Removal of foreign body at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$3,597.87
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.
$9,249.00
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.
$273.84 with United vs $18,293.00 with Aetna — 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 | $273.84 | ↓ -92% |
| United | Medicaid|> 21 | $273.84 | ↓ -92% |
| Hill Physicians | Commercial|All Plans | $420.24 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $474.85 | ↓ -87% |
| Hill Physicians | Medicare|All Plans | $647.49 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $650.39 | ↓ -82% |
| Molina | Medicaid|All Plans | $811.56 | ↓ -77% |
| WCMG | Commercial|All Plans | $1,017.39 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $1,018.76 | ↓ -72% |
| Health Net | Medicaid|All Plans | $1,018.76 | ↓ -72% |
| Partnership Health Plan | Medicaid|All Plans | $1,471.91 | ↓ -59% |
| Western Health Advantage | Commercial|All Plans | $3,237.15 | ↓ -10% |
| BCBS - Anthem | Medicare|All Other Plans | $3,546.64 | ↓ -1% |
| Humana | Commercial|All Plans | $3,761.02 | ↑ +5% |
| Aetna | Medicare|All Plans | $3,761.02 | ↑ +5% |
| United | Medicare|All Plans | $3,761.02 | ↑ +5% |
| Kaiser | Medicare|All Plans | $3,761.02 | ↑ +5% |
| Blue Shield CA | Medicare|HMO | $3,761.02 | ↑ +5% |
| Blue Shield CA | Medicare|PPO | $3,761.02 | ↑ +5% |
| Kaiser | Medicaid|All Plans | $3,792.09 | ↑ +5% |
| BCBS - Anthem | Medicare|Imperial | $3,873.85 | ↑ +8% |
| Health Net | Commercial|EPPO | $6,554.00 | ↑ +82% |
| Healthsmart | Commercial|All Plans | $6,936.75 | ↑ +93% |
| First Health | Commercial|All Plans | $6,936.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $7,306.71 | ↑ +103% |
| BCBS - Anthem | Commercial|Connection EPO | $7,314.00 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $7,399.20 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $7,584.18 | ↑ +111% |
| Blue Shield CA | Commercial|ACO Trio | $8,272.00 | ↑ +130% |
| BCBS - Anthem | Commercial|All Other Plans | $9,143.00 | ↑ +154% |
| United | Commercial|Non-Options PPO | $9,249.00 | ↑ +157% |
| Blue Shield CA | Commercial|Exchange | $10,411.00 | ↑ +189% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,540.00 | ↑ +193% |
| Health Net | Commercial|FFS | $12,547.00 | ↑ +249% |
| BCBS - Anthem | Commercial|MCS | $12,800.00 | ↑ +256% |
| Blue Shield CA | Commercial|PPO Tandem | $15,238.00 | ↑ +324% |
| Blue Shield CA | Commercial|HMO | $15,443.00 | ↑ +329% |
| Blue Shield CA | Commercial|CalPers | $16,437.00 | ↑ +357% |
| Blue Shield CA | Commercial|All Other Plans | $18,143.00 | ↑ +404% |
| Aetna | Commercial|All Other Plans | $18,293.00 | ↑ +408% |
| Aetna | Commercial|PPO | $18,293.00 | ↑ +408% |
| Aetna | Commercial|HMO | $18,293.00 | ↑ +408% |
Visitor-reported prices
Comments
Removal of foreign body at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,676.23 | $336.82 – $6,483.96 |
| Petaluma Valley Hospital | Petaluma | $5,230.05 | $3,914.43 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | $3,121.41 | $273.84 – $7,147.14 |
| Mark Twain Medical Center | San Andreas | $806.53 | $273.84 – $1,186.78 |
| French Hospital | San Luis Obispo | $2,858.86 | $273.84 – $7,147.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,904.19 | $273.84 – $6,262.40 |
| Queen of The Valley Medical Center | Napa | $4,245.24 | $4,124.29 – $16,692.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,849.19 | $3,735.95 – $17,420.00 |