Psy/npsy phys/qhp 2> tst 1st 30 min at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$597.12
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.
$1,535.00
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.
$23.43 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 | $23.43 | ↓ -96% |
| United | Medicaid|> 21 | $41.88 | ↓ -93% |
| United | Medicaid|< 21 | $41.88 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $46.07 | ↓ -92% |
| Hill Physicians | Medicare|All Plans | $48.95 | ↓ -92% |
| Molina | Medicaid|All Plans | $78.73 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $79.57 | ↓ -87% |
| Health Net | Medicaid|All Plans | $98.84 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $98.84 | ↓ -83% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↓ -73% |
| WCMG | Commercial|All Plans | $168.85 | ↓ -72% |
| Humana | Commercial|All Plans | $169.39 | ↓ -72% |
| Aetna | Medicare|All Plans | $169.39 | ↓ -72% |
| United | Medicare|All Plans | $169.39 | ↓ -72% |
| Kaiser | Medicare|All Plans | $169.39 | ↓ -72% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↓ -72% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↓ -72% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↓ -71% |
| Partnership Health Plan | Medicaid|All Plans | $180.08 | ↓ -70% |
| Western Health Advantage | Commercial|All Plans | $537.25 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $629.35 | ↑ +5% |
| First Health | Commercial|All Plans | $1,151.25 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $1,151.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $1,212.65 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $1,228.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $1,258.70 | ↑ +111% |
| United | Commercial|Non-Options PPO | $1,535.00 | ↑ +157% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↑ +364% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↑ +484% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↑ +491% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↑ +755% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↑ +766% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↑ +822% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↑ +918% |
| United | Commercial|HMO | $13,336.00 | ↑ +2133% |
| United | Commercial|All Other Plans | $27,872.00 | ↑ +4568% |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst 1st 30 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northridge Hospital Medical Center | Northridge | $119.14 | $41.88 – $4,018.00 |
| Mercy San Juan Medical Center | Carmichael | $420.59 | $23.43 – $1,274.05 |
| Mercy General Hospital | Sacramento | $334.63 | $23.43 – $1,228.00 |
| Woodland Memorial Hospital | Woodland | $420.59 | $41.88 – $1,535.00 |
| Methodist Hospital of Sacramento | Sacramento | $442.08 | $23.43 – $1,274.05 |
| Petaluma Valley Hospital | Petaluma | not published | $179.30 – $1,921.00 |
| Queen of The Valley Medical Center | Napa | not published | $188.91 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $171.12 – $5,835.00 |