Prgrmg dev eval pm/ldls pm at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$216.68
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.
$557.00
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.
$39.82 with Hill Physicians vs $27,872.00 with United — 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 | $39.82 | ↓ -82% |
| BCBS - Anthem | Medicare|All Other Plans | $46.21 | ↓ -79% |
| United | Medicaid|> 21 | $48.79 | ↓ -77% |
| United | Medicaid|< 21 | $48.79 | ↓ -77% |
| Humana | Commercial|All Plans | $49.00 | ↓ -77% |
| Aetna | Medicare|All Plans | $49.00 | ↓ -77% |
| United | Medicare|All Plans | $49.00 | ↓ -77% |
| Kaiser | Medicare|All Plans | $49.00 | ↓ -77% |
| Blue Shield CA | Medicare|HMO | $49.00 | ↓ -77% |
| Blue Shield CA | Medicare|PPO | $49.00 | ↓ -77% |
| BCBS - Anthem | Medicare|Imperial | $50.47 | ↓ -77% |
| Hill Physicians | Medicaid|All Plans | $53.67 | ↓ -75% |
| WCMG | Commercial|All Plans | $61.27 | ↓ -72% |
| Hill Physicians | Medicare|All Plans | $71.18 | ↓ -67% |
| Molina | Medicaid|All Plans | $91.73 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $92.70 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $115.14 | ↓ -47% |
| Health Net | Medicaid|All Plans | $115.14 | ↓ -47% |
| Western Health Advantage | Commercial|All Plans | $194.95 | ↓ -10% |
| Partnership Health Plan | Medicaid|All Plans | $209.80 | ↓ -3% |
| Kaiser | Medicaid|All Plans | $228.37 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $241.54 | ↑ +11% |
| BCBS - Anthem | Commercial|All Other Plans | $302.06 | ↑ +39% |
| Healthsmart | Commercial|All Plans | $417.75 | ↑ +93% |
| First Health | Commercial|All Plans | $417.75 | ↑ +93% |
| BCBS - Anthem | Commercial|MCS | $422.83 | ↑ +95% |
| Kaiser | Commercial|All Plans | $440.03 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $445.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $456.74 | ↑ +111% |
| United | Commercial|Non-Options PPO | $557.00 | ↑ +157% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +1311% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +2601% |
| United | Commercial|HMO | $13,336.00 | ↑ +6055% |
| United | Commercial|All Other Plans | $27,872.00 | ↑ +12763% |
Visitor-reported prices
Comments
Prgrmg dev eval pm/ldls pm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $229.52 | $23.22 – $87.86 |
| Arroyo Grande Hospital | Santa Maria | $235.40 | $47.38 – $539.00 |
| French Hospital | San Luis Obispo | $208.94 | $47.38 – $522.34 |
| Bakersfield Memorial Hospital | Bakersfield | $40.74 | $47.38 – $111.00 |
| St. Joseph's Medical Center Stockton | Stockton | $32.64 | $23.31 – $111.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $171.87 | $51.93 – $162.55 |
| Mercy Medical Center Merced | Merced | $57.17 | $47.38 – $111.00 |
| Northridge Hospital Medical Center | Northridge | $159.87 | $47.38 – $4,018.00 |