Ortho wrst/hnd w/jnt cstm w/fit&adj at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$719.65
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.
$1,850.00
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.
$203.50 with WCMG vs $1,831.50 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 | $203.50 | ↓ -72% |
| Kaiser | Medicaid|All Plans | $425.50 | ↓ -41% |
| Kaiser | Commercial|All Plans | $425.50 | ↓ -41% |
| Kaiser | Medicare|All Plans | $425.50 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $444.00 | ↓ -38% |
| Partnership Health Plan | Medicaid|All Plans | $462.50 | ↓ -36% |
| Molina | Medicaid|All Plans | $481.00 | ↓ -33% |
| California Health & Wellness | Medicaid|All Plans | $536.50 | ↓ -25% |
| Health Net | Medicaid|All Plans | $536.50 | ↓ -25% |
| United | Medicaid|< 21 | $567.35 | ↓ -21% |
| United | Medicaid|> 21 | $567.35 | ↓ -21% |
| Hill Physicians | Medicaid|All Plans | $624.08 | ↓ -13% |
| Cigna | Commercial|LocalPlus | $740.00 | ↑ +3% |
| Health Net | Commercial|EPPO | $740.00 | ↑ +3% |
| Cigna | Commercial|All Other Plans | $980.50 | ↑ +36% |
| United | Commercial|Non-Options PPO | $1,184.00 | ↑ +65% |
| Western Health Advantage | Commercial|All Plans | $1,202.50 | ↑ +67% |
| United | Commercial|HMO | $1,221.00 | ↑ +70% |
| United | Commercial|All Other Plans | $1,258.00 | ↑ +75% |
| Blue Shield CA | Commercial|ACO Trio | $1,295.00 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $1,387.50 | ↑ +93% |
| Health Net | Commercial|FFS | $1,387.50 | ↑ +93% |
| First Health | Commercial|All Plans | $1,387.50 | ↑ +93% |
| BCBS - Anthem | Commercial|Connection EPO | $1,461.50 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $1,480.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,517.00 | ↑ +111% |
| Blue Shield CA | Commercial|Exchange | $1,572.50 | ↑ +119% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,572.50 | ↑ +119% |
| Blue Shield CA | Commercial|HMO | $1,665.00 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $1,665.00 | ↑ +131% |
| Blue Shield CA | Commercial|PPO Tandem | $1,665.00 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $1,702.00 | ↑ +137% |
| Aetna | Commercial|HMO | $1,776.00 | ↑ +147% |
| Aetna | Commercial|All Other Plans | $1,776.00 | ↑ +147% |
| Aetna | Commercial|PPO | $1,776.00 | ↑ +147% |
| BCBS - Anthem | Commercial|MCS | $1,831.50 | ↑ +154% |
| BCBS - Anthem | Commercial|All Other Plans | $1,831.50 | ↑ +154% |
Visitor-reported prices
Comments
Ortho wrst/hnd w/jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Dominican Hospital | Santa Cruz | $1,111.95 | $567.35 – $2,471.00 |
| Providence Saint Joseph Medical Center | Burbank | $134.75 | $1,082.62 – $2,002.85 |
| Mercy San Juan Medical Center | Carmichael | $506.90 | $203.50 – $1,572.50 |
| Mercy General Hospital | Sacramento | $403.30 | $425.50 – $1,646.50 |
| Woodland Memorial Hospital | Woodland | $506.90 | $203.50 – $1,850.00 |
| Methodist Hospital of Sacramento | Sacramento | $532.80 | $425.50 – $1,665.00 |
| Providence Holy Cross Medical Center | Mission Hills | $134.75 | $1,082.62 – $2,002.85 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $175.00 | $1,082.62 – $2,002.85 |