% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +272% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +272% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +272% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +295% |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | ↑ +363% |
| Health Net | Commercial|FFS | $8,570.00 | ↑ +457% |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | ↑ +548% |
Visitor-reported prices
Comments
Myelography via inj w/s&i thoracic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $817.75 | $166.16 – $1,859.28 |
| French Hospital | San Luis Obispo | $1,009.01 | $109.83 – $2,522.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $857.39 | $109.83 – $1,848.80 |
| Bakersfield Memorial Hospital | Bakersfield | $848.14 | $109.83 – $1,825.69 |
| Providence St Joseph Hospital Eureka | Eureka | $5,836.95 | $1,008.25 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,571.03 | $109.83 – $4,397.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,005.72 | $1,090.80 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,882.40 | $857.02 – $5,171.00 |