Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
not published by hospital
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.
not published by hospital
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.
$193.53 with United vs $12,800.00 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 | $193.53 | — |
| United | Medicaid|< 21 | $193.53 | — |
| Hill Physicians | Commercial|All Plans | $264.56 | — |
| Hill Physicians | Medicaid|All Plans | $335.58 | — |
| BCBS - Anthem | Medicaid|All Plans | $459.63 | — |
| Hill Physicians | Medicare|All Plans | $467.55 | — |
| Molina | Medicaid|All Plans | $573.53 | — |
| Health Net | Medicaid|All Plans | $719.97 | — |
| California Health & Wellness | Medicaid|All Plans | $719.97 | — |
| BCBS - Anthem | Medicare|All Other Plans | $758.55 | — |
| Blue Shield CA | Medicare|HMO | $804.40 | — |
| United | Medicare|All Plans | $804.40 | — |
| Blue Shield CA | Medicare|PPO | $804.40 | — |
| Humana | Commercial|All Plans | $804.40 | — |
| Kaiser | Medicare|All Plans | $804.40 | — |
| Aetna | Medicare|All Plans | $804.40 | — |
| BCBS - Anthem | Medicare|Imperial | $828.53 | — |
| Partnership Health Plan | Medicaid|All Plans | $1,040.22 | — |
| Health Net | Commercial|EPPO | $3,700.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $4,238.00 | — |
| Blue Shield CA | Commercial|Exchange | $5,334.00 | — |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,400.00 | — |
| Health Net | Commercial|FFS | $7,082.00 | — |
| BCBS - Anthem | Commercial|Connection EPO | $7,314.00 | — |
| Blue Shield CA | Commercial|PPO Tandem | $7,807.00 | — |
| Blue Shield CA | Commercial|HMO | $7,912.00 | — |
| Blue Shield CA | Commercial|CalPers | $8,421.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $9,143.00 | — |
| Aetna | Commercial|HMO | $9,148.00 | — |
| Aetna | Commercial|PPO | $9,148.00 | — |
| Aetna | Commercial|All Other Plans | $9,148.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $9,295.00 | — |
| BCBS - Anthem | Commercial|MCS | $12,800.00 | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Sutter Health | Commercial|All Plans | not published by hospital | — |
| Western Health Advantage | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| WCMG | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| Kaiser | Medicaid|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $911.34 | $226.00 – $1,756.80 |
| Petaluma Valley Hospital | Petaluma | $1,195.95 | $547.82 – $2,937.00 |
| Mark Twain Medical Center | San Andreas | $450.89 | $175.14 – $663.46 |
| Queen of The Valley Medical Center | Napa | $2,222.07 | $577.20 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,554.08 | $522.85 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $2,797.35 | $547.72 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $2,025.72 | $3,331.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $890.97 | $565.65 – $5,318.00 |