Pr incision & drainage abscess complicated/multiple at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$257.13
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.
$661.00
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.
$72.71 with WCMG 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $72.71 | ↓ -72% |
| United | Medicaid|> 21 | $108.67 | ↓ -58% |
| United | Medicaid|< 21 | $108.67 | ↓ -58% |
| Hill Physicians | Medicaid|All Plans | $119.54 | ↓ -54% |
| Hill Physicians | Commercial|All Plans | $192.45 | ↓ -25% |
| Molina | Medicaid|All Plans | $204.30 | ↓ -21% |
| BCBS - Anthem | Medicaid|All Plans | $206.47 | ↓ -20% |
| Hill Physicians | Medicare|All Plans | $224.91 | ↓ -13% |
| Western Health Advantage | Commercial|All Plans | $231.35 | ↓ -10% |
| California Health & Wellness | Medicaid|All Plans | $256.46 | ↓ -0% |
| Health Net | Medicaid|All Plans | $256.46 | ↓ -0% |
| Kaiser | Medicaid|All Plans | $271.01 | ↑ +5% |
| Partnership Health Plan | Medicaid|All Plans | $467.28 | ↑ +82% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $495.75 | ↑ +93% |
| First Health | Commercial|All Plans | $495.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $522.19 | ↑ +103% |
| Humana | Commercial|All Plans | $525.02 | ↑ +104% |
| Kaiser | Medicare|All Plans | $525.02 | ↑ +104% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↑ +104% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↑ +104% |
| United | Medicare|All Plans | $525.02 | ↑ +104% |
| Aetna | Medicare|All Plans | $525.02 | ↑ +104% |
| Sutter Health | Commercial|All Plans | $528.80 | ↑ +106% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $542.02 | ↑ +111% |
| United | Commercial|Non-Options PPO | $661.00 | ↑ +157% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +978% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +1089% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +1256% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +1273% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +1475% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +1869% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +1885% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +1912% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +2041% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +2123% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +2123% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +2123% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +2176% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +2264% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +2656% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $216.63 | $140.94 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $547.82 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | $323.57 | $108.67 – $740.88 |
| Mark Twain Medical Center | San Andreas | $333.00 | $108.67 – $466.48 |
| French Hospital | San Luis Obispo | $305.37 | $108.67 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $463.38 | $108.67 – $999.20 |
| Bakersfield Memorial Hospital | Bakersfield | $458.39 | $108.67 – $986.71 |
| Queen of The Valley Medical Center | Napa | $2,060.91 | $577.20 – $6,200.00 |