Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$57.07 with Hill Physicians vs $18,293.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $57.07 | — |
| United | Medicaid|< 21 | $85.44 | — |
| United | Medicaid|> 21 | $85.44 | — |
| Hill Physicians | Medicare|All Plans | $120.51 | — |
| Hill Physicians | Medicaid|All Plans | $148.16 | — |
| BCBS - Anthem | Medicaid|All Plans | $202.94 | — |
| BCBS - Anthem | Medicare|All Other Plans | $246.23 | — |
| Molina | Medicaid|All Plans | $253.22 | — |
| United | Medicare|All Plans | $261.11 | — |
| Humana | Commercial|All Plans | $261.11 | — |
| Kaiser | Medicare|All Plans | $261.11 | — |
| Blue Shield CA | Medicare|PPO | $261.11 | — |
| Aetna | Medicare|All Plans | $261.11 | — |
| Blue Shield CA | Medicare|HMO | $261.11 | — |
| BCBS - Anthem | Medicare|Imperial | $268.94 | — |
| Health Net | Medicaid|All Plans | $317.87 | — |
| California Health & Wellness | Medicaid|All Plans | $317.87 | — |
| Partnership Health Plan | Medicaid|All Plans | $459.26 | — |
| Blue Shield CA | Commercial|ACO Trio | $856.00 | — |
| Blue Shield CA | Commercial|Exchange | $1,077.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,090.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $1,576.00 | — |
| Blue Shield CA | Commercial|HMO | $1,598.00 | — |
| Blue Shield CA | Commercial|CalPers | $1,700.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $1,877.00 | — |
| Health Net | Commercial|EPPO | $3,057.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $5,698.00 | — |
| Health Net | Commercial|FFS | $5,853.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $7,122.00 | — |
| BCBS - Anthem | Commercial|MCS | $9,971.00 | — |
| Aetna | Commercial|All Other Plans | $18,293.00 | — |
| Aetna | Commercial|HMO | $18,293.00 | — |
| Aetna | Commercial|PPO | $18,293.00 | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $274.73 | $105.09 – $529.60 |
| Petaluma Valley Hospital | Petaluma | $1,727.88 | $270.38 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $122.55 | $47.61 – $180.32 |
| Bakersfield Memorial Hospital | Bakersfield | $318.56 | $85.44 – $658.86 |
| Queen of The Valley Medical Center | Napa | $1,145.97 | $284.87 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,312.74 | $258.05 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $529.89 | $270.32 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $1,316.31 | $1,333.00 – $8,222.00 |