Ortho elbow w/lock w/ft&adj at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$838.30
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.
$2,155.00
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.
$237.05 with WCMG vs $2,133.45 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $237.05 | ↓ -72% |
| United | Medicaid|< 21 | $286.10 | ↓ -66% |
| United | Medicaid|> 21 | $286.10 | ↓ -66% |
| Hill Physicians | Medicaid|All Plans | $314.71 | ↓ -62% |
| Kaiser | Medicaid|All Plans | $495.65 | ↓ -41% |
| Kaiser | Commercial|All Plans | $495.65 | ↓ -41% |
| Kaiser | Medicare|All Plans | $495.65 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $517.20 | ↓ -38% |
| Molina | Medicaid|All Plans | $537.87 | ↓ -36% |
| Partnership Health Plan | Medicaid|All Plans | $538.75 | ↓ -36% |
| Health Net | Medicaid|All Plans | $624.95 | ↓ -25% |
| California Health & Wellness | Medicaid|All Plans | $624.95 | ↓ -25% |
| Health Net | Commercial|EPPO | $862.00 | ↑ +3% |
| Cigna | Commercial|LocalPlus | $862.00 | ↑ +3% |
| Cigna | Commercial|All Other Plans | $1,142.15 | ↑ +36% |
| United | Commercial|Non-Options PPO | $1,379.20 | ↑ +65% |
| Western Health Advantage | Commercial|All Plans | $1,400.75 | ↑ +67% |
| United | Commercial|HMO | $1,422.30 | ↑ +70% |
| United | Commercial|All Other Plans | $1,465.40 | ↑ +75% |
| Blue Shield CA | Commercial|ACO Trio | $1,508.50 | ↑ +80% |
| Health Net | Commercial|FFS | $1,616.25 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $1,616.25 | ↑ +93% |
| First Health | Commercial|All Plans | $1,616.25 | ↑ +93% |
| BCBS - Anthem | Commercial|Connection EPO | $1,702.45 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $1,724.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,767.10 | ↑ +111% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,831.75 | ↑ +119% |
| Blue Shield CA | Commercial|Exchange | $1,831.75 | ↑ +119% |
| Blue Shield CA | Commercial|PPO Tandem | $1,939.50 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $1,939.50 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $1,939.50 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $1,982.60 | ↑ +137% |
| Aetna | Commercial|HMO | $2,068.80 | ↑ +147% |
| Aetna | Commercial|PPO | $2,068.80 | ↑ +147% |
| Aetna | Commercial|All Other Plans | $2,068.80 | ↑ +147% |
| BCBS - Anthem | Commercial|All Other Plans | $2,133.45 | ↑ +154% |
| BCBS - Anthem | Commercial|MCS | $2,133.45 | ↑ +154% |
Visitor-reported prices
Comments
Ortho elbow w/lock w/ft&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $977.62 | $432.84 – $1,740.96 |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $286.10 – $587.02 |
| French Hospital | San Luis Obispo | $234.81 | $113.81 – $587.02 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,643.92 | $507.12 – $2,070.74 |
| Dominican Hospital | Santa Cruz | $1,111.95 | $286.10 – $2,471.00 |
| St. Mary Medical Center | Long Beach | $926.65 | $257.49 – $1,655.00 |
| Community Hospital San Bernardino | San Bernardino | $842.61 | $286.10 – $1,655.00 |
| Glendale Memorial Hospital Health Center | Glendale | $702.53 | $40.00 – $1,638.45 |