Perq plmt bile duct stent at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$4,701.85
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.
$12,087.00
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.
$410.28 with Hill Physicians vs $15,180.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $410.28 | ↓ -91% |
| WCMG | Commercial|All Plans | $1,329.57 | ↓ -72% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↓ -14% |
| Western Health Advantage | Commercial|All Plans | $4,230.45 | ↓ -10% |
| Blue Shield CA | Commercial|ACO Trio | $4,238.00 | ↓ -10% |
| United | Medicaid|> 21 | $4,570.73 | ↓ -3% |
| United | Medicaid|< 21 | $4,570.73 | ↓ -3% |
| Kaiser | Medicaid|All Plans | $4,955.67 | ↑ +5% |
| Hill Physicians | Medicaid|All Plans | $5,027.80 | ↑ +7% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +8% |
| Hill Physicians | Medicare|All Plans | $5,178.52 | ↑ +10% |
| Blue Shield CA | Commercial|Exchange | $5,334.00 | ↑ +13% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,400.00 | ↑ +15% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +51% |
| BCBS - Anthem | Medicare|All Other Plans | $7,229.91 | ↑ +54% |
| United | Medicare|All Plans | $7,666.93 | ↑ +63% |
| Blue Shield CA | Medicare|HMO | $7,666.93 | ↑ +63% |
| Aetna | Medicare|All Plans | $7,666.93 | ↑ +63% |
| Kaiser | Medicare|All Plans | $7,666.93 | ↑ +63% |
| Humana | Commercial|All Plans | $7,666.93 | ↑ +63% |
| Blue Shield CA | Medicare|PPO | $7,666.93 | ↑ +63% |
| Blue Shield CA | Commercial|PPO Tandem | $7,807.00 | ↑ +66% |
| BCBS - Anthem | Medicare|Imperial | $7,896.94 | ↑ +68% |
| Blue Shield CA | Commercial|HMO | $7,912.00 | ↑ +68% |
| Health Net | Commercial|EPPO | $7,929.00 | ↑ +69% |
| Blue Shield CA | Commercial|CalPers | $8,421.00 | ↑ +79% |
| Molina | Medicaid|All Plans | $8,592.97 | ↑ +83% |
| BCBS - Anthem | Medicaid|All Plans | $8,684.39 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $9,065.25 | ↑ +93% |
| First Health | Commercial|All Plans | $9,065.25 | ↑ +93% |
| Aetna | Commercial|PPO | $9,148.00 | ↑ +95% |
| Aetna | Commercial|HMO | $9,148.00 | ↑ +95% |
| Aetna | Commercial|All Other Plans | $9,148.00 | ↑ +95% |
| Blue Shield CA | Commercial|All Other Plans | $9,295.00 | ↑ +98% |
| Kaiser | Commercial|All Plans | $9,548.73 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $9,669.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $9,911.34 | ↑ +111% |
| Health Net | Medicaid|All Plans | $10,786.92 | ↑ +129% |
| California Health & Wellness | Medicaid|All Plans | $10,786.92 | ↑ +129% |
| Partnership Health Plan | Medicaid|All Plans | $12,087.00 | ↑ +157% |
| United | Commercial|Non-Options PPO | $12,087.00 | ↑ +157% |
| Health Net | Commercial|FFS | $15,180.00 | ↑ +223% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,812.95 | $4,570.73 – $20,179.18 |
| French Hospital | San Luis Obispo | $7,836.48 | $4,570.73 – $19,591.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,458.53 | $4,570.73 – $11,770.40 |
| Bakersfield Memorial Hospital | Bakersfield | $5,694.01 | $4,570.73 – $11,623.27 |
| St. Joseph's Medical Center Stockton | Stockton | $7,085.70 | $2,530.29 – $11,289.70 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,989.28 | $5,357.00 – $14,384.78 |
| Mercy Medical Center Merced | Merced | $8,366.18 | $3,213.50 – $6,427.00 |