Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$5,812.83
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.
$14,943.00
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.
$181.68 with United vs $18,143.00 with Blue Shield CA — 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 | $181.68 | ↓ -97% |
| United | Medicaid|> 21 | $181.68 | ↓ -97% |
| Hill Physicians | Medicaid|All Plans | $199.85 | ↓ -97% |
| Hill Physicians | Commercial|All Plans | $200.87 | ↓ -97% |
| Molina | Medicaid|All Plans | $341.56 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $345.19 | ↓ -94% |
| Health Net | Medicaid|All Plans | $428.76 | ↓ -93% |
| California Health & Wellness | Medicaid|All Plans | $428.76 | ↓ -93% |
| Partnership Health Plan | Medicaid|All Plans | $781.22 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $903.90 | ↓ -84% |
| WCMG | Commercial|All Plans | $1,582.13 | ↓ -73% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↓ -30% |
| Western Health Advantage | Commercial|All Plans | $5,034.05 | ↓ -13% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↓ -13% |
| Aetna | Commercial|HMO | $5,717.00 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↓ -2% |
| Aetna | Commercial|PPO | $5,717.00 | ↓ -2% |
| Kaiser | Medicaid|All Plans | $5,897.03 | ↑ +1% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +22% |
| Blue Shield CA | Commercial|ACO Trio | $8,272.00 | ↑ +42% |
| Blue Shield CA | Commercial|Exchange | $10,411.00 | ↑ +79% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,540.00 | ↑ +81% |
| First Health | Commercial|All Plans | $10,787.25 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $10,787.25 | ↑ +86% |
| Kaiser | Commercial|All Plans | $11,362.57 | ↑ +95% |
| Sutter Health | Commercial|All Plans | $11,506.40 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $11,794.06 | ↑ +103% |
| United | Commercial|Non-Options PPO | $14,383.00 | ↑ +147% |
| Blue Shield CA | Commercial|PPO Tandem | $15,238.00 | ↑ +162% |
| Blue Shield CA | Commercial|HMO | $15,443.00 | ↑ +166% |
| Blue Shield CA | Commercial|CalPers | $16,437.00 | ↑ +183% |
| Blue Shield CA | Commercial|All Other Plans | $18,143.00 | ↑ +212% |
Visitor-reported prices
Comments
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,937.28 | $274.87 – $3,449.94 |
| Arroyo Grande Hospital | Santa Maria | $5,105.19 | $181.68 – $11,239.62 |
| French Hospital | San Luis Obispo | $4,675.78 | $181.68 – $9,787.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,917.39 | $181.68 – $8,948.95 |
| Bakersfield Memorial Hospital | Bakersfield | $3,690.19 | $181.68 – $9,954.45 |
| St. Joseph's Medical Center Stockton | Stockton | $4,343.85 | $0.80 – $3,222.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,837.06 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,346.72 | $1,200.00 – $15,436.00 |