Puncture aspiration abscess/hematoma/bulla/cyst at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$595.95
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.
$1,532.00
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.
$53.83 with United 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $53.83 | ↓ -91% |
| United | Medicaid|< 21 | $53.83 | ↓ -91% |
| WCMG | Commercial|All Plans | $67.54 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $93.35 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $101.54 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $127.85 | ↓ -79% |
| Hill Physicians | Medicare|All Plans | $139.80 | ↓ -77% |
| Molina | Medicaid|All Plans | $159.54 | ↓ -73% |
| Health Net | Medicaid|All Plans | $200.27 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $200.27 | ↓ -66% |
| Western Health Advantage | Commercial|All Plans | $214.90 | ↓ -64% |
| Kaiser | Medicaid|All Plans | $251.74 | ↓ -58% |
| Partnership Health Plan | Medicaid|All Plans | $289.34 | ↓ -51% |
| First Health | Commercial|All Plans | $460.50 | ↓ -23% |
| Healthsmart | Commercial|All Plans | $460.50 | ↓ -23% |
| Kaiser | Commercial|All Plans | $485.06 | ↓ -19% |
| Sutter Health | Commercial|All Plans | $491.20 | ↓ -18% |
| BCBS - Anthem | Medicare|All Other Plans | $495.09 | ↓ -17% |
| MultiPlan | Commercial|All Plans | $503.48 | ↓ -16% |
| Kaiser | Medicare|All Plans | $525.02 | ↓ -12% |
| Humana | Commercial|All Plans | $525.02 | ↓ -12% |
| Blue Shield CA | Medicare|HMO | $525.02 | ↓ -12% |
| Blue Shield CA | Medicare|PPO | $525.02 | ↓ -12% |
| United | Medicare|All Plans | $525.02 | ↓ -12% |
| Aetna | Medicare|All Plans | $525.02 | ↓ -12% |
| BCBS - Anthem | Medicare|Imperial | $540.77 | ↓ -9% |
| United | Commercial|Non-Options PPO | $614.00 | ↑ +3% |
| Blue Shield CA | Commercial|ACO Trio | $856.00 | ↑ +44% |
| Blue Shield CA | Commercial|Exchange | $1,077.00 | ↑ +81% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,090.00 | ↑ +83% |
| Blue Shield CA | Commercial|PPO Tandem | $1,576.00 | ↑ +164% |
| Blue Shield CA | Commercial|HMO | $1,598.00 | ↑ +168% |
| Blue Shield CA | Commercial|CalPers | $1,700.00 | ↑ +185% |
| Blue Shield CA | Commercial|All Other Plans | $1,877.00 | ↑ +215% |
| Health Net | Commercial|EPPO | $3,057.00 | ↑ +413% |
| BCBS - Anthem | Commercial|Connection EPO | $4,050.00 | ↑ +580% |
| BCBS - Anthem | Commercial|All Other Plans | $5,062.00 | ↑ +749% |
| Aetna | Commercial|HMO | $5,717.00 | ↑ +859% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↑ +859% |
| Aetna | Commercial|PPO | $5,717.00 | ↑ +859% |
| Health Net | Commercial|FFS | $5,853.00 | ↑ +882% |
| BCBS - Anthem | Commercial|MCS | $7,087.00 | ↑ +1089% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $211.56 | $66.21 – $648.00 |
| Banner Lassen Medical Center | Susanville | $170.17 | $77.40 – $316.22 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $547.82 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $3,088.45 | $53.83 – $620.34 |
| Mark Twain Medical Center | San Andreas | $2,019.98 | $33.12 – $125.44 |
| French Hospital | San Luis Obispo | $2,746.36 | $53.83 – $518.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $462.27 | $53.83 – $996.80 |
| Bakersfield Memorial Hospital | Bakersfield | $457.29 | $53.83 – $984.34 |