Renal function panel at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$96.48
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.
$248.00
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.
$7.60 with Partnership Health Plan vs $228.16 with Blue Shield CA — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $7.60 | ↓ -92% |
| BCBS - Anthem | Medicare|All Other Plans | $8.19 | ↓ -92% |
| Kaiser | Medicare|All Plans | $8.68 | ↓ -91% |
| Hill Physicians | Commercial|All Plans | $8.68 | ↓ -91% |
| Aetna | Medicare|All Plans | $8.68 | ↓ -91% |
| Blue Shield CA | Medicare|PPO | $8.68 | ↓ -91% |
| Blue Shield CA | Medicare|HMO | $8.68 | ↓ -91% |
| Humana | Commercial|All Plans | $8.68 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $8.68 | ↓ -91% |
| United | Medicare|All Plans | $8.68 | ↓ -91% |
| BCBS - Anthem | Medicare|Imperial | $8.94 | ↓ -91% |
| United | Commercial|All Other Plans | $10.42 | ↓ -89% |
| United | Commercial|Non-Options PPO | $10.42 | ↓ -89% |
| United | Commercial|HMO | $10.42 | ↓ -89% |
| United | Medicaid|> 21 | $10.90 | ↓ -89% |
| United | Medicaid|< 21 | $10.90 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $11.99 | ↓ -88% |
| Cigna | Commercial|LocalPlus | $19.22 | ↓ -80% |
| Molina | Medicaid|All Plans | $20.49 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $21.58 | ↓ -78% |
| Cigna | Commercial|All Other Plans | $25.62 | ↓ -73% |
| California Health & Wellness | Medicaid|All Plans | $25.72 | ↓ -73% |
| Health Net | Medicaid|All Plans | $25.72 | ↓ -73% |
| WCMG | Commercial|All Plans | $27.28 | ↓ -72% |
| Aetna | Commercial|PPO | $59.62 | ↓ -38% |
| Aetna | Commercial|All Other Plans | $59.62 | ↓ -38% |
| Aetna | Commercial|HMO | $59.62 | ↓ -38% |
| Western Health Advantage | Commercial|All Plans | $86.80 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $101.68 | ↑ +5% |
| BCBS - Anthem | Commercial|Connection EPO | $113.17 | ↑ +17% |
| Blue Shield CA | Commercial|ACO Trio | $136.40 | ↑ +41% |
| BCBS - Anthem | Commercial|All Other Plans | $141.53 | ↑ +47% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $176.08 | ↑ +83% |
| Blue Shield CA | Commercial|Exchange | $178.56 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $186.00 | ↑ +93% |
| First Health | Commercial|All Plans | $186.00 | ↑ +93% |
| Kaiser | Commercial|All Plans | $195.92 | ↑ +103% |
| BCBS - Anthem | Commercial|MCS | $198.12 | ↑ +105% |
| Sutter Health | Commercial|All Plans | $198.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $203.36 | ↑ +111% |
| Blue Shield CA | Commercial|PPO Tandem | $215.76 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $223.20 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $223.20 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $228.16 | ↑ +136% |
Visitor-reported prices
Comments
Renal function panel at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $328.07 | $8.68 – $27.09 |
| Banner Lassen Medical Center | Susanville | $97.66 | $1.74 – $151.32 |
| Petaluma Valley Hospital | Petaluma | $346.80 | $8.51 – $70.84 |
| Arroyo Grande Hospital | Santa Maria | $327.42 | $8.68 – $24.50 |
| Mark Twain Medical Center | San Andreas | $151.19 | $8.68 – $200.90 |
| French Hospital | San Luis Obispo | $299.88 | $6.75 – $26.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $367.29 | $8.68 – $81.60 |
| Bakersfield Memorial Hospital | Bakersfield | $363.33 | $8.68 – $80.58 |