Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$254.02
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.
$653.00
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.
$48.73 with Hill Physicians vs $7,087.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $48.73 | ↓ -81% |
| WCMG | Commercial|All Plans | $71.83 | ↓ -72% |
| United | Medicaid|> 21 | $151.53 | ↓ -40% |
| United | Medicaid|< 21 | $151.53 | ↓ -40% |
| Hill Physicians | Medicaid|All Plans | $166.68 | ↓ -34% |
| Hill Physicians | Medicare|All Plans | $191.63 | ↓ -25% |
| Western Health Advantage | Commercial|All Plans | $228.55 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $267.73 | ↑ +5% |
| Molina | Medicaid|All Plans | $284.88 | ↑ +12% |
| BCBS - Anthem | Medicaid|All Plans | $287.91 | ↑ +13% |
| California Health & Wellness | Medicaid|All Plans | $357.61 | ↑ +41% |
| Health Net | Medicaid|All Plans | $357.61 | ↑ +41% |
| First Health | Commercial|All Plans | $489.75 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $489.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $515.87 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $522.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $535.46 | ↑ +111% |
| Partnership Health Plan | Medicaid|All Plans | $651.58 | ↑ +157% |
| United | Commercial|Non-Options PPO | $653.00 | ↑ +157% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +1494% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +1893% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +2151% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +2151% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +2151% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +2690% |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $634.23 | $229.25 – $1,129.44 |
| Banner Lassen Medical Center | Susanville | $303.80 | $238.62 – $564.54 |
| Petaluma Valley Hospital | Petaluma | $597.72 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $1,268.17 | $151.53 – $2,903.74 |
| French Hospital | San Luis Obispo | $898.08 | $151.53 – $2,035.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $910.44 | $151.53 – $975.44 |
| Bakersfield Memorial Hospital | Bakersfield | $900.62 | $151.53 – $1,085.04 |
| Queen of The Valley Medical Center | Napa | $550.29 | $2,747.00 – $8,621.00 |