Perq nl/pl lithotrp smpl<2cm at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
not published by hospital
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.
not published by hospital
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.
$648.52 with United vs $22,224.00 with Health Net — 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 | $648.52 | — |
| United | Medicaid|< 21 | $648.52 | — |
| Hill Physicians | Commercial|All Plans | $704.54 | — |
| Hill Physicians | Medicare|All Plans | $898.69 | — |
| Hill Physicians | Medicaid|All Plans | $1,124.53 | — |
| BCBS - Anthem | Medicaid|All Plans | $1,540.24 | — |
| Molina | Medicaid|All Plans | $1,921.92 | — |
| California Health & Wellness | Medicaid|All Plans | $2,412.63 | — |
| Health Net | Medicaid|All Plans | $2,412.63 | — |
| Partnership Health Plan | Medicaid|All Plans | $3,485.80 | — |
| BCBS - Anthem | Commercial|Connection EPO | $7,314.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $8,272.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,143.00 | — |
| Blue Shield CA | Commercial|Exchange | $10,411.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,540.00 | — |
| Aetna | Commercial|HMO | $11,438.00 | — |
| Aetna | Commercial|All Other Plans | $11,438.00 | — |
| Aetna | Commercial|PPO | $11,438.00 | — |
| BCBS - Anthem | Medicare|All Other Plans | $11,459.03 | — |
| Health Net | Commercial|EPPO | $11,608.00 | — |
| Humana | Commercial|All Plans | $12,151.68 | — |
| Aetna | Medicare|All Plans | $12,151.68 | — |
| United | Medicare|All Plans | $12,151.68 | — |
| Kaiser | Medicare|All Plans | $12,151.68 | — |
| Blue Shield CA | Medicare|HMO | $12,151.68 | — |
| Blue Shield CA | Medicare|PPO | $12,151.68 | — |
| BCBS - Anthem | Medicare|Imperial | $12,516.23 | — |
| BCBS - Anthem | Commercial|MCS | $12,800.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $15,238.00 | — |
| Blue Shield CA | Commercial|HMO | $15,443.00 | — |
| Blue Shield CA | Commercial|CalPers | $16,437.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $18,143.00 | — |
| Health Net | Commercial|FFS | $22,224.00 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,698.43 | $797.68 – $21,454.00 |
| Arroyo Grande Hospital | Santa Maria | $8,562.14 | $648.52 – $19,604.90 |
| Mark Twain Medical Center | San Andreas | $1,579.76 | $613.64 – $2,324.56 |
| French Hospital | San Luis Obispo | $10,729.83 | $648.52 – $25,547.62 |
| Dominican Hospital | Santa Cruz | $7,845.75 | $648.52 – $39,764.43 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $648.52 – $13,088.87 |
| Petaluma Valley Hospital | Petaluma | not published | $5,734.00 – $13,017.45 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $648.52 – $11,749.43 |