Plcmnt ureteral stent pq w/img exstng trct at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$3,734.02
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.
$9,599.00
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.
$200.27 with Hill Physicians vs $10,369.00 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 | $200.27 | ↓ -95% |
| WCMG | Commercial|All Plans | $965.36 | ↓ -74% |
| United | Medicaid|> 21 | $973.94 | ↓ -74% |
| United | Medicaid|< 21 | $973.94 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $1,071.33 | ↓ -71% |
| Hill Physicians | Medicare|All Plans | $1,173.17 | ↓ -69% |
| Molina | Medicaid|All Plans | $1,831.01 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $1,850.49 | ↓ -50% |
| California Health & Wellness | Medicaid|All Plans | $2,298.50 | ↓ -38% |
| Health Net | Medicaid|All Plans | $2,298.50 | ↓ -38% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↓ -26% |
| Western Health Advantage | Commercial|All Plans | $3,071.60 | ↓ -18% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↓ -7% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↓ -5% |
| Kaiser | Medicaid|All Plans | $3,598.16 | ↓ -4% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +8% |
| Partnership Health Plan | Medicaid|All Plans | $4,187.94 | ↑ +12% |
| BCBS - Anthem | Medicare|All Other Plans | $4,273.95 | ↑ +14% |
| Kaiser | Medicare|All Plans | $4,532.29 | ↑ +21% |
| Humana | Commercial|All Plans | $4,532.29 | ↑ +21% |
| Blue Shield CA | Medicare|HMO | $4,532.29 | ↑ +21% |
| United | Medicare|All Plans | $4,532.29 | ↑ +21% |
| Blue Shield CA | Medicare|PPO | $4,532.29 | ↑ +21% |
| Aetna | Medicare|All Plans | $4,532.29 | ↑ +21% |
| BCBS - Anthem | Medicare|Imperial | $4,668.26 | ↑ +25% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +36% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +37% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +39% |
| Health Net | Commercial|EPPO | $5,416.00 | ↑ +45% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +47% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +63% |
| First Health | Commercial|All Plans | $6,582.00 | ↑ +76% |
| Healthsmart | Commercial|All Plans | $6,582.00 | ↑ +76% |
| Kaiser | Commercial|All Plans | $6,933.04 | ↑ +86% |
| Sutter Health | Commercial|All Plans | $7,020.80 | ↑ +88% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $7,196.32 | ↑ +93% |
| United | Commercial|Non-Options PPO | $8,776.00 | ↑ +135% |
| Aetna | Commercial|HMO | $9,148.00 | ↑ +145% |
| Aetna | Commercial|All Other Plans | $9,148.00 | ↑ +145% |
| Aetna | Commercial|PPO | $9,148.00 | ↑ +145% |
| Health Net | Commercial|FFS | $10,369.00 | ↑ +178% |
Visitor-reported prices
Comments
Plcmnt ureteral stent pq w/img exstng trct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,169.37 | $1,473.48 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $6,947.30 | $973.94 – $7,201.04 |
| French Hospital | San Luis Obispo | $6,454.68 | $973.94 – $7,201.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,180.43 | $973.94 – $6,008.80 |
| Bakersfield Memorial Hospital | Bakersfield | $4,135.36 | $973.94 – $8,100.66 |
| Queen of The Valley Medical Center | Napa | $5,451.39 | $5,004.98 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,151.51 | $4,533.71 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,206.93 | $973.94 – $8,867.04 |